Overview
skyAdmissions provides automated referral intake, scoring, eligibility checks, and reimbursement optimization for SNFs and post-acute providers. It uses unified data and AI to ensure facilities admit the right patients and respond quickly, directly affecting census, NOI, and hospital relationships. The product carries a referral from first contact to admission and beyond: a staged intake workflow, an AI assessment against the facility’s own clinical capability rules, insurance and PASARR verification, bed assignment, and the post-admission modules SNFs run every day — MDS assessments, care plans, Medicare billing, and analytics. Each organization operates on its own tenancy with single sign-on, and users move between skyAdmissions and the rest of the Skypoint suite from the in-app app switcher.What It Does
Multi-Channel Referral Aggregation
Aggregates referrals from multiple channels: hospitals, payers, referral portals, and fax/email feeds via connectors. Referrals arrive as FHIR R4 bundles, HL7v2 ADT messages, uploaded document packets, or manual entry, and each referral records the source channel it came from.
AI-Powered Scoring
Uses AI to extract clinical and financial data, score referrals, and prioritize which patients to accept. Every referral gets a weighted 0-100 fit score built from four components — clinical fit, financial fit, operational fit, and urgency — so queues can be ranked rather than worked first-in-first-out.
Automated Eligibility
Automates eligibility checks and documentation required for SNF/post-acute admissions. Real-time insurance verification runs through the Stedi clearinghouse and returns plan, coverage dates, copay, deductible, and out-of-pocket remaining. Medicare Part A benefit days, qualifying stay, and coinsurance are tracked per resident.
Value-Based Integration
Ties into value-based and post-acute workflows for comprehensive care coordination.
Patient 360
Builds a single clinical picture per referral — demographics, diagnoses, medications, allergies, labs, vitals, functional and cognitive status, skin and wounds, therapy orders, insurance, advance directives, and the referring provider — merged from documents, FHIR, and ADT feeds, with each card showing where its data came from.
Document Extraction
Classifies uploaded packets — discharge summaries, history and physical, medication lists, therapy evaluations, insurance cards, PASARR forms, labs, imaging, face sheets — then reads and extracts structured fields from them, including scanned PDFs, and files the results into Patient 360.
Referral Assessment Agent
Runs the referral against the facility’s own acceptance rules: a clinical skills catalog graded Accept, DON review, or Cannot accept; high-cost medication cost tiers; and configurable red flags. It returns a recommendation with its reasoning and routes anything needing a Director of Nursing decision into a review queue.
EHR Write-Back
Sends the outcome back to the hospital’s FHIR endpoint — admission encounter, patient and diagnosis updates, and referral accepted or denied status — so referral partners see the decision without a phone call.
Referral Workflow
Every referral moves through a staged pipeline. Each stage opens its own task list, carries an SLA, and has a completeness gate that must be satisfied before the referral advances.1
Referral received
The referral is logged with its source channel and the intake tasks are created.
2
Document extraction and EHR check
Documents are classified and extracted, and the record is reconciled against FHIR and ADT data already on hand.
3
Clinical review
The assessment agent grades the patient’s conditions against the facility skills catalog; anything graded for DON review is held for a nursing decision.
4
Insurance verification
Eligibility is checked, the payer contract is matched, and expected reimbursement is estimated.
5
PASARR screening
Level I screening is triggered automatically when diagnosis codes for mental illness or intellectual disability are present.
6
Acceptance decision and bed assignment
The referral is accepted or declined, and an available bed is reserved or assigned.
7
Pre-admission and admission
Remaining pre-admission tasks are completed, and on admission the resident and admission records are created automatically.
Portfolio Operations
Bed Board
Live unit and bed inventory with availability, occupancy, reservations, blocked and cleaning status, assignments and transfers, and a portfolio-wide availability view across facilities.
Cross-Facility Referral Routing
Route one referral to several facilities or an entire region from a centralized admissions queue. Candidates are ranked on bed availability and fit score, facilities are given a response window, and their responses are tracked in one place.
Referral Source CRM
Track referring hospitals, physicians, and community liaisons, log activities and follow-ups, and see conversion and volume by source.
Alerts
Notifications for authorizations expiring or expired, Medicare benefit days running low, new referrals and status changes, completed document processing, completed assessments, assessments awaiting DON review, detected referral flags, and census below target.
SNF Operations
MDS Assessments
MDS 3.0 assessment tracking across admission, quarterly, annual, significant change, PPS, interim payment, and discharge types, with assessment scheduling and Care Area Assessment triggers.
Care Plans
Resident care plan management, with plans linked to the assessments and care areas that triggered them.
SNF Billing and PDPM
Medicare and Medicaid billing with PDPM classification across the PT, OT, SLP, Nursing, and NTA components, case-mix groups, and case-mix index.
Managed Care Contracts
Maintain the payer and contract matrix per facility — rate types, carve-outs, and therapy levels — import and export it in Excel, and generate a reimbursement estimate for a referral from the contract that applies to it.
Analytics and Dashboards
The dashboard is role-aware: CEO, CFO, COO, Chief Wellness Officer, VP of Compliance, regional directors of operations and clinical, executive directors, directors of wellness, and MDS managers each land on the KPI set that matters to their role, with drill-down from any tile. Analytics covers census and payer mix, length of stay, readmissions, quality measures, CMS Five-Star ratings, staffing hours per patient day benchmarked against state and national averages, and predictive risk scores that surface high-risk residents. Corporate and community dashboards compare performance across the portfolio.skyAgent in skyAdmissions
skyAgent is an in-app assistant with its own workspace and a panel reachable from anywhere in the product. It keeps conversation sessions and history, streams responses as it works, and draws on skills for referral analysis, clinical assessment, insurance verification, bed availability, admission workflow advancement, and outbound calls through skyVoice. Actions that reach outside the system are held as pending actions for a person to approve. Administrators configure the agent in the app: connect FHIR servers and run health checks against them, register MCP servers, enable or disable individual clinical skills, tune memory settings, define workspaces, and schedule and run orchestration tasks with a record of every execution. A library of clinical skills — patient data, medications, labs, clinical decision support, care coordination, documentation, population health, and specialty areas — is available to the agent and can also be invoked directly with slash commands.Configuration
Facility administrators own the rules the product applies.Why It’s Needed in the Market
SNFs and post-acute providers operate on thin margins and are flooded with referrals, but can’t manually analyze every case for clinical appropriateness and financial viability. skyAdmissions uses unified data + AI to ensure facilities admit the “right” patients (clinical fit, payer mix, capacity) and respond quickly, which directly affects:- Census and occupancy rates
- Net operating income (NOI)
- Hospital and referral partner relationships
Key Metrics It Moves
Census & Occupancy
Better referral prioritization drives higher, more stable census.
Net Operating Income (NOI)
Improves payer mix and reimbursement optimization.
Referral Response Time
Faster time to accept/decline, improving referral partner satisfaction.
Care Capacity
Frees staff from manual chart reviews.