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PCG works with healthcare payer and provider organizations to increase profitability by enhancing cost containment, maximizing financial recoveries, and significantly reducing fraud and abuse. The company's comprehensive suite of software tools automate cost containment through more accurate and efficient claims adjudication and code review for national and regional health insurance plans, independent physician associations, third-party administrators, medical groups, hospitals and other healthcare providers.
"We definitely know that we are saving money. Virtual Examiner improves the claims processing substantially. It's not just the money you save out the door that matters. It's the indirect, …
“We certainly experienced a decrease in medical expenses. The savings were fairly immediate, because we were uncovering errors that we hadn’t found using the manual claims auditing process.”
“You cannot rely on a manual system anymore. With Virtual Examiner, we have realized considerable savings as a result of catching erroneous claims that may have otherwise been missed during …
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