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Description
Cut down on administrative expenses and enhance reimbursement rates, all while ensuring compliance is upheld. Transform your revenue cycle management (RCM) with the innovative capabilities of RapidClaims powered by AI technology. Significantly reduce administrative costs, elevate reimbursement levels, and maintain compliance with minimal effort. Simplify your coding workflow, and either automate tasks or empower your coding staff with tailored solutions that meet your specific needs. Process thousands of charts quickly and accurately while addressing the distinct demands of each client. Our advanced language model adeptly handles unstructured data, crafting a comprehensive patient record by turning notes into organized codes and identifying disease patterns. Avoid repeating past errors by establishing broad coding-related rules in straightforward language, which can be easily implemented across your charts, categorized by specialty, code type, and individual coders. Enhance your insight into code-level trends across various locations and take proactive steps to refine the revenue cycle. Additionally, our platform meticulously reviews charts to uncover claim denial trends, equipping you with the tools to address these challenges effectively and improve overall performance. With these capabilities, you can ensure a more streamlined and efficient coding process that supports your organization's financial health.
Description
Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
API Access
Has API
API Access
Has API
Integrations
Better
DrChrono
EPIC HRMS
Elation Health
Google Cloud Platform
HCS Connect
MEDITECH Expanse
Microsoft 365
NEON
Taam Cloud
Integrations
Better
DrChrono
EPIC HRMS
Elation Health
Google Cloud Platform
HCS Connect
MEDITECH Expanse
Microsoft 365
NEON
Taam Cloud
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
RapidClaims
Country
United States
Website
www.rapidclaims.ai/
Vendor Details
Company Name
PCG Software
Founded
1984
Country
United States
Website
pcgsoftware.com/product-offerings/virtual-examiner/
Product Features
Product Features
Claims Processing
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice