Adequately supporting clients’ behavioral health needs often requires addressing co-occurring conditions, tracking subjective progress data, and treating the whole person rather than just the symptoms.
Because of these complexities, fulfilling compliance and regulatory requirements has become a significant challenge for behavioral health organizations. Evolving billing codes, new legislation, and shifting standards are just a few of the reasons why it’s so difficult for care providers to stay current, let alone get ahead. At the same time, noncompliance can be costly, resulting not only in fees but a potential loss of funder confidence and client trust.
Core Solutions’ Cx360 Enterprise electronic health record (EHR) is purpose-built to help organizations stay compliant. In doing so, the behavioral health EHR enables teams to spend less time on paperwork and more time focusing on and supporting clients.
Healthcare faces some of the highest rates of regulatory noncompliance of any industry — along with some of the most severe penalties. Data privacy noncompliance violations alone have led to multimillion-dollar fines across the sector.
But data privacy is only one piece of the compliance landscape for behavioral health organizations. The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 set new standards for compliance-related reporting, requiring organizations to collect and submit data related to:
Federal and state requirements — as well as requirements from Medicaid, the largest payer for behavioral health services — continue to evolve as well. There are also constantly shifting accreditation standards and expectations. The Joint Commission has announced that, effective Jan. 1, 2026, accredited behavioral health organizations will be required to report on new client safety goals designed to increase accountability and improve outcomes.
Documentation expectations are rising, too. In 2025, insurers and regulatory bodies introduced more stringent documentation standards, demanding greater detail and closer scrutiny. And as organizations transition to value-based care models, many are reworking documentation and data collection processes to emphasize client outcomes over service volume.
When the burden of compliance becomes too much to manage manually, Core Solutions’ Cx360 Enterprise behavioral health EHR can help. The platform offers:
The Cx360 Enterprise EHR comes with an embedded compliance tracker that outlines clear deadlines, roles, and data fields to enable teams to stay on top of compliance requirements. The system evaluates compliance-related tasks against custom checklists and notifies teams of impending deadlines and regulatory needs. It also offers full audit trails and version tracking, and it notifies appropriate team members if documentation doesn’t meet compliance requirements.
Managing eligibility verification can slow down individuals’ access to care and place unnecessary strain on administrative teams. Behavioral health teams using the Cx360 Enterprise EHR software can integrate the solution with payer systems to speed up and improve the accuracy of real-time eligibility verification. By flagging missing authorizations, eligibility gaps, or expired benefits before they escalate, the system helps teams avoid time-consuming and costly noncompliance challenges.
Teams can also build and embed custom compliance-related checklists directly within the Cx360 Enterprise EHR software. The solution notifies team members of their specific tasks, then routes each task to the next team member upon completion. This helps teams better meet compliance deadlines and stay abreast of task changes and handoffs, improving accountability.
Given that behavioral health relies so largely on subjective provider insights related to diagnoses and treatment plans, documentation is a cornerstone of compliance reporting. To meet strict compliance requirements for grant funding programs, federal and state laws, and insurance reimbursement, teams must align detailed documentation to delivered services, specific billing codes, and diagnosis-related groups.
The Cx360 Enterprise EHR helps address this complexity by integrating and presenting payer-specific documentation rules. The platform's AI-powered add-on transcribes and summarizes verbal notes, helping structure documentation according to compliance requirements — while allowing the clinician to maintain full control over the final documentation.
Organizations using value-based care models, certified community behavioral health clinics (CCBHCs), and practices that coordinate with other care providers are required to carefully document, collect, and submit client outcomes-related data to governing bodies.
With an intuitive data dashboard and custom data collection features, the Cx360 Enterprise behavioral health EHR makes it easy for teams to collect and organize the right data. Teams can set parameters, align data collection to specific compliance requirements, and easily access insights at the right time.
In many behavioral health models, organizations are required to submit data, billing codes, and documentation not just for their own care delivery but for that of their coordinating partners. Crisis centers, occupational therapists, pharmacies, primary care physicians, and other providers often work in tandem with behavioral health providers, which means they must collaborate effectively to meet coordinated compliance needs.
Using the Cx360 Enterprise EHR’s secure in-portal communication features, behavioral health teams can quickly and easily coordinate care with other providers, which is particularly vital during crisis situations. They can also assess bed availability at in-patient facilities and shelters, manage medication plans with pharmacies, and share client notes securely while on the go.
As new behavioral health laws are introduced, client expectations increase, and the regulatory landscape grows more complicated, compliance requirements show no signs of slowing. In fact, constant change is likely to remain the norm.
At Core Solutions, we take compliance seriously because that’s what our clients need us to do. That's why we designed the Cx360 Enterprise EHR and our suite of AI-powered solutions to address the most pressing compliance challenges.
If you’re ready to transform time-consuming manual processes into streamlined, cost-saving automations, we’re here to help. Reach out to Core Solutions for a Cx360 EHR demo today.
Absolutely. We've designed our Cx360 Enterprise EHR specifically around the needs of behavioral health organizations. The platform offers comprehensive compliance tracking, documentation support, revenue cycle management assistance, and task management to drive more accurate — and, therefore, less costly — compliance processes.
Behavioral health and IDD organizations must stay up to date with:
Each of these areas requires organizations to have effective documentation, data reporting, and billing procedures in place. Core Solutions’ technology can automate many of these tasks and help ensure timely and accurate compliance with regulatory requirements.
The Cx360 Enterprise’s compliance tracker automatically updates to the latest compliance requirements, which helps users stay current with regulatory changes. What’s more, you can set custom checklists to evaluate billing codes, payer-specific insurance eligibility verification, and compliance tasks. These checks help prevent compliance errors or costly payment delays, thereby helping your team stay up to date while saving time and money.