Skilled Nursing | exacare ai
Smarter skilled nursing operations
Connect admissions, PDPM, and reimbursement in one AI-powered workflow so skilled nursing teams can move faster and more confidently.
Faster decisions. Stronger performance.
Move at the speed hospitals expect
Review full referral packets in minutes and respond quickly without sacrificing clinical or financial rigor.
Review full referral packets in minutes and respond quickly without sacrificing clinical or financial rigor.
Standardize performance across buildings
Apply consistent PDPM and admissions criteria automatically.
Apply consistent PDPM and admissions criteria automatically.
Reduce preventable denials
Verify eligibility, flag documentation gaps, and surface financial risk before admission.
Verify eligibility, flag documentation gaps, and surface financial risk before admission.
Give teams time back for care
Automate manual packet review and documentation checks so staff can focus on residents, not paperwork.
Automate manual packet review and documentation checks so staff can focus on residents, not paperwork.
Core capabilities
AdmissionsInsurance verificationPrior authorizationConcurrent reviewsBed boardData centereSign
Review referral packets in under 60 seconds as contextual AI recommends admit or decline decisions with transparent reasoning.
Review referral packets in under 60 seconds as contextual AI recommends admit or decline decisions with transparent reasoning.
Verify member status, in-network coverage, SNF benefit days, and financial responsibility (copays, deductibles, OOP max).
Verify member status, in-network coverage, SNF benefit days, and financial responsibility (copays, deductibles, OOP max).
Automatically prepare and submit authorization packages and manage reimbursement submission workflows.
Automatically prepare and submit authorization packages and manage reimbursement submission workflows.
Track every next review date, build clinical justifications for continued skilled care, and get the organized package to the payer, all in the same place the prior authorization was run.
Display a native visual bed board built from PCC resident data to track bed availability and census in real time.
Display a native visual bed board built from PCC resident data to track bed availability and census in real time.
Track referral sources, lost reasons, and census performance with detailed reporting.
Track referral sources, lost reasons, and census performance with detailed reporting.
Send, sign, and track documents all within exacare ai and sync to EHR.
Send, sign, and track documents all within exacare ai and sync to EHR.
The difference exacare ai makes
Before exacare ai
- Teams toggle between multiple referral portals with no central source of truth
- Communication is buried in email, texts, and portals
- Referral packets are reviewed under time pressure, key details missed
- PDPM considerations happen downstream, after key decisions are made
- Managed care authorizations take hours of staff time
- Decisions vary by staff member and building
After exacare ai
- All referrals are centralized in one place
- Teams communicate easily with tagging, threaded comments, and an integrated hospital chat
- Full packets are read and analyzed in under 60 seconds
- Financial risk and reimbursement potential surfaced upfront during admissions review
- Managed care authorization workflows are handled automatically
- Decisions are documented, communicated, and consistent across buildings
- Custom facility-level criteria are applied automatically
- Leadership gets insights to act more strategically
Moving care forward, together
Tim Fields,CEO at Ignite Medical Resorts
“exacare ai transformed how our teams operate – centralizing admissions and case management to unlock ~$900K in annual savings.”
Products for skilled nursing
Admissions
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Make faster, defensible admission decisions
Review full referral documentation in minutes, apply facility-specific criteria automatically, and ensure every “yes” is clinically and financially sound.](/content/admissions/index.html)
[Reimbursement
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Strengthen reimbursement from the start
Validate clinical documentation against your payer contracts to support the highest appropriate reimbursement level, pre-approve carve-outs before the patient admits, and stay ahead of every concurrent review.](/content/reimbursement/index.html)