Healthcare payer and provider organizations have traditionally been forced to manage claims and administrative operations using manual or outdated systems because of the high price tag and exorbitant lease fees usually associated with effective software. Add to that, the challenge of unrelenting competition that pushes organizations to make accurate assessments more rapidly than in years past.

Since 1984, PCG Software has worked to deliver software solutions that have helped clients realize drastically increased savings compared to those achieved using traditional methods or competitive offerings.Please click on the links below, or contact one of our sales associates at sales@pcgsoftware.com to find out how PCG Software’s solutions can benefit your organization.

Please click on the links below, or contact one of our sales associates at sales@pcgsoftware.com to find out how PCG Software’s solutions can benefit your organization.

Our Top Solutions

Virtual Examiner®

Monitors the internal claims process to trend provider data for fraudulent and abusive billing patterns, while maximizing financial recoveries.

Virtual Examiner Web Services (VEWS™)

Integrates with vendor systems to provide real-time, on-demand access to over 45 million significant CMS, Medicaid, government and business coding rules to ensure provider claims are submitted clean the first time, every time. VEWS™ also interfaces with payor A/P systems (i.e. EPIC’s Tapestry) to improve auto-adjudication with real-time code review.

iVECoder®

Coding and billing tool for providers built on the same claims intelligence of the Virtual Examiner® claims review engine.

Our Other Solutions

Virtual AuthTech®

Assure proper diagnosis and procedure coding for interactive authorization and claims.

Virtual Reporter®

Efficiently detect fraud and abuse using our workflow management application

SymKey® Virtual Auto-Post™

Speed the healthcare claims review process

SymKey® is a registered trademark owned by HealthCare Information Management, Inc. (HCIM). Virtual Auto-Post™ is a trademark owned by HCIM.

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PCG Software, Inc is an American company devoted to strengthening the American workforce and upholding our commitment to never using internationally outsourced labor. All of our products are designed and engineered in the United States.