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Average Ratings 0 Ratings

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ease
features
design
support

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Description

Revolutionize your revenue cycle with Clarus RCM, a leader in risk adjustment coding solutions that include both retrospective and prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart reviews, data validation, and comprehensive revenue cycle management services. With a team of certified coders, we assure over 95% accuracy and prompt turnaround times. Clarus RCM Inc utilizes an advanced technology suite to deliver thorough revenue cycle management (RCM) services. By combining RCM with healthcare consulting services, we empower hospitals and physicians to maximize their current revenue, discover new payment prospects, and enhance RCM efficiencies. In addition to our ISO/IEC 27001:2013 certification, our operations strictly adhere to HIPAA regulations and ISMS compliance. We have undergone assessment by UL-DQS, an American accreditation body, ensuring the delivery of top-tier healthcare services while maintaining a commitment to quality and security. This dedication to excellence not only benefits our clients but also enhances the overall healthcare landscape.

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

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Clarus

Founded

2014

Country

United States

Website

www.clarusrcm.com

Vendor Details

Company Name

PCG Software

Founded

1984

Country

United States

Website

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

Product Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Product Features

Claims Processing

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

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

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