PointClickCare Launches AI Billing Advisor for Skilled Nursing

PointClickCare has expanded its AI-native workflow automation platform with Billing Advisor, a solution designed to help skilled nursing facilities capture revenue by identifying billable services and flagging risks before claims are submitted. The product is now available to all skilled nursing providers using the PointClickCare Electronic Health Record system, according to details first reported by citybiz.

Billing Advisor joins Chart Advisor and Referral Advisor as part of the company's broader Advisor Suite, which aims to automate high-friction administrative tasks across clinical and financial operations. The suite scans clinical documentation to identify missed charges, maps billing codes, and creates ancillary batches ready for review.

Why it matters

Skilled nursing facilities face persistent staffing shortages and mounting documentation complexity, creating operational friction that drains resources and risks revenue leakage. While 79% of decision-makers in skilled nursing express optimism about AI's potential, only 10% currently use AI in their operations, and 65% report complete unfamiliarity with the technology, according to a recent study cited by PointClickCare. This gap represents both a significant barrier and an opportunity for embedded, workflow-native AI solutions that require minimal change management.

How the Advisor Suite works

The Advisor products are designed to integrate directly into existing PointClickCare workflows rather than requiring staff to adopt separate platforms. Chart Advisor helps teams identify high-risk situations and address documentation gaps to avoid regulatory penalties. Referral Advisor automatically reviews incoming referrals, scores them based on clinical and financial fit, and surfaces relevant patient history to speed admissions decisions.

MDS Advisor, currently in beta and launching later this year, will support Minimum Data Set teams with AI-informed completion of functional assessment questions, assessment scheduling, and documentation accuracy visibility to improve Patient-Driven Payment Model accuracy and compliance.

Network advantage

PointClickCare CEO Dave Wessinger emphasized that the company's scale provides a data advantage over point-solution vendors. "The true power of AI lies entirely in the data it ingests. With PointClickCare supported by the industry's largest network, we can develop AI solutions on a scale that point-solution vendors simply cannot match," Wessinger said.

The company reports that it serves over 30,000 provider organizations and maintains partnerships with every major U.S. health plan, along with a marketplace of more than 400 integrated partners.

Corinne Perry, chief clinical officer at Aspen Healthcare, noted the operational benefit of consolidation: "There's no shortage of AI vendors knocking on our door, but our approach is straightforward. If PointClickCare can solve it, we solve it there. Our teams are already working in the platform and having everything integrated in one place makes adoption so much easier."

The details were first reported by citybiz.