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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 Medical Billing?

AdvantEdge offers customized medical billing services, practice management, and coding that aim to improve both your specialty and fiscal performance. Clients partnering with AdvantEdge benefit from the reliability of a top-tier medical billing provider. Their all-encompassing revenue cycle management is strategically crafted to enhance your financial gains! The company’s innovative “future-proof” physician billing solutions combine state-of-the-art technology with the flexibility to evolve alongside industry changes. Additionally, AdvantEdge provides comprehensive medical billing services tailored for group practices and hospitals, which also encompasses telemedicine billing. Committed to achieving outstanding results, the company emphasizes ClientFirst service and ensures complete transparency in its operations. The success of any medical billing service hinges on its performance metrics, and AdvantEdge takes pride in its remarkable net collection rates that typically reach the mid to upper 90s, average Days in Accounts Receivable hovering in the low to mid 30s, and most importantly, a consistent cash flow for its clients. This dedication to high standards guarantees that clients not only enjoy operational efficiency but also attain peace of mind regarding their financial wellbeing. Ultimately, AdvantEdge strives to forge long-lasting partnerships that empower clients to thrive in a competitive marketplace.

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

Pricing not provided.
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

Advantedge Healthcare Solutions

Company Website

www.ahsrcm.com

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

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

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