Clinical operations infrastructure

Clinical documentation, audited at scale

BH QA Sentinel is the documentation and revenue infrastructure for behavioral health and SUD treatment programs. Eighteen agents read your EMR, audit every clinical note against 54 rules, and file the fixes before the payer ever sees the gap.

Start with BH QA Sentinel›Read the docs›

HIPAA-isolated per tenant·EKRA-safe flat-fee pricing·48 hour go-live·42 CFR Part 2 aware

Overall Compliance Score (%)

92%

▲ +7%

vs previous period: 85%

Clinician Name	Missed Action Hours	Number of Clients
DEDr. Emily Rodriguez	18	10
DMDr. Michael Chen	16	38
SKSarah Kim, LCSW	15	12
JPJames Patel, MFT	14	16
RCRobin Cole, RN	9	10

One platform that closes the loop from note written to claim paid.

Most documentation tools just audit. We audit, route, file the fix, and brief your team in the morning. The agents live inside your EMR. No data leaves your tenancy.

01 · Audit

Every clinical note, against 54 rules, on every shift.

Audit Simulation runs every two hours over plans, sessions, and client records. Medical necessity, signature integrity, CPT-ICD alignment, ASAM/LOC coverage, group individualization, 42 CFR Part 2 redisclosure language.

MN-05SIG-03GRP-01ASAM-04QUAL-09TP-07

audit_simulation.run() — output

{
  rule: "MN-05",
  client: "—",
  finding: "session note not tied to a plan goal",
  severity: "moderate",
  amount_at_risk: 312.50,
  suggested_fix: "link session goal to TP-007 (Anxiety)",
  deep_link: "https://app.alleva.io/sessions/82441/edit"
}

02 · Route

The right clinician gets the right nudge at the right hour.

Unsigned-note nagger escalates at 7:15, 12:15, and 17:15. After 24 hours open, supervisor escalation fires. Each clinician sees their personal inbox, deep-linked to the chart, ordered by dollar exposure.

Clinician inbox · Dr. Rodriguez

SIG-03Plan past review, 4 clients$1,240

GRP-01Group note not individualized$420

MN-05Session not tied to plan goal$312

QUAL-09Orientation status missing$180

03 · File

When you authorize the fix, the agent writes it back.

Ten write methods, API-first. Sign treatment plans, patch session fields, add CIWA/COWS, append addendum notes. Where the EMR API stops, a headless-Chromium worker logs in with PIN signing and edits the note body through the UI.

auto_fix.apply(finding)

POST /alleva/v1/treatment-plans/4421/sign
  Authorization: Bearer ${TENANT_TOKEN}
  Content-Type: application/json

  {
    "clinician_id": 188,
    "signature_date": "2026-05-14T07:12:04Z",
    "pin": "${SIGNED_PIN}",
    "audit_ref": "bhqa-finding-9a7c1"
  }

  → 200 OK   plan locked, downstream claim cleared

18 agents · 24 hours a day

An always-on clinical operations team, written in code.

audit_simulation

every 2 hours

Runs the full 54-rule catalog over plans, client records, and session notes.

billing_readiness

every 2 hours

Pre-submission clean-claim checks. CPT, modifiers, units, dx alignment.

unsigned_note_nagger

7:15, 12:15, 17:15

Escalating reminders for unsigned session notes, routed by hours overdue.

treatment_plan_expiration

daily, 7 AM

Surfaces plans whose endDate has passed without re-sign, ranked by exposure.

discharge_readiness

daily, 7 AM

Flags long-stay actives and identifies clients who may be discharge-ready.

supervisor_escalation

9 AM and 3 PM

Anything still open past 24 hours escalates to the clinical supervisor.

auto_fix

every 30 min

Applies queued chart-fix proposals when writes are enabled on your tenant.

daily_digest

daily, 7 AM

The morning brief, active clients, expired plans, readmits, LOC mix.

By the numbers

The math is the brochure.

92%

average compliance score

$14,200

monthly claims recovered

48 hr

from BAA to first morning brief

rules tuned monthly

100%

per-tenant HIPAA isolation

per-admit or per-referral fees, ever

EMR write methods

24 / 7

agents on duty

From a clinical director

“The morning brief is the first thing I open. By 8 AM I know which of my clinicians missed a signature, which plans are about to expire, and which claims are waiting on a fix the agent already queued. Nothing else got close.”

Clinical director, residential SUD program · California

Integration

A two-hour install. Zero EMR migration.

The agent reads your EMR through the API your vendor already exposes. No template rip-and-replace. No data warehouse. No middleware vendor. We point at your tenant, sign the BAA, and run.

01
BAA + tenant credentials
Standard subprocessor chain, your counsel signs nothing surprising.
02
Connection verified
Pull a test client, confirm structure, confirm permissions.
03
Rule pack tuned
Pick what fires, what auto-fixes, who gets routed.
04
First morning brief
By 7 AM Wednesday, your director has the digest.

bhqa.connect()

# alleva tenant
  ALLEVA_TENANT_URL = "https://app.alleva.io/found-recovery"
  ALLEVA_CLIENT_ID  = "${TENANT_CLIENT_ID}"
  ALLEVA_SECRET     = "${TENANT_SECRET}"

  # rule pack
  RULES_ACTIVE      = ["TP-*", "MN-05", "SIG-*", "GRP-*",
                       "ASAM-*", "QUAL-09", "REG-03"]
  AUTO_FIX_ALLOWED  = ["SIG-03", "QUAL-09", "MN-05"]

  # routing
  DIGEST_RECIPIENTS = ["director@clinic.com"]
  ESCALATE_AFTER_HR = 24

  $ bhqa-engine start
  → connected to Alleva (Found Recovery)
  → 18 agents scheduled
  → first digest queued for 07:00 PT

Security and compliance

Built for the audit your compliance officer is dreading.

HIPAA

BAA executed with every customer and every subprocessor in the chain. Per-tenant database, per-tenant encryption keys, per-tenant audit log.

42 CFR Part 2

SUD records get the federal handling they require. Redisclosure language enforced at the rule level (REG-03).

EKRA

Flat-fee subscription pricing. No per-admit, no per-referral, no revenue share. The pricing structure is the product.

SOC 2

Type II audit in progress, target close Q3 2026. Controls already operating, not just designed.

Ready when you are

Stop writing off the claims you already earned.

A 30 minute walkthrough, your data, your EMR. If we can not show you the gap in the first call, we will not waste your second.

Book a walkthrough›Email Joshua directly›