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$1.5M+ billed monthly for 200+ California providers
ALW Billing That Pays for Itself. Literally.
Nothing due upfront. You only pay a small percentage after you get paid. We handle the rest.
$0 upfront — Pay only after you get paid
Errors caught early — We fix issues before they affect payment
$1.5M+
Billed monthly
200+
Providers served
15+
Years experience
$0
Due upfront
Free live webinar · Every other Tuesday

The Assisted Living Waiver, explained by an operator

Every other Tuesday at 12:30 PM PT. Hosted by an active facility operator.

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How ALW billing works with us

Five steps. No surprises. You focus on your facility. We handle the billing.

  • You send us attendance records. That is it. We take everything from there.
  • We submit your claims and monitor every one through approval.
  • If anything is denied or flagged, we catch it and resolve it immediately. Not weeks later.
  • You get paid. Then we send you a detailed monthly summary: what was billed, what was received, and where opportunities exist.
  • Only then do we invoice. A small percentage of what you received. No setup fees, no out-of-pocket costs. Ever.
Kamil reviewing ALW billing data with a facility owner

Why 200+ providers trust us with their billing

Three things we do that most billing companies do not.

$0 Upfront
Bill now, pay later. No setup fees. No deposits. No invoices until you receive your funds. We eat the risk so you don't have to.
Proactive
We catch problems before they cost you. Other billers wait for denials to show up. We monitor upcoming payments and flag errors before they go through. You find out after the fix, not after the loss.
Bonus
Free ALW resident referrals. We send ALW resident referrals to our billing clients at no additional cost. Empty beds cost you money. We help fill them.

What providers say

RA
RCFE Administrator
32 bed facility, Riverside County
★★★★★

"We finally had a clear plan and the process stopped feeling chaotic. Our AR days dropped from 67 to 22."

AO
ARF Operator
San Bernardino County
★★★★★

"Billing went from a constant headache to something I do not think about anymore. They handle everything."

PO
Provider Operator
RCFE, Los Angeles County
★★★★★

"The free referrals alone have been worth it. On top of that, I actually understand my billing for the first time."

Brand new to RCFE or ARF? That is completely fine. Kamil is a facility owner himself. He can walk you through the entire ALW billing process from scratch. No judgment, no jargon. Just a clear path forward.
Book a free billing strategy call
15 minutes. No pitch. We will review your situation and tell you exactly what to do next.

What happens on the call

We review your current billing situation (pending, denials, follow-up gaps)
We tell you what is working and what is not
You leave with a clear next step, whether or not you work with us

Ready to see your billing gap?

Free 15-minute call. Kamil reviews your setup and tells you what you are leaving on the table.
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If the calendar does not load: Book directly →
Frequently asked questions
Clear answers.
What does "bill now, pay later" actually mean?
We do all the billing upfront. We submit your claims, follow up, and wait until you get paid. Once your payment hits, we send our invoice for a small percentage of that amount. You never pay out of pocket. No setup fees. No upfront costs.
We already have a biller. Should we still talk?
Yes. Most billers just plug your residents into a software and that is where the relationship ends. We work differently. We partner with you on billing the right way and on growing your revenue. If your current biller is not doing both, you are leaving money on the table. Plus, we send free ALW resident referrals to our billing clients at no extra cost.
Do you work with both RCFE and ARF providers?
Yes. We work with California RCFE, ARF, and assisted living facilities billing through ALW.
What if we are brand new?
That is completely fine. Kamil is a facility owner himself. He can walk you through the entire ALW billing process from scratch during the strategy call.
How do you handle sensitive documents?
All documentation is handled securely and in compliance with HIPAA. We keep access limited, share only what is needed, and minimize the paperwork required from your side.
How fast can you start?
Most providers are onboarded within one week. Book a strategy call and we will confirm your timeline on that first conversation.

Kamil's RCFE Blogs

Real answers to the questions facility owners ask most.
What Does It Cost to Open an RCFE in California? A 2026 Breakdown

What Does It Cost to Open an RCFE in California? A 2026 Breakdown

What it really costs to open an RCFE in California in 2026: licensing fees by bed count, the administrator course, property, staffing, and startup capital. ...more

RCFE & ARF Licensing ,Facility Revenue & Funding

October 07, 2026

How to Start a Residential Care Home in California: The Complete 2026 Guide

How to Start a Residential Care Home in California: The Complete 2026 Guide

How to open an RCFE in California in 2026: entity, property, licensing, staffing, and your first residents. Written by a facility owner, not a broker. ...more

RCFE & ARF Licensing

September 23, 2026

Why ALW Claims Get Denied in California (and How to Recover the Revenue)

Why ALW Claims Get Denied in California (and How to Recover the Revenue)

ALW claim denials quietly cost California facilities revenue. Learn why claims get denied, how to recover the lost money, and how to prevent repeat denials. ...more

ALW Billing

August 16, 2026

How ALW Billing Works in California: A Facility Operator's Guide

How ALW Billing Works in California: A Facility Operator's Guide

How ALW billing works in California: how facility operators submit claims, why claims get denied, and how to recover the revenue that gets missed. ...more

ALW Billing

August 10, 2026

The 80 Hour RCFE Certification in California: What to Know

The 80 Hour RCFE Certification in California: What to Know

The 80 hour RCFE Administrator Certification in California: the training, the state exam, who must be certified, and how to keep your certificate current. ...more

RCFE & ARF Licensing

August 05, 2026

ALW Waiver Application Guide: What Providers Get Wrong

ALW Waiver Application Guide: What Providers Get Wrong

A step by step Assisted Living Waiver (ALW) application guide for California RCFE and ARF owners: who qualifies, what to prepare, and what delays approval. ...more

ALW Waiver Application

July 28, 2026