PointClickCare Billing Virtual Assistant
We work inside your PointClickCare environment, not around it. Staffingly PCC billing virtual assistants build UB-04 and 837i claims in Financial Management, run the Triple Check pre-billing review, follow the MDS-to-billing flow from 5-day assessment through final claim, work AR aging buckets, and coordinate Medicare and Medicaid in the same PCC modules your business office uses. 800+ providers trust us. Pilot in 2 weeks.
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0:48Your AR is aging. Your denials are stacking up . Cash is slow.
Three quiet revenue leaks drain post-acute providers every month. Billers know it. Operators feel it in DSO. Most facilities cannot hire fast enough to keep PDPM, PDGM, and MA plan claims clean on the first pass.
Aged AR and slow cash
SNF AR over 90 days frequently sits above 25 percent of total AR at facilities without dedicated follow-up (LeadingAge 2024 RCM benchmarks). Every day a UB-04 sits is a day cash does not arrive.
Denials and rework loops
SNF and home health initial denial rates frequently run 10 to 15 percent on MA plan claims, and rework can consume 15 to 25 dollars per claim (MGMA 2024 denial benchmarks). Most never get re-billed within the appeal window.
PDPM, PDGM, and coding gaps
PDPM uses five case-mix components plus a variable per-diem adjustment (CMS 42 CFR 483). PDGM groups home health into 30-day periods with 432 case-mix combinations. One missed ICD-10 code can drop the HIPPS score and the reimbursement with it.
Tell us about your agency.
Send us your situation and our team will scope the right setup, usually within one business day. No obligation.
What is a PointClickCare billing virtual assistant ?
A PointClickCare billing virtual assistant is a trained post-acute biller who works directly inside your PCC environment under your roles and your fiscal calendar. They do not export your data. They do not run a parallel system. They log into PointClickCare Financial Management the same way your in-house biller does, follow your facility's billing calendar, and treat Medicare, Medicaid, and MA plan claims with the same rigor your corporate office expects.
What your pointclickcare billing va actually handles, day to day
Pick the PCC modules and queues that hurt most. Your PCC billing VA absorbs them. Your in-house business office focuses on admissions, payer relationships, and facility-level audits.
Claim creation in PCC Financial Management
Builds UB-04 and 837i institutional claims and CMS-1500 and 837P professional claims directly inside PointClickCare. Tracks form locators, HIPPS codes, and revenue codes.
Triple Check pre-billing review
Runs the three-way reconciliation between MDS, therapy minutes, and the claim. Flags HIPPS mismatches, RUG-IV legacy carryover, and missing physician orders before submission.
MDS-to-billing flow
Follows the 5-day assessment, IPA triggers, PPS schedule, and discharge assessment. Ties each HIPPS code to the matching MDS and re-bills if a code change shifts the rate.
AR aging follow-up
Works AR aging buckets inside PCC. Calls payers, documents responses in the resident ledger, re-bills, and escalates per facility policy.
Medicare and Medicaid coordination
Runs eligibility through PCC, splits Medicare Part A, Part B, MA plan, and Medicaid responsibility, and handles dual-eligible payer sequencing for cross-over claims.
Denial management inside PCC
Reads 835 remits posted in PCC, identifies CARC and RARC codes, drafts appeal letters, and resubmits within the payer window. Tracks appeal-stage status in the claim notes.
Payment posting and resident trust
Posts ERA 835 files, reconciles to bank deposits, splits MSP and secondary balances, and reconciles resident trust balances inside PCC.
PCC KPI reporting
Daily clean-claim rate, denial rate by payer, DSO, AR over 90, cash collected, and net collection percentage, pulled directly from PCC reports.
Post-acute trained billers and coders, not generic offshore
Most outsourcing companies offer general medical coders and call them "billers." We do not. Our billing specialists are post-acute trained, PDPM and PDGM tested, and software-certified before they ever touch a live claim in your facility.
Post-acute trained, not generic
Every biller passes an assessment on UB-04 form locators, 837i transactions, PDPM HIPPS coding, PDGM periods, and at least one major platform from PointClickCare, MatrixCare, Net Health, or HCHB before placement.
Stacked compliance posture
HIPAA + SOC 2 Type II + ISO 27001 + HITRUST. Plus alignment with 42 CFR 424 conditions of payment and 45 CFR 164.514 de-identification rules. Ask your current vendor for proof of all four. We will wait.
2-Week Risk-Free Pilot
Industry offers no trial. We give you 14 days of live claim work at the same rate. Cancel before day 14, owe nothing. No annual contracts after.
Staffingly vs DIY in-house vs generic offshore vs onshore BPO
The real cost math for a single full-time biller or coder role at a mid-size SNF or home health agency.
From "let's talk" to live in 1 to 2 weeks
Six steps. Each one is documented. Nothing is mysterious.
