Clarus RCMClarus
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Virtual ExaminerPCG Software
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Related Products
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About
Transform your revenue cycle with Clarus RCM. Clarus RCM specializes in risk adjustment coding solutions namely retrospective & prospective HCC coding, commercial risk adjustment coding, HEDIS abstraction, RADV audits, chart review & data validation, and revenue cycle management services. Our certified coders guarantee 95%+ accuracy & faster turn around time. Clarus RCM Inc provides comprehensive revenue cycle management (RCM) services through a robust, innovative technology suite. By integrating RCM services with healthcare consulting services, Clarus RCM can help hospitals and physicians increase their existing revenue stream, uncover new payment opportunities and elevate RCM performance. Clarus is certified with ISO/IEC 27001:2013 industry laurels. Our operations are 100% HIPAA and ISMS (information security management system) compliant. We have been assessed by UL-DQS (American accreditation) to deliver the highest quality of healthcare services.
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About
Virtual Examiner®, PCG Software’s flagship product, monitors the internal claims process of an organization to trend provider data for fraudulent and abusive billing patterns, and maximizes financial recoveries. PCG Software’s Virtual Examiner® allows healthcare organizations to enhance their current claims adjudication system with more than 31 million edits per claim. The software solution monitors an organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding to conserve premium dollars. Virtual Examiner® is more than a claims review solution with a focus on code combinations. It is a cost containment solution that evaluates the claim not only for abusive billing patterns but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and many other cost recovery reports.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Healthcare Business looking for RCM cost-effective solutions to redefine their processes and create value at each stage
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Audience
Healthcare organizations that want to enhance their current claims adjudication system
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationClarus
Founded: 2014
United States
www.clarusrcm.com
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Company InformationPCG Software
Founded: 1984
United States
pcgsoftware.com/product-offerings/virtual-examiner/
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Categories |
Categories |
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Medical Billing Features
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
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Medical Billing Features
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Claims Processing Features
Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration
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Integrations
No info available.
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Integrations
No info available.
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