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AI Medical Coding Software

Thinks like a Coder

Acts like an Auditor

AI Claims Adjudication and AI Medical Coding Software

AI Automation for Healthcare

PCG offers a complete range of software tools that empower payors, clinics, FQHCs, and medical billing companies to enhance their profits through comprehensive cost-containment solutions. Our cutting-edge tools automate the processes of claims adjudication and code review, resulting in faster and more accurate payment determinations. By doing so, we amplify cost containment measures and optimize efficiency.

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The #1 AI Medical Coding Solution in the World

For over 25 years, our cutting-edge AI software, Virtual Examiner, has been revolutionizing claims auditing by boosting efficiency, compliance, cost containment, and workflow efficiency in claims departments, medical management, and provider relations. Our state-of-the-art AI Medical Coding software, iVECoder, empowers providers, medical coders, medical billers, and billing companies to effortlessly submit error-free claims while ensuring compliance with every lookup and inquiry. Discover the power of our solutions today, as they together stand as the unrivaled #1 solution for cost containment and compliance worldwide.

AI Claims Auditing for Payers

VE® is the world's #1 claims auditing, compliance, and cost containment tool for; Plans, MSOs, IPAs, and TPAs. Learn about our FREE Audits today.

Payer Solutions
AI Medical Coding for EMRs

Seamless integration of our AI Medical Coding Engine will identify coding errors prior to claims submission increasing approval rates.

Integration Solutions
AI Medical Coding for Clinics

Real-time AMA licensed AI Medical Coding tool; iVECoder®. More approvals, faster appeals, easier audits.

Provider Solutions
AI Medical Coding Options for Consultants

Increase your lateral and horizontal portfolio offerings to payers and providers with our AI Medical Coding tools.

Consultant Solutions
AI Medical Coding for Billers

The more you bill for your clients, the cleaner the claims you bill, the longer they stay and pay you. Our softwares help!

RCM Solutions
Our AI Origin Story

Find out why we're are the world's #1 authority in all things AI Medical Coding since 1995. Meet the team, learn, contact us.

About Us

Our Valued Partners

Become a Partner

Built on AI and 30 Years of Success

Naperville Healthcare Associates

Initial 56% percent savings on fee-for-service...

Physicians Integrated Medical Group

Immediate $30,000 check-run claims reduction...

Tuality Health Alliance

10% overpaid claims reduction in first month...

Case Studies

The PCG Healthcare Blog

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Ransomware, UnitedHealth Group, and Change Healthcare

By Will Schmidt • 04 Mar, 2024

Continually updating you on the Change Healthcare cyber attack, UnitedHealth Group response, and it's impact on healthcare and patients.

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Post and Pre-Payment Claims Auditing with AI Solutions

By Will Schmidt • 12 Feb, 2024

Explore how AI can help your health plan reduce costs and increase compliance with AI claims auditing.

Cano Health Bankruptcy: A Tale of Financial Incompetency

By Will Schmidt • 06 Feb, 2024

Cano Health files for bankruptcy. Who are they? Why did it happen? What's the fallout?

AI and EI: Is it a reality? Should it be a reality?

25 Jan, 2024

AI and EI discussion. Can it happen? Yes, find out how. Should it happen? Here what we, an AI company, say about it.

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CPT Code 20220 -Under General Excision Procedures on the Musculoskeletal System

By Will Schmidt • 12 Jan, 2024

CPT 20220 definitions, case uses, bundles, financials, and how to get clean claims through the use of AI.

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UnitedHealth Group Fraud Continues

By Andria Jacobs • 13 Dec, 2023

Violation tracker of UnitedHealth Group's continued fraudulent activities and fines.

Mental Health Fraud Hits Most Vulnerable Citizens

By Andria Jacobs • 12 Dec, 2023

Explore how a 2014 article on mental health fraud still has the same issues in today's healthcare. Read it and be amazed that 9 years later the same problems exist. Examine history or you're doomed to repeat it.

