Substance abuse treatment software for the whole continuum. Residential 3.5 down to aftercare.

The 10 a.m. UR call for a client on day 19. The reviewer wants to know why continued stay at 3.5 is justified. The evidence exists - in Tuesday’s group note, in two screen results, in a treatment plan review someone swears was signed. Your clinical director spends the morning hunting for it, and the call runs on memory and hope. Every denied day is a bed night you staffed, fed, and don’t get paid for.

Three groups down, eleven notes to go. A counselor runs process group at 9, psychoeducation at 1, relapse prevention at 3. The notes get written Friday, from recollection, in a batch - and the attendance sheet says fourteen while the notes say twelve. That gap is exactly what a payer audit and a clawback letter are made of.

The step-down that starts a second chart. A client finishes residential and moves to your IOP - and somehow becomes a new person. New intake packet, med list retyped, consents redone, history flattened to a discharge summary. The continuum you sell to referral sources exists everywhere except in the record.

The screen result that came back Friday. The cup was collected Tuesday. The lab result landed in a fax tray or a portal nobody checks daily, and the positive got read three days later - after the weekend pass was already approved. The collection, the result, and the clinical response live in three different places.

The UR call → a chart that argues for you. Every group note, screen result, med administration, and treatment plan review is signed, time-stamped, and in one record you can walk a reviewer through live. And the billing workflow center alerts you when authorizations run low - so day 19 is a scheduled conversation, not an ambush.

The Friday note pile → KORA, on shift. KORA helps counselors finish notes while the group is still fresh and flags the gaps - the client who’s on the attendance list but has no note - before a payer finds them. Audio never leaves the device. Then the finished note carries straight into the charge, so nothing is re-keyed.

The second chart → one record down the whole ladder. Residential 3.5, PHP, IOP - the person keeps one chart the entire way. Your setup shows each program only the fields it needs, your ASAM assessments and reviews are built in the form designer in your wording, and a level-of-care transition is a status change, not a re-intake.

The lost screen → Health & eMAR, plus a workflow that won’t drop it. MAT doses are witnessed and logged at the window, refusals captured, overdue doses surfaced before they become incidents. Drug screens are documented on your own form, and a positive routes itself to the clinical director the day it lands - not after the pass was signed.

6:20 a.m. - MAT line before breakfast. Each dose witnessed and logged in the eMAR as it’s handed over; one client refuses, and the refusal is on the prescriber’s screen - not on a sticky note by the med room.

9:00 a.m. - Morning process group, fourteen clients. Attendance is one pass on a tablet, and KORA helps the counselor get the notes done before lunch instead of before the weekend.

11:40 a.m. - UR call for a client on day 21. The reviewer asks about withdrawal risk and relapse potential; the clinical director reads from signed notes, screen results, and the latest treatment plan review - the continued-stay case is documentation, not persuasion.

2:15 p.m. - Random screens on the residential wing. Each result is recorded against its collection, and one positive routes to the clinical director for a same-day session - before anyone approves a pass.

4:50 p.m. - A client steps down from 3.5 to IOP. Same chart, same consents on file; the program profile changes what staff see, and his first aftercare check-in call is on the calendar before he’s out the door.

SUD programs answer to state behavioral health licensing that leans on the ASAM criteria: level-of-care assessments with the reasoning shown, individualized treatment plans reviewed on schedule, counselor credentials and clinical supervision hours, medication storage and MAT documentation, and incident timelines. Kordera captures all of it as staff do the shift - assessments and reviews in your own forms, credentials tracked with expiration reminders, and a chart a surveyor can trace from admission to step-down, aligned to Joint Commission behavioral health expectations.

Then there’s 42 CFR Part 2, which holds SUD records to a stricter standard than HIPAA. Kordera doesn’t wave a certificate at that - it gives your Part 2 policies teeth: access to records is role-based and controlled, consent documents live on the chart itself, and an integrity-checked audit log can show exactly who opened what, and when. When a question about disclosure comes, you answer it from the log, not from recollection.