Capabilities

Compliance & State Reporting

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We’ve got compliance and state reporting covered.  

Maintaining compliance is time-consuming—yet compliance only gets you to the starting line. You have more pressing matters than developing and maintaining the necessary state reports that your organization is required to provide for compliance.

That’s where we come in. We focus on compliance details and state reporting, so you can concentrate on delivering care. Qualifacts currently supports organizations with state reporting in over 35 states. 

Our platforms are designed to help you navigate the complexity of compliance. We help providers adhere to applicable laws and incentive programs, including the Health Insurance Portability and Accountability Act (HIPAA), 42CFR Part 2, Quality Payment Program (MIPS or APM), Value-Based Reimbursement (VBR), state reporting requirements, and many other federal and local regulations.

Working together, we can help you stay compliant and ahead of state reporting while integrating best practices within your organization.

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key strengths

1

State Reporting Maintenance and Subscription Service.

Receive ongoing maintenance, state updates, and related customer support for the submission of data to state departments and entities. Designated specialists work collaboratively with you to best align your agency’s workflows with reporting changes, balancing configurability against requirements.

  • Enhance efficiency with batch-level data extraction and state reports built for your agency
  • Simplify compliance with state reporting for Behavioral Health, Intellectual and Developmental Disabilities (I/DD) and Substance Use Disorder program delivery
  • Receive timely updates with no surprise fees for supported changes
  • Protect revenue through accurate reporting of state revenue source requirements that prevent compliance gaps
  • Save staff time with an experienced partner who will help you stay ahead of compliance instead of behind it.
2

Compliance and Quality Professionals.

Leverage years of experience adhering to state and federal requirements for administrative, demographics, and outcomes data to be eligible for reimbursement under public funding sources.

  • HIPPA and 42CFR Part 2 Compliant
  • Meet Quality Payment Program regulations with MIPS and APM
  • State reporting expertise
  • CQM reporting
  • CCBHC reporting and more
3

HIPAA. State. Federal. Local. Check. 

Readily adhere to applicable laws and incentive programs, including HIPAA, 42CFR Part 2, Promoting Interoperability, MIPS, APMs, CCBHC programs, state reporting requirements, and other federal and local regulations.

4

Easy-to-run reports.  

Quickly run standard and custom reports for quality metrics, audit preparation, and other operational needs while minimizing the administrative burden on staff.  

5

Use your data to your business advantage.

Data can be daunting – or it can be game-changing. Leverage the tools and technology to automate filtering, organizing, viewing, and reporting of key indicators for executive and management staff. Run comprehensive standard and custom reports to evaluate organizational success, clinical risks, productivity, finance, and more to determine the best use of resources.

6

Mitigate the risk of take-backs or audits. 

Access the right information quickly to prevent problems before they arise and address new issues right away. Simply pull necessary reports and client documentation in just a few clicks.

7

QPP adherence. 

Our technology functions in tandem with the Quality Payment Program and the reporting option of the Merit Based Incentive Payment System (MIPS) or Advanced Payment Model (APM) — giving you easy access to the tools and capability to compile and track the data you need to demonstrate the value of your care. 

8

Get paid.  

Leverage our deep experience in clearing the way for reimbursement from a variety of funding sources. We know what eligibility looks like, and we can help you manage every step to get you there.  

9

Certification.

Certification with the Office of the National Coordinator (ONC) providing nationally compliant and certified products. You can view our API Documentation here.

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The transparency and communication at Qualifacts is exceptional.  I feel like we’re fully informed on what’s happening with the development of the company from the top level all the way down through the customer service and the day-to-day operations.

Steve Allan
CEO, Options Counseling and Family Services

Customer Benefits

Listening to our community 

We value the voices of our customers—and we pay close attention when those voices interact. Our customers gather inside an active community devoted to proactively improving the Qualifacts experience. By stimulating dialogue, collaborating online, and leading structured group meetings, this community functions as a frontline advisory board that helps us steer how innovation unfolds within our suite of solutions. We are grateful for their passion and participation, and we are always listening.

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Getting Started

  • Solution Icon Solution Icon Implementation
    Implementation

    Our established implementation methodology, led by subject matter experts and experienced project managers, will support your EHR implementation. We work with you to migrate legacy data, configure the software to unique workflows, build standard and custom reports, and test the system before it goes live.

  • Solution Icon Solution Icon Integrations and Interoperability
    Integrations and Interoperability

    Our experienced integration team works with you to build easy access to the data your teams need, so people across your organization can see it, analyze it, track it, and report on it.

  • Solution Icon Solution Icon Support and Training
    Support and Training

    As your organization grows post-implementation, support the onboarding of staff with our extensive training resources, including videos and webinars, and our training certification classes. Our experienced customer support team, staffed with subject matter experts, always puts you first.

  • Solution Icon Solution Icon Qualifacts Community
    Qualifacts Community

    Whether you participate in a state user group, or join national discussion groups, including clinical users, and CCBHCs, the Qualifacts Community offers online peer leadership. Our forum provides a place to trade best practices, work collaboratively through challenges, and contribute suggestions for upgrades and improvements.

Resources

[Guide] CalAIM Guide for California County Behavioral Health and Human Service Departments Start reading
Simplify 21st Century Cures Act compliance with FHIR API and USCDI Support Start reading
RCM KPIs to Watch | Scaling Your Behavioral Health Practice Start reading

Trade in complexity for something truly empowering.