CentralReach Audit Tool

Dashboard Readiness

Can AFL publish each ABI dashboard today? Based on audit 2025-11-04T14:22:00Z.

Executive Reporting

Owner, CEO, board

85.4Mostly Ready9 critical · 12 high

9 critical and 12 high findings across 838,670 affected source rows. Publishing now risks materially wrong executive reporting numbers reaching decision makers.

Blocking fields

  • dw2.FactAuthorization.AuthEndDate
  • dw2.FactPayment.PaymentPostedDate
  • dw2.FactAppointment.RenderingProviderId
  • dw2.FactClaim.PayorId
  • dw2.FactAuthorization.AuthorizedUnits

Key findings

  • T1 · dw2.FactAuthorization.AuthEndDate — 12.6% of authorizations have no end date, so they never enter the expiring-authorization window.
  • T1 · dw2.FactPayment.PaymentPostedDate — 31.8% of payments have no posted date, so collections aging and cash velocity are unreliable.
  • T1 · dw2.FactAppointment.RenderingProviderId — 3.8% of converted appointments have no rendering provider, so those units fall out of 97153 productivity.

CentralReach cleanup actions

  • Backfill AuthEndDate from the payor approval letter and make the field required at authorization entry in CentralReach.
  • Repost the affected payments with their remittance dates and automate posting-date capture from the 835.
  • Correct the affected appointments and block conversion when a rendering provider is not set.

Authorization Utilization

Intake and clinical leadership

88.9Mostly Ready5 critical · 4 high

5 critical and 4 high findings across 544,798 affected source rows. Publishing now risks materially wrong authorization utilization numbers reaching decision makers.

Blocking fields

  • dw2.FactAuthorization.AuthEndDate
  • dw2.FactAuthorization.AuthManager
  • dw2.FactAuthorization.AuthorizationGroup
  • dw2.FactAuthorization.AuthorizedUnits
  • dw2.FactAuthorization.ServiceCode

Key findings

  • T1 · dw2.FactAuthorization.AuthEndDate — 12.6% of authorizations have no end date, so they never enter the expiring-authorization window.
  • T1 · dw2.FactAuthorization.AuthManager — Some authorizations have no Auth Manager assigned, so nobody owns the renewal follow-up and expiring approvals surface late.
  • T1 · dw2.FactAuthorization.AuthorizationGroup — Some authorization records are missing the authorization group identifier. This can cause authorization utilization dashboards to undercount or misattribute authorized hours.

CentralReach cleanup actions

  • Backfill AuthEndDate from the payor approval letter and make the field required at authorization entry in CentralReach.
  • Assign an Auth Manager to every active authorization in Billing > Authorizations and default it from the client's primary BCBA.
  • Populate the Authorization Group on each authorization and require it at entry.

Authorization Renewal

Intake lead, care coordination

88.1Mostly Ready5 critical · 3 high

5 critical and 3 high findings across 544,386 affected source rows. Publishing now risks materially wrong authorization renewal numbers reaching decision makers.

Blocking fields

  • dw2.FactAuthorization.AuthEndDate
  • dw2.FactAuthorization.AuthManager
  • dw2.FactAuthorization.AuthorizationGroup
  • dw2.FactAuthorization.AuthorizedUnits
  • dw2.FactAuthorization.ServiceCode

Key findings

  • T1 · dw2.FactAuthorization.AuthEndDate — 12.6% of authorizations have no end date, so they never enter the expiring-authorization window.
  • T1 · dw2.FactAuthorization.AuthManager — Some authorizations have no Auth Manager assigned, so nobody owns the renewal follow-up and expiring approvals surface late.
  • T1 · dw2.FactAuthorization.AuthorizationGroup — Some authorization records are missing the authorization group identifier. This can cause authorization utilization dashboards to undercount or misattribute authorized hours.

CentralReach cleanup actions

  • Backfill AuthEndDate from the payor approval letter and make the field required at authorization entry in CentralReach.
  • Assign an Auth Manager to every active authorization in Billing > Authorizations and default it from the client's primary BCBA.
  • Populate the Authorization Group on each authorization and require it at entry.

97153 Productivity

Clinical directors, RBT supervisors

87.8Mostly Ready1 critical · 2 high

1 critical and 2 high findings across 634,138 affected source rows. Publishing now risks materially wrong 97153 productivity numbers reaching decision makers.

