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Average Ratings 42 Ratings

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features
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support

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.

Description

XpertCoding by XpertDox is an AI medical coding software that utilizes advanced artificial intelligence, machine learning, and natural language processing (NLP) to automatically code medical claims within 24 hours. This software streamlines and enhances the coding process, ensuring faster and more accurate claim submissions and maximizing financial returns for healthcare organizations. Features include a comprehensive coding audit trail, minimal need for human supervision, a clinical documentation improvement module, seamless integration with EHR systems, a business intelligence platform, a flexible cost structure, significant reduction in claim denials and coding costs, and risk-free implementation with no initial fee and a free first month. XpertCoding's automated coding software ensures timely payments for healthcare providers & organizations, accelerating the revenue cycle and allowing them to focus on patient care. Choose XpertCoding for reliable, efficient, and precise medical coding tailored to your practice.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

EpicCare EMR No 
OnCore No 
athenahealth Population Health No 
eClinicalWorks No 

Integrations

EpicCare EMR Yes 
OnCore Yes 
athenahealth Population Health Yes 
eClinicalWorks Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

Contact the XpertDox Team for more information on pricing.
Free Trial Yes 
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) No 
In Person No 

Types of Training

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

Vendor Details

Company Name

PCG Software

Founded

1984

Country

United States

Website

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

Vendor Details

Company Name

XpertDox

Founded

2015

Country

United States

Website

www.xpertdox.com

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 

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing Yes 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

Revenue Cycle Management

Accounts Receivable No 
Claims Management No 
Collections Management No 
EHR/EMR Integration Yes 
For Healthcare No 
ICD-10 Compliance Yes 
Insurance Verification No 
Medical Billing Yes 
Patient Portal No 
Patient Registration No 
Patient Scheduling No 
Payment Processing No 

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