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What is Virtual Examiner?

The Virtual Examiner®, developed by PCG Software, serves as a comprehensive tool for overseeing an organization’s internal claims process, efficiently tracking provider data to identify fraudulent or abusive billing practices while enhancing financial recovery. This advanced software enables healthcare organizations to optimize their claims adjudication systems, processing over 31 million edits per claim, which significantly streamlines operations. By meticulously monitoring the internal claims processes, it effectively pinpoints and mitigates payments made for incorrect or erroneous codes, ultimately preserving premium dollars. Beyond mere claims management, the Virtual Examiner® acts as a robust cost containment solution that analyzes claims for not only abusive billing patterns but also those that may require attention to third-party liability coordination, case management opportunities, physician billing education, and various other valuable cost recovery insights. Its multifaceted approach provides healthcare organizations with the tools they need to navigate complex billing landscapes and improve overall financial health.

What is EIO People?

Achieve peace of mind by leveraging both hands-on support and digital tools tailored to improve your management of human resources. From the very start of employee onboarding through to ongoing career development and conflict resolution, EIO Experts work alongside you to proactively tackle potential obstacles and foster a more constructive and efficient workplace environment. All relevant employee information is systematically organized, readily available, and can be modified in seconds, empowering you to maintain oversight of vital workforce components. Moreover, with the assistance of our EIO Experts and timely notifications for key events like training renewals, the anxiety of forgetting crucial responsibilities can be alleviated. You can easily track employee absences, ensure productivity remains high, and nurture fairness within your team. Streamlining administrative tasks not only conserves valuable time but also reduces the likelihood of mistakes. By improving claims management and backing return-to-work efforts, you can also achieve lower insurance costs. Our expert support is invaluable in navigating complex regulations, thereby lessening the chances of incurring fines or legal disputes. Additionally, the implementation of innovative retention strategies can elevate productivity levels while decreasing recruitment expenditures. Ultimately, with effective tools and dedicated support, your focus can shift to what is most important: nurturing the well-being and success of your workforce, while also creating a thriving organizational culture.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

$3.00/month/user
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

PCG Software

Date Founded

1984

Company Location

United States

Company Website

pcgsoftware.com/product-offerings/virtual-examiner/

Company Facts

Organization Name

EIO Solutions

Company Location

Canada

Company Website

www.eiosolutions.com/people/

Categories and 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

Categories and Features

Human Resources

360 Degree Feedback
Applicant Tracking
Attendance Management
Benefits Management
Career Development Planning
Compensation Management
Compliance Management
Employee Database
Employee Lifecycle Management
Onboarding
Payroll Management
Performance Management
Recruiting Management
Self Service Portal
Succession Planning
Time & Attendance Management
Time Off Management
Timesheets
Training Management

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