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ease
features
design
support

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Description

Ensure that all your facilities have immediate access to payor contracts, allowing for effortless tracking of every required regulation related to payors, including levels, notifications, and pre-authorizations, to guarantee that you never overlook a Managed Care reimbursement. Our SMART Recovery team enhances your billing department's efforts by actively pursuing older unpaid claims and minimizing bad-debt write-offs, providing you with the clarity needed to address aged claims. With a quick start and no initial costs involved, our Smart Recovery team seamlessly integrates with your EHR system to analyze the aged claims you designate for review. There is no need for extensive implementation or training, as our SMART Case Manager software comes with a dedicated team that manages the setup of your payor contracts and integrates them with your EHR and therapy platforms. Once everything is configured, your staff can be trained in a mere 90 minutes, and within the first month, you will find that you save more time than what is required to launch DART Chart, setting the stage for greater efficiency and financial health in your organization. It's a streamlined solution that maximizes your resources while enhancing your claims management process.

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

Dart Chart Systems

Founded

1997

Country

United States

Website

www.dartchart.com

Vendor Details

Company Name

PCG Software

Founded

1984

Country

United States

Website

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

Product Features

Long Term Care

Claims Management
Clinical Care
EHR
Electronic Health Record
For Home Care Providers
For Nursing Homes
Geriatric Care
MDS Review
Patient Records
Staff Scheduling

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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