End-to-end EHR Solutions for Behavioral Health & Human Service in California

Empowering California Providers with Efficient, Flexible EHR Tools and Support

With requirements for interoperability and reporting continually evolving, a comprehensive Electronic Health Record (EHR) is vital for adhering to the objectives and challenges of California CalAIM initiatives.

Qualifacts EHRs help providers work more efficiently, maximize revenue, demonstrate high performance, and deliver outstanding care to those in need. Qualifacts EHRs provide advanced analytics for tracking KPIs, cost evaluation, and data-driven decision-making to enhance operational efficiency and cost savings. Documentation processes are simplified through user-friendly interfaces, mobile solutions, and intuitive workflows. Powerful rules-based Billing Matrix handles complex programs and funder-specific requirements, including managing multiple payers and rate cards. Our innovative and scalable EHRs support providers’ core operations and adapt to the ever-changing landscape of complex requirements.

With Qualifacts you won’t get stuck using standard workflows that aren’t optimized for your needs. Our EHRs allow you to tailor workflows to your unique needs — forms, reporting, billing, outcomes collection — it’s all configurable. Agencies choose Qualifacts to increase efficiency and adapt to new requirements without costly vendor customizations and unexpected expenses. 

We partner with California providers to deliver the best EHR solutions for their specific needs. From meeting Medi-Cal and upcoming CalAIM requirements to optimizing clinical workflows and demonstrating positive outcomes. With over 160 provider agencies and county customers, we specialize in tailoring our solutions and support to help California’s providers thrive.

Call us today at  866-386-6755 or fill out the form to schedule a custom demo directly with a California representative.

Qualifacts by the numbers

  • #1 & #2 Best in KLAS Software 2023
  • 96% Customer Retention
  • 170+ CCBHC Customers
  • 2,500 Customers and 75,000 Providers
  • 8.6 Million Lives Covered
  • $10 Billion Claims Processed Per Year
  • 22+ Years Focused on Behavioral Health 

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Our Capabilities

  • Revenue Cycle
  • Staff Productivity
  • Medical/Psychiatric Support
  • Inpatient/Residential Support
  • Virtual Care Solutions
  • Scheduling & Intake
  • Actionable Data
  • Clinical Outcomes
  • Integrated/Primary Care
  • Compliance & State Reporting
  • Messaging & Notifications
  • Mobile Solutions
  • Form Building
  • Interoperability 
  • Client Engagement
  • Interdisciplinary Treatment Planning
  • Training & Support
  • Professional Services

Why Qualifacts?

As state requirements evolve, foundational EHR support and the ability to share data are vital for decision-making and quality improvement efforts. Agencies are switching Qualifacts to support California CalAIM program initiatives, including data analytics, consumer engagement, and care coordination tools. 

  • Aligned with CalAIM Behavioral Health Payment Reform billing requirements
  • Full access to all data critical for compiling and analyzing, demonstrating improved outcomes, and better treatment protocols  
  • Consumer engagement tools and a client portal with online access to scheduling, medication renewals, form and assessment completion, and payment processing 
  • Medi-Cal Short-Doyle Billing Module for compliant and timely revenue collection  
  • Multiple reporting tools to harvest data and a Business Intelligence module to provide real time dashboards measuring Key Performance Indicators (KPIs) to demonstrate continuous improvement and contract compliance 
  • Connect with other systems and organizations — including patient data access and system-wide health information exchange — to break down data silos 

Qualifacts EHR’s configurable reporting and billing modules help our California Partners meet their unique needs. As a result, they experience an average 99% clean bill rate and 8% fewer claim denials versus the industry standard. From claims automation to Medi-Cal billing requirements, we have you covered.

  • Aligned with CalAIM Behavioral Health Payment Reform billing requirements
  • Promote compliance and timely revenue collection with Medi-Cal, Short-Doyle billing solutions
  • Quickly manage payers, submissions & denials with versatile billing tools
  • Work efficiently with real-time eligibility checks for Medi-Cal & commercial clients
  • Workflows to capture data that supports payer specific requirements to Enhanced Care Management (ECM)
  • Billing and reporting functionality for CCBHC and VBR Models ​​​
  • Predefined California billing rules to support various scenarios (Lockouts)
  • Electronic submission of Medi-Cal Medicare, and third-party claims 
  • Enhanced 835 functionality for California specific requirements
  • California Specific Liability worksheet and expanded liability processing support UMDAP, Share of Cost, and Sliding Fee Scale  
  • Advanced Search, Batch Claim Error Report, and pre-billing checklist help prevent denials
  • Billing integrates service documentation components for claims tracking, batch generation, editing, electronic posting, etc. ​
  • Payment reconciliation and consumer financial reviews with sliding scale and UMDAP calculations ​
  • Generate 837 files for Mental Health Claims (Short Doyle) and SUD Claims – Drug Medi-Cal (DMC) in accordance with Medi-Cal ​
  • Our platform’s disconnected mobile workflows allow clinicians to access and document the data they need at the point of care. Collect the data that matters, then relax. That info will securely upload to your EHR for immediate review, processing, billing, and reporting once an Internet connection is available.

    • Work from anywhere with fully disconnected mobile solutions for community care

    • Collect data, including client signatures, at the point of care with electronic forms

    • Integrate community-based care, scheduling & paperwork via any secure tablet, laptop, or mobile device
Our Credible EHR fully supports Medi-Cal, CalAIM and other federal reporting requirements. With experience in meeting specific requirements in 50 states, you will have a partner that understands the security and certifications needed to stay ahead of what’s coming federally and within California. You can feel confident that your EHR will be ready to support you as CalAIM and the 21st Century Cures Act continue to evolve.
  • Simplify compliance with forms, fields and reports tailored to Medi-Cal/Short-Doyle and upcoming CalAIM requirements
  • Count on regulatory support and guidance for Certified Community Behavioral Health Clinics, the 21st Century Cures Act, federal incentive programs & more
  • Quickly and efficiently collect and report on outcomes with Clinical Quality Measures dashboards

Our platforms help you tailor workflows to your unique needs. From clinical care to reporting, billing, and outcomes collection, it’s all configurable. Whatever your role, our solutions can help you achieve more in less time.

  • Create smooth clinical workflows with configurable forms, reports, dashboards & smart screens
  • Access client, outcome & program data in one convenient location
  • Eliminate surprise fees or delays with self-service configuration of data & workflows

Qualifacts Difference

We empower providers to focus on the moments that matter by delivering innovation and trusted technology solutions to achieve expectational outcomes for those they serve. We have over 22 years in the behavioral health industry and have knowledgeable leadership who has walked in your shoes, bringing vital clinical and technical experience. We are committed to superior customer service and support. Regardless of your agency’s size, services, or structure, we have a solution that meets your needs.

California organizations have already begun to experience the Qualifacts difference, taking full advantage of our EHRs to work towards achieving better outcomes, driving efficiencies, maximizing revenue, demonstrating high performance, and preparing for value-based reimbursement. Ready to learn more about how our EHR solutions help our California Partners improve care, simplify compliance, and maximize revenue? Call us today at 866-386-6755