PCG Upgrades Billing Software

    June 24, 2011
    Malibu, Calif.-based PCG software, a provider of software solutions for healthcare payer and provider organizations, has upgraded its Virtual

    Malibu, Calif.-based PCG software, a provider of software solutions for healthcare payer and provider organizations, has upgraded its Virtual Examiner.

    PCG outlines the software's key enhancements:

    • 2,500 new VE core (non-CCI) edits
    • New fraud and abuse report section
    • Top 40 unbundling by group and by provider
    • Double bills submitted by group
    • Churning: Outlier hours/quantities and overrides
    • Spiking: Bill submission frequency by group and provider
    • Trending: E&M bell curve analysis by group and provider

    According to PCG, its software is designed to protect against fraudulent and abusive billing practices.

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