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PCG Upgrades Billing Software

May 8, 2007
by root
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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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