PCG's Virtual examiner allows payors to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars.
Fraud, waste and abuse in healthcare claims continues to be one of the biggest challenges littering the industry. Virtual Examiner is a proven cost containment system that uses AI to monitor your internal claims process with intelligent insights, while leveraging external compliance factors to trend provider data for fraudulent and abusive billing patterns.
With the capability to process more than 250,000 claims per hour and an average of 5-15% of your total paid claims dollars identified as overpayments, reducing fraud, waste and abuse and maximizing financial recoveries is easier than ever for healthcare payors.
Contact us for a FREE, No Obligation Claims Analysis today to see how Virtual Examiner can reduce the waste in your healthcare claims.
