Fathom

Fathom

Fathom Health
Virtual Examiner

Virtual Examiner

PCG Software
+
+

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About

Fathom is an autonomous medical-coding platform powered by deep learning and natural-language processing that enables health systems to code patient encounters at scale with enterprise-grade speed, accuracy, and security. It supports fully automated production coding, processing millions of charts per day, with no human intervention required; handles backlog processing to accommodate staffing fluctuations or seasonal surges; and offers real-time auditing to review and flag coding for quality assurance. It is integrated with major EHRs and has achieved industry certifications (including HITRUST i1) to protect PHI and support compliance. It delivers measurable value by reducing total coding operations cost by up to 50 percent, cutting turnaround time by days rather than hours or minutes, and achieving automation rates above 90 percent for complete encounters, thereby increasing revenue capture, lowering denials, and enabling health systems to redeploy coding staff.

About

Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Health systems, hospitals and revenue-cycle management departments in need of a solution to automate and scale medical-coding operations, reduce denials and accelerate cash flow

Audience

Healthcare organizations that want to enhance their current claims adjudication system

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

No information available.
Free Version
Free Trial

Pricing

No information available.
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

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Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Fathom Health
Founded: 2017
United States
fathomhealth.com

Company Information

PCG Software
Founded: 1984
United States
pcgsoftware.com/product-offerings/virtual-examiner/

Alternatives

Alternatives

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iVEcoder

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Artsyl ClaimAction

Artsyl ClaimAction

Artsyl Technologies
ediLive!

ediLive!

Texas Medical Systems

Categories

Categories

Claims Processing Features

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 Features

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Integrations

No info available.

Integrations

No info available.
Claim Fathom and update features and information
Claim Fathom and update features and information
Claim Virtual Examiner and update features and information
Claim Virtual Examiner and update features and information