Addiction Treatment EHR Software for SUD Programs

42 CFR Part 2 Compliance

Protect substance use treatment records the way federal rules require

Consent & Disclosure:

• Consent tracking for each disclosure
• Redisclosure notices on shared records
• Restricted access to SUD records by role

Audit Readiness:

• Complete audit trails
• Custom reports for accreditation and audits

Key Benefits:

• Share records only with valid consent
• Reduce compliance risk
• Pass audits with confidence

ASAM Assessments & Levels of Care

Document placement and keep clients at the right level of care

Assessment & Placement:

• ASAM assessments
• Level-of-care placement documentation
• Treatment plans linked to placement

Program Requirements:

• IOP and PHP visit requirement tracking
• Detox, residential, IOP, PHP and outpatient levels of care
• State-specific SUD treatment requirements

Key Benefits:

• Document placement to ASAM criteria
• Support authorizations and medical necessity
• Move clients between levels of care smoothly

Attendance & Engagement Tracking

Spot clients at risk of dropping out before it happens

Attendance:

• Electronic attendance across all program components
• Automated alerts for missed sessions based on program thresholds
• Attendance pattern analysis to identify at-risk clients

Groups:

• Group therapy with multi-participant tracking
• Individual notes generated from one group entry
• Correct group billing codes applied automatically

Key Benefits:

• Identify at-risk clients early
• Meet program hour requirements
• Cut time spent on group documentation

Drug Testing & Lab Integration

Drug screens connected to the client record

Lab Interfaces:

• 40+ lab interfaces, including Quest and LabCorp
• Results delivered into the client record

Screening Management:

• Collection dates and results tracking
• Testing frequency by program or funding source
• Alerts when screenings are overdue
• Dilute specimens, refusals and other issues documented
• Visual timeline of screening history

Key Benefits:

• Eliminate manual result entry
• Never miss a scheduled screening
• See testing patterns at a glance

MAT & Medication Management

Prescribe and monitor medications for addiction treatment

Prescribing:

• EPCS-certified e-prescribing with two-factor authentication through ID.me
• Buprenorphine and naltrexone prescribing
• PDMP checks before prescribing
• Drug interaction alerts

Monitoring:

• MAT medications tracked in the client record
• Medication compliance documentation

On-Site Medication Administration:

• eMAR with barcode scanning
• Configurable alerts before administration, such as missed doses, holds and pending dose changes
• Medication inventory and dispensing logs
• Taper orders

Key Benefits:

• Prescribe MAT medications compliantly
• Coordinate counselors and prescribers
• Reduce medication safety risks

Reporting, Billing & AI

Reports for courts, states and funders, plus billing and AI that save staff time

Reporting:

• Custom reports for courts and probation, such as attendance and drug screen results
• State reporting interfaces, including Florida FASAMS
• Custom reports on any form field

Billing & AI:

• Authorization unit tracking with low-unit alerts
• Charges captured from signed notes
• AI Scribe drafts notes from in-person and telehealth sessions
• AI Coding suggests E&M codes with audit-ready justifications

Key Benefits:

• Answer court and probation requests quickly
• Reduce denials and revenue leakage
• Spend more time with clients