Virtual ExaminerPCG Software
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Related Products
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About
MedCoder.ai is a free medical coding reference built from publicly available CMS, CDC, AHRQ and FDA files. It covers ICD-10-CM diagnosis codes, HCPCS Level II, ICD-10-PCS procedures, MS-DRGs, CCSR clinical groupings, lab NCD references, the NDC directory and modifiers. Tools: Compare (the Excludes1/Excludes2 relationship between any two codes), Claim Check (validates up to 25 diagnosis codes for Excludes1 conflicts, sequencing, missing 7th characters and billable status), an ICD-10-PCS Builder and a release ledger covering the FY2027 changes. No signup, no ads, human-reviewed content.
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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.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Medical coders, medical billers, physician practices, revenue-cycle teams, health information management students and instructors
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Audience
Healthcare organizations that want to enhance their current claims adjudication system
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and VideosNo images available
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Screenshots and Videos |
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Pricing
Free
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationMedCoder.ai
Founded: 2026
United States
medcoder.ai
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Company InformationPCG Software
Founded: 1984
United States
pcgsoftware.com/product-offerings/virtual-examiner/
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Categories |
Categories |
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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
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Integrations
No info available.
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Integrations
No info available.
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