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Audit & compliance

Access down to the tab.

A tech, a biller, a clinical director, and an owner should not see the same chart. Permissions are set per role, per program, and per section of the record — including the parts protected under 42 CFR Part 2.

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Multi-entity aware. A clinician at one site doesn't see another site's patients.

The matrix

A tech, a biller, and a clinical director should not see the same chart.

Access is set per role and per section of the record, then scoped to a program or a billing entity. This is the actual grid, and an administrator can produce it on demand for an access review.

Record sections down the side, staff roles across the top, showing whether each role can edit, view, or not access that section.
Record sectionClinicianTechBillingSupervisorOwner
DemographicsEditViewEditEditEdit
Clinical notesEditNoneNoneEditView
Treatment planEditViewNoneEditView
Medication & eMARViewEditNoneViewNone
Claims & remittancesNoneNoneEditViewEdit
Part 2 protected recordsEditNoneNoneViewNone
Payroll & HRNoneNoneNoneViewEdit
Audit log & exportsNoneNoneNoneViewEdit

Scope

A role is not just what you can see. It is where.

Groups running several clinics and several billing entities need a clinician at one site not browsing another site's census. Scope is applied on top of the matrix, so the same role behaves differently depending on where the person works.

By program

Limit a role to outpatient, PHP, or the residential unit — so a day-program clinician does not see the detox census.

By billing entity

Multi-entity groups keep staff, patients, and claims separated at the tenant level rather than by convention.

By assignment

Optionally narrow a clinician to their own caseload, so the chart list is the people they actually treat.

You will be asked to prove this

An access review report is a standard survey request.

Accreditors ask who can see what. So does a breach investigation. Producing that grid should take a minute, not a conversation with an engineer — which is why the matrix is a report, not a config file.

8record sections, set per role

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