Virtual Examiner

Virtual Examiner

PCG Software
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About

PracticeSuite is a practice management, electronic health records (EHR) and patient management solution that is suitable for several medical practices and third-party medical billing companies. PracticeSuite features include patient outreach, scheduling capabilities, patient kiosks, and patient portals. With PracticeSuite's EHR feature, clinical teams can manage clinical measures, include flexible charting tools, and health maintenance. PracticeSuite's EHR also has nationwide connectivity to pharmacies, labs, HIE networks, and the patient portal.

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 Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Supported
iPad Supported
Android Supported
Chromebook Not Supported

Platforms Supported

Windows Not Supported
Mac Not Supported
Linux Not Supported
Cloud Supported
On-Premises Not Supported
iPhone Not Supported
iPad Not Supported
Android Not Supported
Chromebook Not Supported

Audience

Medical Practices, Third-Party Medical Billing Companies

Audience

Healthcare organizations that want to enhance their current claims adjudication system

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

API

Offers API Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

34.95/month
34.95/month for practices
49.95/month for facilities
Free Version Supported
Free Trial Supported

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

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

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 Supported
Webinars Supported
Live Online Supported
In Person Not Supported

Training

Documentation Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Company Information

PracticeSuite
Founded: 2003
United States
www.practicesuite.com

Company Information

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

Alternatives

Virtual Examiner

Virtual Examiner

PCG Software

Alternatives

iVEcoder

iVEcoder

PCG Software
Artsyl ClaimAction

Artsyl ClaimAction

Artsyl Technologies
ediLive!

ediLive!

Texas Medical Systems

Categories

Categories

Claims Processing Supported
Medical Billing Supported
Medical Coding Supported

Medical Billing Features

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

Electronic Medical Records (EMR) Features

Appointment Management Supported
Charting Supported
Compliance Tracking Supported
E-Prescribing Supported
E/M Coding Supported
Handwriting Recognition Not Supported
HIPAA Compliant Supported
Integrated Telehealth Not Supported
Meaningful Use Certified Supported
MIPS Certified Not Supported
ONC-ATCB Certified Not Supported
Patient Portal Supported
Self Service Portal Supported
Voice Recognition Supported

Medical Practice Management Features

Claims Management Supported
E-Prescribing Supported
EMR / EHR Supported
HIPAA Compliant Supported
Insurance Eligibility Verification Supported
Inventory Management Supported
Multi-Office Supported
Multi-Physician Supported
Patient Billing Supported
Patient Portal Supported
Patient Records Supported
Patient Registration Supported
Patient Scheduling Supported
Physician Scheduling Supported

Medical Billing Features

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

Claims Processing Features

Adjustor Management Supported
Case Management Supported
Claim Resolution Tracking Supported
Co-Pay & Deductible Tracking Supported
Compliance Management Supported
Customer Management Supported
Electronic Claims Supported
Forms Management Supported
Paper-Based Claims Supported
Payor Management Supported
Policy Administration Supported

Integrations

Claimocity Supported
Dragon Medical One Supported
Elation Health Supported
GEHRIMED Supported
Quanum EHR Supported
TotalTherapy Supported
iTeleCenter Supported

Integrations

Claimocity Not Supported
Dragon Medical One Not Supported
Elation Health Not Supported
GEHRIMED Not Supported
Quanum EHR Not Supported
TotalTherapy Not Supported
iTeleCenter Not Supported
Claim PracticeSuite and update features and information
Claim PracticeSuite and update features and information
Claim Virtual Examiner and update features and information
Claim Virtual Examiner and update features and information