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Wellness Check Audit

Introduction

Brief Overview of the Client

The client is a behavioral health and substance use disorder (SUD) treatment center specializing in detoxification services. They are committed to ensuring the highest standards of care while maintaining strict regulatory compliance with industry standards such as JCAHO.

Challenge Overview

The clinic struggled with tracking the completion of required detox checks (Q30 and Q15). Manual audits of the required checks were time-consuming, error-prone, and delayed, leading to missed checks and compliance risks. This inefficiency also limited the clinic’s ability to maximize billable hours and maintain accurate, up-to-date patient records.

Client’s Pain Points

Time-consuming manual tracking

of detox checks, which was often prone to errors.

Increased risk of non-compliance

threatening JCAHO accreditation and legal standing.

Missed billable hours

due to incomplete or untracked detox checks.

Delayed client care

due to the administrative burden placed on the behavioral health technicians (BHTs) to manually review and track detox checks.

Impact

These challenges resulted in wasted time, non-compliance risks, and the inability to fully capture billable hours, which directly impacted the clinic’s revenue and operational efficiency.

Solution

Automated Detox Check Audits

Conducts daily audits to ensure all required detox checks (Q30 and Q15) are completed and documented properly.

Real-Time Error Detection

Flags missed detox checks instantly, allowing staff to address issues before they affect patient care or billing.

Daily Reporting

Generates a daily report on missed detox checks for each client in the past 7 days, enabling quick intervention and resolution.

Golden Thread Compliance

Ensures detox check data is continuously linked to the patient’s treatment plan, maintaining the integrity of documentation.

Implementation Process

Initial Setup and Integration

The setup process was completed smoothly within two weeks. Our team worked directly with the clinic’s IT department to integrate the AI Chart Audits solution with their existing EMR system. In addition to system integration, we provided detailed training to the clinic’s staff, ensuring they were fully equipped to leverage the system from day one.

Ongoing Support

Throughout the implementation, we provided continuous support, including troubleshooting, staff re-training sessions, and regular check-ins. This ensured the system was operating effectively and efficiently, and any questions or challenges were promptly addressed.

Results and Outcomes

~2 Hours – Saved everyday, spent in finding the missing data
Achieved 100% compliance with detox check requirements.
Captured all detox checks, boosting billable hours and revenue.
Visualisation – One click view of historical data trend

Frequently Asked Questions (FAQs)

How can I make sure my clinic doesn’t miss required detox checks (Q30 and Q15)?
Our system performs automated daily audits for every detox check and instantly flags missing or incomplete entries. This allows your team to correct documentation in real time, maintain compliance with JCAHO standards, and prevent avoidable care or billing issues.
Yes. By identifying missed or unrecorded Q30 and Q15 checks as they happen, the system ensures accurate documentation for every session. This protects billable hours, reduces lost revenue, and keeps patient care records consistent.
By confirming every detox check is completed and tied to the patient’s treatment plan, staff can respond quickly to changes in patient condition. This supports safety, delivers more consistent care, and lowers the administrative load on behavioral health technicians.

The Goals

  • Inefficient Manual Audits
  • Missed Billing
  • Compliance Risks

The Approach

  • Automated Detox Check Audits
  • Real-Time Error Detection
  • Daily Reporting

The Results

  • 2+ Hours Saved Daily
  • 100% Detox Compliance
  • Increased Revenue
Testimonials

From Our People

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