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Interoperability Assessment

For Clinical Groups & Provider Organizations With Data Spread Across Systems

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For:
Multi-specialty clinical groups and provider organizations whose patient data lives in three or more separate systems — EHR, billing, lab, imaging, communication.
Why it matters:
Fragmented patient data slows every workflow it touches — getting paid, keeping AI tools useful, moving fast when it counts. The payers you bill are moving prior authorization onto FHIR APIs under CMS-0057-F; if your own data is fragmented, you can't take advantage of that once it lands, and you'll keep working the fax channel. This scorecard tells you where you actually stand, not where you assume you stand.

Building software other providers use, rather than running your own clinical systems? Take the CMS-0057 readiness checker instead — it's built for that.

How to Use

  1. For each question, click the option that best describes your situation.
  2. Your score updates automatically as you answer.
  3. After question 10, you'll see your band plus 2-3 specific next steps.
  4. This is a self-assessment based on what you tell us — not a technical audit of your systems.

greenice.net | September 2026

19 years | 200+ projects | HIPAA & BAA experience

Your Score
0
Answered
0 / 10
Select answers below
1
Patient Data Spread
How many separate systems store data about a single patient or client (EHR, billing, lab, imaging, communication)?
2
Core EHR / Practice System
What's your primary clinical or practice management system?

Note: having the platform isn't the same as having its FHIR API access approved — that's usually a separate vendor process.

3
FHIR API in Practice
Does your EHR have a public FHIR API you actually use?
4
How Data Moves Between Systems
How is data currently exchanged between your systems?
5
AI & Reporting Coverage
Do your analytics or AI tools see the full picture for each patient, or only part of it?
6
Patient-Facing Data Access
Can patients pull their own records into a third-party app (Patient Access API-level)?
7
Clinical Decision Support
Is decision support built into the clinician's workflow, or a separate step?
8
Payer Mix
Do your patients' health plans include Medicare Advantage, Medicaid, CHIP, or a federal exchange (QHP) plan? Not scored — for context only.
9
In-House FHIR Experience
Does your team include someone with real, hands-on FHIR implementation experience?
10
What Brought You Here
What's driving this right now? (Not scored — for context only.)
⚠️

This looks like CMS-0057 territory

Based on what you told us, Medicare Advantage, Medicaid, CHIP, or federal exchange plans are in the picture — or the CMS-0057-F deadline is what brought you here. That mandate binds your patients' payers, not you directly, but by January 1, 2027 those payers must expose prior authorization over FHIR — worth confirming what that opens up for your own integration work. Take the CMS-0057 readiness checker →

Score Interpretation

0 - 40
Interoperability-Ready
Based on what you told us, fragmentation and manual work are minimal across the areas we asked about. The priority now is extending that foundation — registries, reporting gateways, or payer-facing requirements if they apply to you.
41 - 120
Partially Connected
Based on what you told us, meaningful gaps remain in some of the areas that matter most for exchange, decision support, or patient access. A targeted integration layer — often a SMART on FHIR app or a CDS Hooks build — can close the specific gaps without a system-wide rebuild.
121+
Fragmented
Based on what you told us, several of the areas we asked about show real gaps in standards-based exchange. The fastest path forward is an Integration Audit: map what talks to what, then fix the highest-impact gap first.

Free Interoperability Consult

We'll walk through your specific gaps, based on what you told us above, and lay out a fixed-scope plan to close them — starting with the one that's costing you the most right now.

Try the mock payer sandbox →

Get your estimate now

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