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Advancing profitability for healthcare – PCG Software
News and Events

PCG Software’s fraud and abuse claims software

PCG works with healthcare payer 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 and third-party administrators.

Our employees have dedicated themselves to creating product solutions to slow the escalating cost of healthcare. These solutions improve operational efficiency for payer organizations nationwide by identifying patterns of fraud and abuse and assisting their provider partners to improve the accuracy of billing processes.

Proven Return on Investment.
Enhanced Operational Efficiency.
Unlimited Administrative Flexibility.

 

To learn more about PCG Software's claims adjudication and code review software and other solutions for healthcare organizations, please visit the links below:

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>Community Health Group Deploys Virtual ExaminerŽ Automated Software
Virtual Examiner pinpoints billing errors and unfair billing practices, enabling CHG to educate providers and eliminate long-term billing errors
September 8, 2009

>The changing face
of RCM

PCG feature article in Healthcare Finance News
September 2009

>Medicare Revenue Management Forum
Andria Jacobs of PCG presented on the topic of containing costs by identifying fraudulent and abusive billing patterns
May 19-20, 2009

>Improving Billing Accuracy by Leveraging Claims-Auditing Data
by Andria Jacobs, as seen in Group Practice Journal
May 2009

>SynerMed Provides Affordable Automated Systems That Identify Fraud, Abuse and Waste for TPAs
by Andria Jacobs, as seen in MyHealthGuide
March 23, 2009

>Looking at Claims
in a Very New Way/Implementing Virtual Examiner

Andria Jacobs of PCG spoke at Department of Health Care Services Medi-Cal Managed Care Division Program Integrity Anti-Fraud Workshop
March 5, 2009