Virtual Examiner 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.
Virtual Examiner Alternatives
Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.
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XpertCoding by XpertDox is an AI medical coding software that utilizes advanced artificial intelligence, machine learning, and natural language processing (NLP) to automatically code medical claims within 24 hours. This software streamlines and enhances the coding process, ensuring faster and more accurate claim submissions and maximizing financial returns for healthcare organizations.
Features include a comprehensive coding audit trail, minimal need for human supervision, a clinical documentation improvement module, seamless integration with EHR systems, a business intelligence platform, a flexible cost structure, significant reduction in claim denials and coding costs, and risk-free implementation with no initial fee and a free first month.
XpertCoding's automated coding software ensures timely payments for healthcare providers & organizations, accelerating the revenue cycle and allowing them to focus on patient care. Choose XpertCoding for reliable, efficient, and precise medical coding tailored to your practice.
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Pro Health Billing
Pro Health Billing's Medical Billing Software features intuitive tools designed to facilitate data entry, with automated tasks that can be set up in mere minutes and are straightforward to navigate. You can generate your initial claim in just 20 minutes! Equipped with functionalities like Auto-Codes, Repeat Last Claim, and Auto Co-Pays, Pro Health Billing makes your workflow significantly more efficient. Small medical practices particularly appreciate the software's Claim and Patient Scheduling Modules, which together create a robust system that can effectively reduce your workload by nearly half. With features such as Non-Payment and Non-Billed Alerts, your revenue is likely to see an upswing while your tasks become less burdensome! Pro Health Billing stands out as the premier medical billing software for boosting income swiftly and efficiently! Our Claim Catcher Dashboard, along with the leading 'Revenue Cycle Manager,' ensures that no alerts or claims go unnoticed, allowing you to monitor the status of all your claims effortlessly at a quick glance. This comprehensive solution not only streamlines your operations but also enhances overall productivity within your practice.
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AltuMED PracticeFit
The eligibility checker ensures comprehensive verification of patients' financial eligibility, conducting insurance analyses and monitoring for inconsistencies. Should any inaccuracies arise in the submitted data, our advanced scrubber utilizes deep AI and machine learning algorithms to rectify issues, including coding mistakes and incomplete or incorrect financial details. This robust software currently boasts 3.5 million pre-loaded edits, enhancing its efficiency in error correction. Additionally, automatic updates from the clearing house are provided to keep stakeholders informed about the status of claims in progress. The system comprehensively addresses all aspects of billing, from confirming patient financial information to managing denied or lost claims, and features a thorough follow-up process for appeals. Moreover, our intuitive platform not only alerts users about potential claim denials but also implements corrective measures to avert issues, while maintaining the capability to track and appeal lost or rejected claims. Overall, this integrated approach ensures a smoother and more efficient claims management experience for healthcare providers.
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Integrations
No Integrations at this time
Company Details
Company:
PCG Software
Year Founded:
1984
Headquarters:
United States
Website:
pcgsoftware.com/product-offerings/virtual-examiner/
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Product Details
Platforms
Web-Based
Types of Training
Training Docs
Customer Support
Business Hours
Online Support
Virtual Examiner Features and Options
Medical Billing Software
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Claims Processing Software
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
Virtual Examiner User Reviews
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