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AI in Healthcare; 1995 to Present; Preventing Fraud

By Michael Lubao • 12 Dec, 2023

AI has been in healthcare since 1995. Learn how it has grown and how PCG software's predictions were spot on. Also includes statistics on denials, fraud, and compliance.

White House Signs AI Bill

By Will Schmidt • 30 Oct, 2023

Summary of Biden's new AI Executive Order for healthcare and how it will impact your plan.

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79 Modifier Definition, Description, and Usage

By Will Schmidt • 12 Oct, 2023

Learn the basics, definitions, and rules regarding Modifier 79.

ABN CMS-R-131 Form

By Will Schmidt • 11 Oct, 2023

Description of the CMS R 131 form with FREE download of the form.

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Modifier 78: Definitions, Usage, and Pictures

By Will Schmidt • 09 Oct, 2023

How and when to use modifier 78 to ensure optimal approval rates and compliance.

CPT Code 49000 Definitions, Usages, and Guide

By Will Schmidt • 04 Oct, 2023

CPT Code 49000 description, usages, modifers, bundled codes, and guidance.

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How Gynecologists can get more approvals with CPT Code 57410

By Will Schmidt • 26 Sep, 2023

57410 cpt code definitions, pictures explaining the code, and usages.

Full Guide to CPT Code 00952: descriptions, examples, and AI help

By Will Schmidt • 23 Aug, 2023

Full description and case usage examples of cpt code 00952.

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Unlocking Hidden Savings: The Power of a Comprehensive Claims Audit for IPAs

By Will Schmidt • 23 Aug, 2023

Brief overview of the benefits of having a full 3-year claims audit can do for your independent physician association (IPA).

10 Compelling Reasons to Embrace AI Medical Coding Software for Higher Approval Rates, Cleaner Claims, and Faster Collections

By Will Schmidt • 22 Aug, 2023

10 reasons why AI in healthcare billing will only grow; benefits, examples, and the #1 ai in healthcare billing option for clinics, dentists, and FQHCs.

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President Biden's Inflation Reduction Act Aims to Alleviate Medicare Part D Drug Costs

By Will Schmidt • 22 Aug, 2023

Short summary on the latest Biden strategy to reduce Part D spending with an out-of-pocket enrollment option for medicare advantage part D plans.

Comprehensive Guide to CPT Code 99386: Meaning, Usage, and AI-Driven Advantages

By Will Schmidt • 21 Aug, 2023

Comprehensive Guide to CPT Code 99386: Meaning, Usage, definitions, examples, visuals, and AI-Driven Advantages.

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CPT Code 99213 Knowledge, Usage, and Studies

By Will Schmidt • 17 Aug, 2023

CPT Code 99213, everything you need to know; usage, modifiers, places of service, bundled codes, who uses it and how to use it. AI medical coding options that can help with code look-ups as well.

What is an IPA healthcare?

By Will Schmidt • 02 Aug, 2023

What is an IPA healthcare? IPA definition, examples, guides, and information for providers to choose the right IPA as well as IPAs to implement new changes to be more attractive to new providers.

Understanding the 11104 CPT Code: Impact on Billing and Revenue

By Will Schmidt • 06 Jul, 2023

Become a pro with 11104 cpt code, learn the impact of cpt code 11104 and get examples. Learn how AI can help you with cpt 11104.

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Improving the Charge Capture Process of Medical Billing through AI Software

By Will Schmidt • 14 Jun, 2023

Charge Capture process; helpful summaries, tips, and AI tools that can improve your current process or set it up for success.

The Power of AI Software for Online Medical Coding Courses

By Will Schmidt • 12 Jun, 2023

If you own and operate an online medical coding coursing and/or coaching site, you need to offer not just results but cutting-edge technology. The coding books while useful in 2020, are not outdated with AI medical coding softwares now available. This could be the differentiator you need to increase sales.