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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 SYNERGEN Client Bill?

SYNERGEN Client Bill represents a revolutionary advancement aimed at simplifying the complicated arena of Business to Business (B2B) Billing, turning it into a more manageable and effective process. The lack of proper management regarding B2B billing strategies can lead to significant revenue shortfalls for healthcare organizations, regardless of their scale. It is crucial for these entities to utilize data tools that allow for the visualization of outstanding balances and the management of disputes, promoting enhanced accountability and speeding up the reconciliation of payment activities. Utilizing the features of SYNERGEN Client Bill, your team can improve transaction efficiency and encourage timely payments with ease. This state-of-the-art platform offers an intuitive electronic portal that streamlines the exchange of invoices and payments, while also including tools for dispute resolution management that can greatly boost operational efficiency, reduce processing times, and accelerate cash collection. By adopting SYNERGEN Client Bill, organizations can not only optimize their billing workflows but also secure a more consistent cash flow, ultimately supporting their financial health and sustainability. Furthermore, this solution empowers teams to focus on core responsibilities, confident in the knowledge that their billing processes are being efficiently managed.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub

Training Options

Documentation Hub
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

SYNERGEN Health

Date Founded

2011

Company Location

United States

Company Website

www.synergenhealth.com/solutions/client-bill

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

Medical Billing

Not specified

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