Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
The integration of our seamless ePCR and Clearinghouse eliminates the need to constantly switch between various applications to complete tasks efficiently. Regardless of the ePCR system your clients utilize, AdvanceClaim for billing companies accommodates them all effortlessly. With features like Automated Imports from a majority of ePCRs, one-click searches, and the auto-population of essential claims data, AdvanceClaim for agencies enhances both accuracy and efficiency while minimizing redundancy and the potential for human error. Bid farewell to the cumbersome processes of downloading extensive remittance files, manually uploading claim files to your clearinghouse, and enduring lengthy waits for validation. AdvanceClaim streamlines the submission process using our fully integrated clearinghouse, allowing you to confidently know that claims or batches are being processed effectively. You can also quickly assess performance across all your clients by utilizing our multiple tax ID rollups or further dissecting the reporting by geography, client size, billing volume, and various other metrics. Additionally, the entire system maintains 100% compliance with HIPAA, ICD-10, and HITECH regulations, and it operates on the robust AWS platform. This ensures reliability and security, giving users peace of mind while managing their billing operations.
Description
Virtual Examiner®, PCG Software’s flagship product, monitors an organization's internal claims process to track provider data for fraudulent or abusive billing patterns and maximizes financial recovery. The Virtual Examiner®, a PCG Software product, allows healthcare organizations to improve their claims adjudication system by allowing for more than 31,000,000 edits per claim. The software monitors an organization's internal claim process to identify and reduce payments for incorrect or erroneous code to save premium dollars. Virtual Examiner®, is more than a claims management solution that focuses 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.
API Access
Has API
No
API Access
Has API
No
Integrations
Amazon Web Services (AWS)
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Pricing Details
No price information available.
Free Trial
No
Free Version
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Deployment
Web-Based
Yes
On-Premises
No
iPhone App
No
iPad App
No
Android App
No
Windows
No
Mac
No
Linux
No
Chromebook
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
Yes
In Person
Yes
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
MP Cloud Technologies
Country
United States
Website
www.mpcloud.com/solutions/advance-claims-billing
Vendor Details
Company Name
PCG Software
Founded
1984
Country
United States
Website
pcgsoftware.com/product-offerings/virtual-examiner/
Product Features
Medical Billing
Claims Processing
No
Claims Scrubbing
No
Code & Charge Entry
No
Compliance Tracking
No
Customizable Dashboard
No
Dunning Management
No
Invoice History
No
Patient Eligibility Checks
No
Practice Management
No
Quotes/Estimates
No
Remittance Advice
No
Product Features
Claims Processing
Adjustor Management
Yes
Case Management
Yes
Claim Resolution Tracking
Yes
Co-Pay & Deductible Tracking
Yes
Compliance Management
Yes
Customer Management
Yes
Electronic Claims
Yes
Forms Management
Yes
Paper-Based Claims
Yes
Payor Management
Yes
Policy Administration
Yes
Medical Billing
Claims Processing
Yes
Claims Scrubbing
Yes
Code & Charge Entry
Yes
Compliance Tracking
Yes
Customizable Dashboard
Yes
Dunning Management
Yes
Invoice History
Yes
Patient Eligibility Checks
Yes
Practice Management
Yes
Quotes/Estimates
Yes
Remittance Advice
Yes