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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 Personal Billing Assistant?

The Personal Billing Assistant (PBA) serves as a versatile online billing platform for OHIP that is accessible from any internet-enabled device. With its user-friendly design and extensive billing functionalities, it provides a robust solution for healthcare professionals. Security is prioritized through SSL encryption, which safeguards sensitive data. Automatic calculations take care of premiums, while time units for anesthetists and surgical assistants are generated effortlessly. Users receive unlimited phone support, making it an ideal choice for individual practitioners, AFPs, group practices, and billing services. Billing tasks can be completed in just moments, and the system supports the creation of various financial and statistical reports. The PBA is designed to integrate smoothly with CAIS Scheduler and allows for easy migration of data from the Desktop PBA to its web-based counterpart. It also enhances productivity by auto-filling new patient information obtained from the MOH. Additionally, the platform offers a customizable quick selection list for frequently performed procedures and premiums, alongside an aesthetically pleasing interface that allows for color personalization. Contact us today to learn why the PBA is regarded as the leading billing solution in Ontario's healthcare sector, and rest assured that our dedication to user satisfaction will provide you with unwavering support throughout your experience. This commitment ensures that our users can maximize the benefits of the PBA without any hassle.

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

MedTel Software

Date Founded

1997

Company Location

Canada

Company Website

www.medtel.on.ca

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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