Billing Advisor for
Skilled Nursing
Capture earned revenue before claims are generated with AI-powered billing intelligence built into the PointClickCare EHR that scans clinical documentation and orders to surface reimbursement opportunities and risks.
AI Billing Intelligence That Prevents Missed Revenue Opportunities
Capture Missed Revenue
Identify separately reimbursable services before claims are generated, helping ensure eligible reimbursement opportunities are not missed.
Prevent Authorization Denials
Spot level-of-care mismatches and authorization gaps before claims are submitted, eliminating a primary source of preventable revenue loss.
Submit Defensible Claims
Review and validate flagged charges in seconds so you can submit accurate and complete claims.
Reduce Billing Team Burden
Replace manual chart review with AI-powered automation so that you can spend time acting on identified reimbursement opportunities.
AI Billing Intelligence Built Into Your EHR
Surface Missed Revenue Before Claims Are Submitted
Automated Billing Intelligence
Continuously scans clinical documentation to surface separately reimbursable services, including high-cost medications, IV therapies, vaccines, and ancillary charges, before claims are generated.
High-Cost Medication Identification
Automatically identifies high-cost medications documented in clinical records that are separately reimbursable under your payer contracts.
EHR-Native Workflow
Works directly inside the PointClickCare EHR with no extra login, data export, or workflow disruption.
Prevent Authorization-Driven Denials Before Claims Go Out
Authorization Gap Flagging
Identifies level-of-care mismatches and authorization gaps before claims are submitted, giving you time to resolve discrepancies and eliminate a primary source of preventable denials.
AI-Screened Documentation
Attaches the clinical evidence supporting each flagged opportunity – notes, orders, and records reviewed by AI – so you can validate charges in seconds and submit defensible claims.
Drive Measurable Revenue Impact
Billing Opportunity Queue
Organizes all surfaced billing opportunities into a single prioritized queue inside the PointClickCare EHR replacing spreadsheets and manual tracking with a daily action list.
Progress Note Billing Events
Scans progress notes to surface billable events that are often overlooked, guiding you to capture reimbursable services documented in clinical notes before claims are generated.
Ancillary Charge Creation
Enables you to create ancillary charges directly from identified billing opportunities, turning a surfaced revenue opportunity into a submitted charge in the same workflow.
Surface Missed Revenue Before Claims Are Submitted
Automated Billing Intelligence
Continuously scans clinical documentation to surface separately reimbursable services, including high-cost medications, IV therapies, vaccines, and ancillary charges, before claims are generated.
High-Cost Medication Identification
Automatically identifies high-cost medications documented in clinical records that are separately reimbursable under your payer contracts.
EHR-Native Workflow
Works directly inside the PointClickCare EHR with no extra login, data export, or workflow disruption.
Prevent Authorization-Driven Denials Before Claims Go Out
Authorization Gap Flagging
Identifies level-of-care mismatches and authorization gaps before claims are submitted, giving you time to resolve discrepancies and eliminate a primary source of preventable denials.
AI-Screened Documentation
Attaches the clinical evidence supporting each flagged opportunity – notes, orders, and records reviewed by AI – so you can validate charges in seconds and submit defensible claims.
Drive Measurable Revenue Impact
Billing Opportunity Queue
Organizes all surfaced billing opportunities into a single prioritized queue inside the PointClickCare EHR replacing spreadsheets and manual tracking with a daily action list.
Progress Note Billing Events
Scans progress notes to surface billable events that are often overlooked, guiding you to capture reimbursable services documented in clinical notes before claims are generated.
Ancillary Charge Creation
Enables you to create ancillary charges directly from identified billing opportunities, turning a surfaced revenue opportunity into a submitted charge in the same workflow.
Billing Advisor Expands the Capabilities of the EHR
Billing Advisor is seamlessly integrated with the EHR for Skilled Nursing, a cloud-based platform that enables seamless care transitions, empowers care teams, and optimizes clinical and financial outcomes.
Additional Solutions to Enhance Your
Skilled Nursing Operations
See all products for Skilled Nursing
Value Packages
Additional Products
Frequently Asked Questions
Billing Advisor identifies separately reimbursable services in clinical documentation, including high-cost medications, IV therapies, ancillary charges, progress note billing events, and level-of-care changes. High-cost medications are typically the most frequently missed and highest-value reimbursement opportunity in SNF billing.
Billing Advisor is natively embedded in the PointClickCare EHR. It automatically scans clinical notes, orders, and resident records with no extra login, data export, or workflow change required. Reimbursement opportunities surface in a prioritized queue inside PCC where your team already works.
No. Billing Advisor works in the background inside the PointClickCare EHR. Clinical staff document care as they always have while the solution surfaces the opportunities your team acts on them.
Billing Advisor identifies level-of-care mismatches and authorization gaps before claims are submitted. By surfacing discrepancies inside the billing workflow before the claim goes out, billing teams can take corrective actions rather than deal with denials after the fact.
See Billing Advisor in Action
Book a live demonstration to see how Billing Advisor surfaces every separately reimbursable service before claims are submitted.