Avben Healthcare Consulting

Assisted Living

Authorization-driven stability without disrupting resident experience

Assisted living cash flow is authorization- and coverage-driven. Small delays cascade into aging balances. We install authorization lifecycle ownership, billing triggers tied to care events, and cadence that keeps AR visible without burdening care teams.

Request a Conversation Where revenue breaks KPIs
ControlsQueue disciplineEscalation pathwaysExecutive cadence
Authorization controlEnd-to-end ownership
Coverage changesFast rebilling triggers
VisibilityAR not hidden in 'pending'
Assisted Living

Reduce write-offs through disciplined controls and cadence

We install controls and a weekly cadence so performance is repeatable across teams, payers, and locations — without heroics.

Discreet resolution capability: Dispute support is positioned as governance and compliance—never aggressive, always discreet.

Where cash breaks

Typical failure modes we map in the first 10–14 days.

Signals

  • Authorization gaps leading to retro denials
  • Documentation readiness inconsistent across sites
  • Resident responsibility collections drifting
  • Disputes handled ad-hoc without consistent standards
  • AR aging with unclear ownership

Root causes

  • Missing controls (no owner, no cadence)
  • Work queues misaligned to payer rules
  • Documentation + coding handoffs inconsistent
  • Appeals built ad-hoc instead of industrialized

The operating model we install

A control system: dashboards → queues → escalation → weekly exec cadence.

Interventions

  • Authorization + documentation gating controls
  • AR governance with escalation ladder and ownership
  • Billing accuracy + dispute workflow (standardized)
  • Leadership dashboard: occupancy-to-cash conversion

What you get

  • Playbooks, templates, and manager scorecards
  • Queue design + SLA definitions per workstream
  • Payer performance reporting and variance tracking
  • Weekly leadership readout (10-slide style)

KPIs leadership can run

We choose a tight set of measures that drive behavior and closure.

AR > 90 days
↓
aging reduced
Authorization compliance
↑
before service
Write-offs
↓
preventable
Dispute cycle time
↓
faster resolution
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