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
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

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
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

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

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

Clinical Trial Management Features

21 CFR Part 11 Compliance
Document Management
Electronic Data Capture
Enrollment Management
HIPAA Compliant
Monitoring
Patient Database
Recruiting Management
Scheduling
Study Planning

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