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features
design
support

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Write a Review

Description

Fathom is an advanced medical coding platform that utilizes deep learning and natural language processing, allowing healthcare systems to efficiently code patient interactions with impressive speed, accuracy, and security. This innovative solution facilitates fully automated coding processes, capable of handling millions of charts daily without any human involvement, while also addressing backlog issues to manage variations in staffing or seasonal increases in demand. Additionally, it provides real-time auditing features to ensure coding quality and compliance with industry standards. Integrated with leading electronic health records (EHR) systems, Fathom has obtained significant industry certifications, including HITRUST i1, to safeguard patient health information (PHI). The platform significantly enhances operational efficiency by cutting coding costs by as much as 50 percent and reducing turnaround times from days to mere moments, all while achieving over 90 percent automation rates for complete encounters. As a result, health systems can not only improve revenue capture and decrease denial rates but also reallocate their coding personnel to more strategic roles, ensuring a more effective allocation of resources within the organization. Ultimately, Fathom stands as a transformative solution that streamlines medical coding, enabling healthcare providers to focus on delivering high-quality care.

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 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

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 No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Fathom Health

Founded

2017

Country

United States

Website

fathomhealth.com

Vendor Details

Company Name

PCG Software

Founded

1984

Country

United States

Website

pcgsoftware.com/product-offerings/virtual-examiner/

Product Features

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 

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