Billions of dollars every year are lost due to incorrect coding and billing which could have been prevented with the use of AI Medical Coding and Claims Software. The financial toll is felt on payers, providers, and patients, and our AI software solutions aims to ease this pain. PCG Software curbs this growing trend with innovative AI software and expert support teams to assist providers, payers, MSOs, IPAS, and our Reseller partners. Providing greater financial stability. Join us in creating a better tomorrow for everyone involved in healthcare.
It's Tough Out There!
The competitive landscape of payer networks, provider exclusions and credentialing, the annual 3 million CPT code changes that keep hitting our inboxes, it's hard to see the blue skies past the clouds. It's impossible for one person to stay on top of it, and no EMR, EHR, or Claims Adjudication Software can keep up. This why PCG Software has AI based coding and claims adjudication software maintained by AI based knowledge base.
History of Service
For the past 30 years, Michael Lubao and Andria Jacobs have lead the path for our continued success. Our expert staff and company culture beat the COVID turnover and walk-outs our competitors faced. You have not only the technology you need to grow your patient outcomes and bottom line but the support that is trained and ready to help you.
Founder, Owner, Chairman and CEO
For 30 years, Michael has provided technological and business solutions to Managed Care and patient outcomes. Serving at Barnes, Jewish & Christian, Monarch Health Systems, HealthWest, UniHealth, PacifiCare, CareAmerica, St. Joseph's Hospital, Kaiser Permanente MedGroup Management TPA and Axminister Medical Group. Has built his medical billing, coding, and claims adjudication expertise second to none. That's why he's the Chairman and CEO.
His experience working with and consulting with MediComp, Physmark, Zybex, EZ-Cap, and various other Adjudication softwares led him to seek out a master programmer status. Michael built and coded Virtual Examiner himself, he built iVECoder, and his dream became a reality and has helped millions of patients and employees nationwide. He's so well acclaimed for his software knowledge, he has taught programming classes at the University of Southern California.
Owner & COO - RN, MS, CEN, CPHQ
25 years of patient and clinical support, Andria has been on the front lines of hospitals, clinics, and consulted with IPAs nationwide. She handles client account management, and internal employee operations, and serves as the lead financial officer (CFO) as well.
Andria's experience in patient care and outcomes is deeper than United Healthcare's pockets! She's served as Administrative Director for VertiHealth Administrators, consulted for Emergency and Critical Care Units, Hospitals, Physicians Groups, and Medical Clinics through Southern California. Andira is a Certified by the Healthcare Fraud and Abuse Compliance Institute.
During her time at CareAmerica, Andria was pivotal in establishing of programs designed to improve care outcomes for high-risk assessments, large case management, and continuum of care critical pathways.
Chief Strategy Officer (CSO) - Sales, Marketing, Partnerships
As Vice President of TNH Pharmacy from 2012-2018, Will created the company's first 340B program, negotiated and obtained 12 limited distribution medications, expanded operational licensing from 1 to 33 states, redesigned their online real-time portal's UI, and grew them from $1.3 million annually to $487 million.
Prior to joining PCG, Will served as CEO to two healthcare organizations which supplied international staffing of 1,100 employees across four countries to 700 different clinics within 20+ specialties for clinical call center scheduling, referrals, medical records, prescription coordination, HEDIS, remote patient monitoring, diabetes reversal, eligibility and benefits verification, medical billing, and medical marketing. Under his leadership, the two companies grew 300% within a four year span.
Will also has certifications in Website Design & Development, Search Engine Optimization, Paid Advertising, and various EMRs and web based platforms.
Finance Manager
CPC, CPMA, CPCO, CHA - Determinations Specialist
Client Systems Analyst
Client Systems Analyst
Clinical Lead & RN
Software can only help so much, someone still has to press a button, review and sort the final decision, and PCG has accounted for this. We've given "reason codes" within our softwares and options for full denial, approval, and even CMS pricing guidelines and wording to help anyone processing or submitting claims on what will pass with an appropriate approval and what's going to be denied.
We keep on teaching and informing.
Every month we are posting blogs, videos, and content in social media and this website to better inform the public on new and important billing, coding, and adjudication struggles and how to overcome them.
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