Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Ratings and Reviews 0 Ratings

Total
ease
features
design
support

This software has no reviews. Be the first to write a review.

Write a Review

Alternatives to Consider

  • XpertCoding Reviews & Ratings
    42 Ratings
    Company Website
  • Service Center Reviews & Ratings
    122 Ratings
    Company Website
  • RXNT Reviews & Ratings
    551 Ratings
    Company Website
  • PayHOA Reviews & Ratings
    664 Ratings
    Company Website
  • RegDesk Reviews & Ratings
    19 Ratings
    Company Website
  • Macaw AMS Reviews & Ratings
    6 Ratings
    Company Website
  • Elation Health Reviews & Ratings
    88 Ratings
    Company Website
  • Bokun Reviews & Ratings
    763 Ratings
    Company Website
  • YouTestMe Reviews & Ratings
    38 Ratings
    Company Website
  • Compete Club Management Reviews & Ratings
    13 Ratings
    Company Website

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 Teamworks IRO?

We offer clear and straightforward pricing options, which include a flat monthly fee, a per-case rate, or a hybrid of both. In addition, our Information at a Glance Dashboard, Customizable Task List, and Scheduler are included at no additional charge, allowing you to access all Case Information seamlessly from one platform without requiring supplementary software. Among the notable features of Teamworks IRO is its efficient method for collecting and managing data related to IRO, URA, Peer Review, Insurance Companies, and Attorneys. You can easily monitor due cases, outstanding tasks, necessary documents, pending payments, along with system-generated faxes and emails, all of which are simple to oversee. A Task List is created automatically for each new case, ensuring that you remain organized throughout the process. Moreover, users can generate case and financial reports quickly and easily; a Case Closing Report is also automatically created and sent to the appropriate state agency, offering a detailed summary of your activities. This system not only boosts efficiency but also guarantees that every aspect of your case management is accounted for, ultimately leading to better outcomes. With its user-friendly features, this platform is designed to significantly streamline your workflow and improve productivity across the board.

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

IRO Solutions

Date Founded

2012

Company Location

United States

Company Website

www.irosolutions.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

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

Popular Alternatives

iVEcoder Reviews & Ratings

iVEcoder

PCG Software

Popular Alternatives

Artsyl ClaimAction Reviews & Ratings

Artsyl ClaimAction

Artsyl Technologies
Ahshay Reviews & Ratings

Ahshay

DataCare
Shift Claims Reviews & Ratings

Shift Claims

Shift Technology