Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Healthicity enables healthcare organizations to manage compliance and auditing programs with greater accuracy, efficiency, and confidence. Its intuitive online solutions bring together policy management, training delivery, incident tracking, document storage, and audit workflows under one unified platform. Compliance Manager helps teams customize workspaces, distribute education, conduct investigations, and monitor performance with real-time reporting. Auditing tools allow users to complete audits electronically, maintain documentation, and generate detailed reporting without manual spreadsheets. Customers value Healthicity’s supportive team, ease of navigation, and ability to consolidate previously fragmented tools into one coherent system. The platform improves oversight across multi-location healthcare environments, helping organizations maintain consistent standards. With enhanced visibility, automated workflows, and structured reporting, Healthicity reduces risk while saving significant time. The result is a modern compliance ecosystem that strengthens organizational accountability and supports better patient 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
Integrations
Compliance Manager by Healthicity
Yes
Healthicity Audit Manager
Yes
Integrations
Compliance Manager by Healthicity
No
Healthicity Audit Manager
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
No
Live Rep (24/7)
No
Online Support
No
Customer Support
Business Hours
Yes
Live Rep (24/7)
No
Online Support
Yes
Types of Training
Training Docs
No
Webinars
No
Live Training (Online)
No
In Person
No
Types of Training
Training Docs
Yes
Webinars
No
Live Training (Online)
No
In Person
No
Vendor Details
Company Name
Healthicity
Founded
2015
Country
United States
Website
www.healthicity.com
Vendor Details
Company Name
PCG Software
Founded
1984
Country
United States
Website
pcgsoftware.com/product-offerings/virtual-examiner/
Product Features
Audit
Alerts / Notifications
No
Audit Planning
No
Compliance Management
No
Dashboard
No
Exceptions Management
No
Forms Management
No
Issue Management
No
Mobile Access
No
Multi-Year Planning
No
Risk Assessment
No
Workflow Management
No
HIPAA Compliance
Access Control / Permissions
No
Audit Management
No
Compliance Reporting
No
Data Security
No
Documentation Management
No
For Healthcare
No
Incident Management
No
Policy Training
No
Remediation Management
No
Risk Management
No
Vendor Management
No
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