Memorial Healthcare System Selects PCG Software
Virtual Examiner® Solution Will Automate Cost Containment
MALIBU, Calif.— May 16, 2006 – PCG Software, a leading provider of innovative software solutions designed to increase profitability for healthcare payer and provider organizations, today announced its Virtual Examiner® solution has been selected by Hollywood, Florida-based Memorial Healthcare System. The cost containment solution will allow Memorial Healthcare System to improve its current claims adjudication system with more than 30 million edits per claim, and monitor the organization’s internal claims process to identify unclean claims and reduce payment for improper or erroneous coding.
Virtual Examiner evaluates claims not only for fraudulent and abusive billing practices, but also identifies those claims that may involve third-party liability/coordination of benefits, case management opportunities, physician billing education and provides many other cost recovery reports.
“Our Virtual Examiner solution is ideal for organizations like Memorial Healthcare System because it drastically reduces the need to maintain massive claims staffs,” said Michael Lubao, CEO of PCG Software. “We look forward to working closely with Memorial Healthcare System to improve the organization’s operational efficiency and retain its essential premium dollars.”
For more than fifty years, Memorial Healthcare System has been a leader in providing high quality healthcare services to South Florida residents. Memorial Regional Hospital, located in Hollywood, is the flagship facility of the Healthcare System and is one of the largest hospitals in Florida. Memorial Regional offers an extensive and diverse level of services that include a Cardiac and Vascular Institute featuring nationally renowned surgeons and a Cancer Center that treats more inpatients than any other in Broward County.
About PCG Software
Established in 1984, PCG Software (www.pcgsoftware.com) is a leading provider of innovative software solutions designed to increase profitability for healthcare payer and provider organizations. The company’s user-friendly software tools automate cost containment through more accurate and efficient claims adjudication for national and regional health insurance plans, independent practice associations, and third party administrators.
Press contact information:
Dave Anderson, Dodge Communications, (770) 998-0500 ext. 229
danderson@dodgecommunications.com
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