Blocking fields

  • dw2.FactAppointment.RenderingProviderId
  • insights.SessionNote.NoteSignedDate
  • dw2.FactAppointment.SupervisingProviderId
  • dw2.FactBilledUnit.PlaceOfService
  • insights.ClientGoal.GoalLastDataDate

Key findings

  • T1 · dw2.FactAppointment.RenderingProviderId — 3.8% of converted appointments have no rendering provider, so those units fall out of 97153 productivity.
  • T2 · insights.SessionNote.NoteSignedDate — 15.9% of session notes have no signed date, so documentation compliance cannot be measured.
  • T2 · dw2.FactAppointment.SupervisingProviderId — 36.6% of 97155-eligible sessions lack a supervising provider, understating supervision ratios.

CentralReach cleanup actions

  • Correct the affected appointments and block conversion when a rendering provider is not set.
  • Enforce signature capture at note close and reconcile the unsigned backlog weekly.
  • Stamp the supervising provider at scheduling time and backfill the last 90 days from the schedule template.

97155 Supervision and Compliance

Compliance and clinical quality

81.8At Risk1 critical · 3 high

1 critical and 3 high findings across 393,204 affected source rows. Publishing now risks materially wrong 97155 supervision and compliance numbers reaching decision makers.

Blocking fields

  • dw2.FactAppointment.RenderingProviderId
  • insights.SessionNote.NoteSignedDate
  • dw2.FactAppointment.SupervisingProviderId
  • insights.SessionNote.SessionDataCollection
  • insights.SessionNote.SupervisionMinutes

Key findings

  • T1 · dw2.FactAppointment.RenderingProviderId — 3.8% of converted appointments have no rendering provider, so those units fall out of 97153 productivity.
  • T2 · insights.SessionNote.NoteSignedDate — 15.9% of session notes have no signed date, so documentation compliance cannot be measured.
  • T2 · dw2.FactAppointment.SupervisingProviderId — 36.6% of 97155-eligible sessions lack a supervising provider, understating supervision ratios.

CentralReach cleanup actions

  • Correct the affected appointments and block conversion when a rendering provider is not set.
  • Enforce signature capture at note close and reconcile the unsigned backlog weekly.
  • Stamp the supervising provider at scheduling time and backfill the last 90 days from the schedule template.

Scheduling and Attendance

Scheduling and operations

73.2At Risk4 critical · 2 high

4 critical and 2 high findings across 216,253 affected source rows. Publishing now risks materially wrong scheduling and attendance numbers reaching decision makers.

Blocking fields

  • insights.StaffSchedule.ScheduledHours
  • insights.StaffSchedule.WorkedHours
  • dw2.DimStaff.TerminationDate
  • dw2.DimStaff.HireDate
  • dw2.DimStaff.FteStatus

Key findings

  • T1 · insights.StaffSchedule.ScheduledHours — A share of schedule rows resolve to Unknown scheduled hours, which makes utilization, fill rate and capacity forecasting unreliable.
  • T1 · insights.StaffSchedule.WorkedHours — A share of delivered sessions resolve to Unknown worked hours, so productivity cannot be compared against schedule.
  • T1 · dw2.DimStaff.TerminationDate — 41.3% of inactive staff have no termination date, so capacity models keep counting departed clinicians.

CentralReach cleanup actions

  • Correct schedule templates and appointment durations in Scheduling so every row resolves to real hours.
  • Ensure sessions are converted and timed correctly in Clinical > Sessions before period close.
  • Reconcile the HR roster against CentralReach and set termination dates for all inactive staff.

Capacity and Staffing

HR operations and clinical leadership

77.4At Risk5 critical · 6 high

5 critical and 6 high findings across 517,138 affected source rows. Publishing now risks materially wrong capacity and staffing numbers reaching decision makers.

Blocking fields

  • insights.StaffSchedule.ScheduledHours
  • insights.StaffSchedule.WorkedHours
  • dw2.DimStaff.TerminationDate
  • dw2.DimStaff.ProviderPrimaryRole
  • dw2.DimStaff.HireDate

Key findings

  • T1 · insights.StaffSchedule.ScheduledHours — A share of schedule rows resolve to Unknown scheduled hours, which makes utilization, fill rate and capacity forecasting unreliable.
  • T1 · insights.StaffSchedule.WorkedHours — A share of delivered sessions resolve to Unknown worked hours, so productivity cannot be compared against schedule.
  • T1 · dw2.DimStaff.TerminationDate — 41.3% of inactive staff have no termination date, so capacity models keep counting departed clinicians.

