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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 Ensora Mental Health?

TheraNest is designed to reduce the time therapists spend on administrative tasks, allowing them to focus on providing quality care. With features such as automated billing, appointment scheduling, and note-taking, TheraNest helps mental health practices run more efficiently and cost-effectively. The platform also includes integrated features like telehealth, client engagement tools, and reporting for streamlined operations and better patient outcomes. TheraNest is a powerful tool for therapists seeking to optimize their practice management while improving patient care and reducing burnout.

Media

Media

Integrations Supported

Integrations Supported

Fantastical
Google Calendar
Microsoft Outlook
Service Center
iCloud

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

$29 per month
Unlimited users. unlimited client archiving.
Free Trial Offered?

Supported Platforms

SaaS

Supported Platforms

SaaS
Android
iPhone
iPad

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub

Training Options

Documentation Hub
Webinars
Online 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

TheraNest

Date Founded

2013

Company Location

United States

Company Website

ensorahealth.com/product/theranest-mental-health/

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

Medical Coding

Not specified

Categories and Features

Clinic Management

Not specified

Electronic Medical Records (EMR)

Appointment Management
Charting
Compliance Tracking
E-Prescribing
HIPAA Compliant
Integrated Telehealth
Patient Portal
Self Service Portal
Voice Recognition

HIPAA Compliance

Access Control / Permissions
Compliance Reporting
Data Security
Documentation Management
For Healthcare

Human Services

Case Management
Document Management
Reporting & Statistics
Scheduling

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

Medical Practice Management

Claims Management
E-Prescribing
EMR / EHR
HIPAA Compliant
Insurance Eligibility Verification
Multi-Office
Multi-Physician
Patient Billing
Patient Portal
Patient Records
Patient Registration
Patient Scheduling
Physician Scheduling

Medical Scheduling

Appointment Management
Billing & Invoicing
Drag & Drop
Facility Scheduling
Multi-Location
No-Show Tracking
On Call Scheduling
Patient Records
Patient Scheduling
Physician Management
Recurring Appointments
Self Service Portal
Staff Scheduling

Mental Health

Appointment Reminders
Appointment Scheduling
Assessment & Treatment Plans
Billing & Invoicing
Claims Management
E-Prescribing
EDI
EMR / EHR
HIPAA Compliant
Inpatient / Residential
Multi-Provider Practice
Patient Portal
Personnel Management
Progress Notes
Single Provider Practice

Patient Case Management

Activity Tracking
Assessment Notes
Billing & Invoicing
Calendar Management
Candidate Identification
Case List Management
Eligibility Verification
HIPAA Compliant
Patient Records
Referral Management
Treatment Planning

Patient Management

Historical Reporting
Patient Monitoring

Patient Portal

Appointment Confirmations
Appointment Scheduling
Bill Payment
Intake Forms
Secure Messaging
Video Consultations

Telemedicine

Appointment Reminders
Appointment Scheduling
Chat / Messaging
E-Prescribing
HIPAA Compliant
Multi-Provider Practice
Practice Management
Video Conferencing

Therapy

Not specified

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