ai medical coding,ai claims auditor,pcg,pcg software,vews,virtual examiner,ivecoder,virtualauthtech

Case Studies

Explore the success stories and impact we have had on our clients for 25+ years.

North East Medical Services

Summary:

California Bay Area MSO proudly serving high Medi-Cal population enabling them to see savings on just day 3 of our implementation prior to their Friday check run. Since it's launch in early 2023, they have now improved their application of Virtual Reporter to identify cost savings from CCI edits and improve their providers knowledge on medical claims compliance.

Network Medical Management

Summary:

When NMM and PCG joined forces NMM had less than 30,000 lives, today because of PCG's AI medical coding and AI medical claims software solutions they are now over 2 million lives. Virtual Examiner has given them the ability to streamline their pre-check-run claims review process reduce overpayments and underpayments, as well as a full auditing system to ensure higher compliance.

Physicians Integrated Medical Group

Summary:

Health Care Payer Achieves 56% Increase in Claims Savings and Rapid ROI.

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Memorial Healthcare System

Summary:

Code auditing work swamped the nine-person claims staff of one of Florida’s largest healthcare systems. Virtual Examiner banished the paperwork and integrated seamlessly with existing processes.

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Tuality Health Alliance (now OHSU Health)

Summary:

Code auditing work swamped the nine-person claims staff of one of Florida’s largest healthcare systems. Virtual Examiner banished the paperwork and integrated seamlessly with existing processes.

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Naperville Health Care Associates

Summary:

This physician-hospital organization urgently needed a new claims code auditing system. PCG Software implemented a solution that was up and running within a month and has since led to a 56 percent savings increase on fee-for-service claims.

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