CentralReach cleanup actions

  • Correct schedule templates and appointment durations in Scheduling so every row resolves to real hours.
  • Ensure sessions are converted and timed correctly in Clinical > Sessions before period close.
  • Reconcile the HR roster against CentralReach and set termination dates for all inactive staff.

Revenue Cycle

RCM leadership and CFO

80.4At Risk2 critical · 2 high

2 critical and 2 high findings across 502,229 affected source rows. Publishing now risks materially wrong revenue cycle numbers reaching decision makers.

Blocking fields

  • dw2.FactPayment.PaymentPostedDate
  • dw2.FactClaim.PayorId
  • dw2.FactClaim.ClaimStatus
  • dw2.FactPayment.AdjustmentReasonCode
  • insights.PayorContract.EffectiveDate

Key findings

  • T1 · dw2.FactPayment.PaymentPostedDate — 31.8% of payments have no posted date, so collections aging and cash velocity are unreliable.
  • T1 · dw2.FactClaim.PayorId — 10.7% of claims have no payor key, so payor mix and contracted-rate analysis exclude them.
  • T2 · dw2.FactClaim.ClaimStatus — 22.4% of claims have no status value, so denial and rework reporting is incomplete.

CentralReach cleanup actions

  • Repost the affected payments with their remittance dates and automate posting-date capture from the 835.
  • Resolve the unmapped payors and add a claim-scrubbing rule that rejects submission without a payor key.
  • Map all clearinghouse status codes into the warehouse status domain and reprocess the backlog.

Payments and Collections

Billing team and CFO

74.3At Risk3 critical · 2 high

3 critical and 2 high findings across 408,981 affected source rows. Publishing now risks materially wrong payments and collections numbers reaching decision makers.

Blocking fields

  • dw2.FactPayment.PaymentPostedDate
  • dw2.FactClaim.PayorId
  • dw2.FactPayment.RemittanceBatchId
  • dw2.FactPayment.AdjustmentReasonCode
  • insights.PayorContract.ContractedRate

Key findings

  • T1 · dw2.FactPayment.PaymentPostedDate — 31.8% of payments have no posted date, so collections aging and cash velocity are unreliable.
  • T1 · dw2.FactClaim.PayorId — 10.7% of claims have no payor key, so payor mix and contracted-rate analysis exclude them.
  • T1 · dw2.FactPayment.RemittanceBatchId — Expected column RemittanceBatchId is absent from the payment fact table.

CentralReach cleanup actions

  • Repost the affected payments with their remittance dates and automate posting-date capture from the 835.
  • Resolve the unmapped payors and add a claim-scrubbing rule that rejects submission without a payor key.
  • Add the remittance batch key so payments can be reconciled to deposits end to end.

Clinical Productivity

Clinical operations

84.2At Risk1 critical · 3 high

1 critical and 3 high findings across 710,355 affected source rows. Publishing now risks materially wrong clinical productivity numbers reaching decision makers.

Blocking fields

  • dw2.FactAppointment.RenderingProviderId
  • insights.SessionNote.NoteSignedDate
  • dw2.FactAppointment.SupervisingProviderId
  • insights.SessionNote.SessionDataCollection
  • dw2.FactBilledUnit.PlaceOfService

Key findings

  • T1 · dw2.FactAppointment.RenderingProviderId — 3.8% of converted appointments have no rendering provider, so those units fall out of 97153 productivity.
  • T2 · insights.SessionNote.NoteSignedDate — 15.9% of session notes have no signed date, so documentation compliance cannot be measured.
  • T2 · dw2.FactAppointment.SupervisingProviderId — 36.6% of 97155-eligible sessions lack a supervising provider, understating supervision ratios.

CentralReach cleanup actions

  • Correct the affected appointments and block conversion when a rendering provider is not set.
  • Enforce signature capture at note close and reconcile the unsigned backlog weekly.
  • Stamp the supervising provider at scheduling time and backfill the last 90 days from the schedule template.