Virtual Examiner

Virtual Examiner

PCG Software
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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.

About

Ethical eAdjudication is an innovative endpoint adjudication and e-clinical software solution. With an intuitive and user-friendly cloud service designed exclusively for study leaders, QA staff, and committee members, Ethical eAdjudication offers the simplest solution to seamlessly manage event database, committee assessment, and disagreement and consensus meetings in a GxP controlled environment. By leveraging Ethical eAdjudication, users are given the opportunity to accomplish independent review and adjudication procedures in an effective, timely, and quality controlled manner.

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

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

Healthcare organizations that want to enhance their current claims adjudication system

Audience

Ethical eAdjudication supports academic research organizations (ARO), biotech, parmaceuticals, clinical research organizations (CRO), and scientific associations with regards to drug development and managing clinical trials.

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 Not Supported

API

Offers API Not Supported

Screenshots and Videos

Screenshots and Videos

Pricing

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

Pricing

No information available.
Free Version Not Supported
Free Trial 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 Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Company Information

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

Company Information

Ethical
Founded: 2013
Switzerland
www.ethical.ch

Alternatives

iVEcoder

iVEcoder

PCG Software

Alternatives

Artsyl ClaimAction

Artsyl ClaimAction

Artsyl Technologies
Tyler Ethics Management

Tyler Ethics Management

Tyler Technologies
Claim Agent

Claim Agent

EMCsoft
ediLive!

ediLive!

Texas Medical Systems
TrialStat

TrialStat

TrialStat Solutions

Categories

Claims Processing Supported
Medical Billing Supported
Medical Coding Supported

Categories

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

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

Clinical Trial Management Features

21 CFR Part 11 Compliance Supported
Document Management Supported
Electronic Data Capture Supported
Enrollment Management Not Supported
HIPAA Compliant Supported
Monitoring Supported
Patient Database Supported
Recruiting Management Not Supported
Scheduling Not Supported
Study Planning Supported

Integrations

No info available.

Integrations

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