Discovery call (15 min)
Tell us which billing pain is loudest. AR over 90? MA plan denials? PDPM coding gaps? Medicaid pending? We map it on a shared call. No prep needed from you.
BAA + platform access
Business associate agreement signed. Role-based access provisioned in PointClickCare, MatrixCare, Net Health, Brightree, HCHB, Kinnser, or SigmaCare.
Workflow shadow (2 to 3 days)
Your billing pod shadows your business office and corporate billing leads. Claim scrubs captured. Payer scripts matched. Escalation rules locked.
Parallel pilot starts
Week 2 to 3. Your billing pod runs alongside your team. Daily 15-minute sync. You see every claim submitted, every appeal drafted, every payment posted.
Decision point (end of week 2)
Pilot results reviewed. Go or no-go. No penalty if you cancel. Most facilities keep going.
Full handoff, cadence locked
Clean-claim rate, denial rate, DSO, and AR over 90 KPIs in your inbox. Weekly review with your account lead. Monthly QA audit. Expansion paths discussed.
How your billing pod's day actually looks
A real shift, hour by hour. Times shown in your local time. We rotate coverage so your facility billing desk is never dark during business hours.
How Staffingly works, in practice
Inside the workA trained Staffingly specialist works inside your existing platform, with clear escalation back to your team.
One Flat Weekly Rate. No Surprises.
Dedicated senior care schedulers at a fixed weekly cost. Per scheduler FTE, per week. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
Which PointClickCare modules do your billing VAs use?
Financial Management, Claims Management, Census, MDS, Triple Check, AR Aging, Resident Trust, eMAR cross-reference for medication billing, Therapy, and PointClickCare Marketplace integrations for clearinghouse submission. Most billing VAs are also trained on the PCC reporting suite for daily KPI summaries. Access is role-based under your facility's PCC admin, with audit logs visible to your business office.
How does your Triple Check process work inside PCC?
Triple Check is the three-way reconciliation between the MDS, therapy minutes recorded in PCC Therapy, and the claim built in Financial Management. Our PCC billing VA pulls the resident's 5-day MDS, confirms the HIPPS code matches the case-mix components, verifies therapy minutes meet PDPM PT, OT, and SLP thresholds, checks for any IPA (Interim Payment Assessment) triggers, and flags missing physician orders or signatures before the UB-04 is released. Triple Check sign-off is documented in the claim notes.
How does the MDS-to-billing flow work end-to-end?
It starts with the 5-day MDS assessment that drives the initial HIPPS code under PDPM. Our PCC billing VA validates MDS Item I0020B primary diagnosis maps to a PDPM clinical category, captures NTA comorbidities, and ties the HIPPS code to the claim. If an IPA is triggered mid-stay (significant change, end-of-PT-or-OT therapy), the HIPPS code is re-calculated and the claim is re-billed. At discharge, the PPS Discharge assessment confirms the final billing period. Every step is logged inside PCC.
How do you split work across biller, coder, and AR follow-up roles?
Per-skill staffing. A claim-creation biller builds the UB-04 and 837i. A PDPM coder reviews the HIPPS and ICD-10 capture. An AR follow-up specialist works aging buckets, payer calls, and denials. A denial analyst drafts appeals. For a single-facility SNF, one PCC billing VA often covers all four functions. For multi-facility groups, we deploy a pod with each role assigned to specific facilities or payer queues.
Can you support multi-facility SNF and LTC groups inside one PCC instance?
Yes. PointClickCare supports multi-facility roll-ups under one corporate ID. Our PCC billing VAs work across the facility list, follow corporate-level billing policies, and report KPIs by facility. We coordinate payer enrollments, Medicare and Medicaid provider numbers, and clearinghouse submitter IDs across the facility group. PE-backed operators with 10 plus facilities use this model to keep billing standards consistent across the portfolio.
How is PHI and HIPAA handled across remote PCC billing VAs?
Full HIPAA-aware workflow with signed BAA, role-based PCC access under your facility's admin, and audit logging under 45 CFR 164.514 de-identification rules where applicable. PHI never leaves the controlled environment. PCC billing VAs work from biometric-secured facilities. Read the full posture at how we handle HIPAA.
How does pricing work for a PointClickCare billing VA?
Per FTE, per week. $399 Standard for a single PCC billing VA at a single-facility SNF. $349 Volume for 3 plus VAs supporting a mid-size SNF or multi-facility group. $299 Enterprise for 10 plus VAs across a multi-state SNF network or PE-backed group. No setup fees. No annual contracts. Add or remove VAs by the week.
What is included in the 2-Week Risk-Free Pilot?
Two weeks of live PCC billing work running in parallel with your business office. Full reporting on clean-claim rate, denial rate, DSO movement, and AR over 90 reduction. No setup fee. No penalty if you cancel before day 14. You see every claim built in PCC, every Triple Check log, every appeal drafted.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven home care workflows that help agencies, home health providers, and multi-branch operators cut admin cost without compromising care.
