Virtual Examiner

Virtual Examiner

PCG Software
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+

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About

Healthicity provides user-friendly, web-based compliance and auditing solutions that simplify the complexities of healthcare operations. Its platform integrates workflow management, training, reporting, and program administration into a single, easy-to-use system. Compliance Manager offers customizable workspaces and real-time insights to streamline risk assessments, investigations, policy management, and employee education. Auditing solutions support organizations in conducting structured, accurate audits that enhance visibility and reduce administrative burden. By centralizing data and automating routine processes, Healthicity empowers healthcare teams to focus more on patient outcomes and less on regulatory complexity. Trusted by organizations nationwide, the platform helps ensure programs remain effective, compliant, and audit-ready.

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

Healthicity is ideal for healthcare organizations seeking streamlined, centralized solutions for managing compliance, auditing, training, policies, and incident workflows

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

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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

Healthicity
Founded: 2015
United States
www.healthicity.com

Company Information

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

Alternatives

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BRIGHT AUDITS

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ediLive!

ediLive!

Texas Medical Systems

Categories

Categories

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

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

Integrations

Compliance Manager by Healthicity
Healthicity Audit Manager

Integrations

Compliance Manager by Healthicity
Healthicity Audit Manager
Claim Healthicity and update features and information
Claim Healthicity and update features and information
Claim Virtual Examiner and update features and information
Claim Virtual Examiner and update features and information