PCG Software
AI Medical Coding Software streamlines the complex process of medical billing by leveraging artificial intelligence to enhance accuracy and efficiency. This innovative software assists healthcare providers in translating medical procedures and diagnoses into universal medical codes. By automating the coding process, it reduces human error, ensures compliance with healthcare regulations, and accelerates the billing cycle. The software’s sophisticated algorithms analyze clinical documentation, identify relevant codes, and suggest the most appropriate ones, thereby optimizing the revenue cycle management.
PCG Software Facts
Starting Price: Free
Pricing Model: Per User Per Month
Free Trial: Yes
Free Plan: Not Available
Languages: English, Spanish, French
Established: 2015
What is PCG Software?
PCG Software is a cutting-edge solution designed to modernize the medical coding process. It employs advanced AI algorithms to interpret medical records and assign accurate billing codes with minimal human intervention. The software supports a range of medical specialties and is adaptable to various healthcare settings, from small practices to large hospitals. Key features include real-time code validation, integration with electronic health records (EHRs), and detailed reporting tools that provide insights into coding trends and potential areas for revenue improvement.
How Does PCG Software Work?
PCG Software works by analyzing clinical documentation provided by healthcare professionals. It uses natural language processing (NLP) to understand the context and extract relevant medical terms. The software then cross-references these terms with a comprehensive database of medical codes, including ICD-10, CPT, and HCPCS. It suggests the most accurate codes for billing, which can be reviewed and adjusted by coders if necessary. The platform also includes features for code auditing, ensuring that claims are compliant with current regulations and reducing the risk of denials.
PCG Software Features
Natural Language Processing (NLP)
This feature enables the software to interpret and analyze clinical documentation, extracting relevant medical information and translating it into accurate medical codes, streamlining the coding process.
Real-Time Code Validation
PCG Software checks codes in real-time against current regulations and payer policies, reducing the likelihood of claim rejections and ensuring compliance with healthcare standards.
Integration with Electronic Health Records (EHRs)
Seamlessly connects with EHR systems, allowing for the automatic retrieval of patient data and clinical documentation, which enhances coding accuracy and efficiency.
Detailed Reporting Tools
Generates comprehensive reports that provide insights into coding trends, performance metrics, and potential areas for revenue improvement, aiding in strategic decision-making.
Code Auditing
Offers an auditing feature that reviews and verifies the accuracy of codes before submission, minimizing the risk of denials and ensuring that claims are compliant with the latest healthcare regulations.
User-Friendly Interface
Designed with the end-user in mind, the software boasts a user-friendly interface that simplifies navigation and makes medical coding more accessible to coders of all experience levels.
PCG Software Pricing Plan
PCG Software offers 1 pricing plan:
iVECoder: Priced at $99 per month or $999 per year, this plan is designed to cater to the needs of healthcare facilities of all sizes. It includes full access to the AI medical coding software, real-time code validation, EHR integration, detailed reporting tools, code auditing, and a user-friendly interface.
PCG Software accepts credit cards, PayPal, and bank wire transfers for payment.
Who Should Use PCG Software?
PCG Software is ideal for healthcare providers, medical coders, billing professionals, and healthcare administrators who seek to improve the accuracy and efficiency of their medical coding processes. It is also suitable for healthcare facilities of all sizes looking to streamline their billing cycle and ensure compliance with industry regulations.
PCG Software FAQs
What is the core functionality of iVECoder® by PCG Software?
iVECoder® is designed to optimize medical billing processes by providing over 65 million CCI edits and more than 450 reason codes for mock adjudications, ensuring higher approval rates and comprehensive insights into potential claim denials.
How often is iVECoder® updated with new coding rules and guidelines?
Unlike traditional coding books and scrubbers that update annually, iVECoder® is refreshed every quarter with the latest CMS, AMA, and Medicaid rules, guidelines, and edits, ensuring users work from the most current information.
Can iVECoder® assist in avoiding claim denials and speeding up the resubmission process?
Yes, iVECoder® facilitates mock adjudications, providing every possible reason a payer may deny, pend, or reduce a claim, which helps users avoid denials on the first submission and expedite the appeals process.
Is it possible to search for specific code descriptions and comparisons in iVECoder®?
iVECoder® allows users to quickly search for AMA and CMS code descriptions and offers concise explanations, enabling medical coders to understand the nuances between codes such as 99204 and 99025 instantly.
How does iVECoder® support internal audits and negotiations with payers?
The software provides detailed information on codes, including Physician Fees, RVUs, Global Periods, and financial details for APC and ASC, which can be utilized to conduct internal audits and negotiate physician fees with payers.
What kind of financial details can iVECoder® provide for medical codes?
iVECoder® offers comprehensive financial details for medical codes, including reimbursements for Medicaid, DME, NDC Drugs, and total reimbursements, aiding in financial planning and audit overcoming.
Does iVECoder® include information on Global Period percentages for post-op patient follow-ups?
Yes, iVECoder® includes Global Period percentages, which can be crucial for managing follow-up care for post-op patients and ensuring accurate billing for these services.
What experience and knowledge base does iVECoder® draw from?
iVECoder® is built on over 30 years of payer knowledge, providing a robust foundation for its extensive database of CCI edits and reason codes, which are instrumental in achieving full pass reviews for claims.
Conclusion
Drawing from decades of payer knowledge and equipped with a vast array of CCI edits and reason codes, iVECoder® by PCG Software stands out as a comprehensive solution for healthcare providers looking to enhance their medical billing and coding processes. With its quarterly updates and detailed financial insights, iVECoder® is a valuable tool for avoiding claim denials and streamlining the revenue cycle management.