Telehealth That Runs Like Care, Not Like Tech.
Video, scheduling, and records. Connected by design.
Telehealth needs HIPAA-compliant video, virtual scheduling, secure messaging, and EHR synchronization working as one connected system. We build all four.
House of Karma combines telehealth video integration, virtual visit scheduling, secure patient messaging, and bidirectional EHR sync. Studio Escrow powers the virtual care layer, with BAA coverage scoped to each organization.
One visit.
Every system.
HIPAA-compliant video

Integrate HIPAA-compliant video consultations directly into your patient portal so a virtual visit happens inside your branded environment — never a consumer tool that exposes PHI.
BAA-covered providers, encrypted streams, and no third-party accounts between patient and provider.
Embedded HIPAA-compliant video integration
BAA-covered video provider coordination
Encrypted stream & session security
Branded virtual waiting room UX
Provider & patient video controls
Virtual visit scheduling

A virtual visit is just another appointment from the EHR's perspective. We connect telehealth scheduling so a booked video visit appears in the chart alongside any in-person visit.
Real-time provider availability, visit-type logic, and waitlist handling all adapt to virtual care.
Virtual visit scheduling logic
Provider availability & waitlists
Telehealth intake & consent capture
Automated visit reminders
Secure patient messaging

Secure, asynchronous messaging between patients and clinical staff with automated triage routing and notification alerts — designed around what's appropriate to say where.
PHI never routes through email or personal devices; it stays in the portal where it's protected and trackable.
Encrypted async messaging
Automated triage & routing
Notification & alert workflows
Privacy boundary configuration
Bidirectional EHR sync

Scheduling, rescheduling, documentation, and clinical notes sync both ways between the telehealth portal and your EHR — Epic, Athenahealth, Cerner, Kareo — so the chart stays the single source of truth.
Your billing team isn't chasing missing encounter records after a virtual visit.
EHR API & FHIR/HL7 integration
Visit documentation synchronization
Billing & encounter record sync
Role-based access for virtual care
Consent & documentation

Digital consent capture, visit documentation templates, and audit logging are built into every virtual encounter — so a telehealth visit is as defensible as an in-room one.
We scope consent forms, documentation requirements, and access controls per specialty and jurisdiction.
Digital consent capture workflows
Visit documentation templates
Audit logging & access controls
Specialty & jurisdiction compliance scoping
Build telehealth patients trust. Not just a video link.
House of Karma connects HIPAA-compliant video, EHR sync, and the secure infrastructure that makes virtual care real.
From discovery
to lasting trust.
Explore dedicated strategy, design, and content capabilities for healthcare organizations.