Code Scrubbing Software for Billing Companies
Reduce Denials and Get your Clinics paid faster
Decrease Denial Rates in a few clicks
Every denied claim slows reimbursements, adds rework, frustrates providers, and shrinks margins for both your billing company and your clients. These denials rarely happen because your team made a mistake—most occur because CPT®, CMS, AMA, Medicaid, and commercial policies all update at different times while coding books only update once a year. iVECoder® gives billing companies the advantage they’ve been missing: quarterly rule updates and AI-powered mock adjudications that reveal every reason a claim could be denied before it ever reaches the payer. Your team submits cleaner claims, reduces appeals, and helps clients get paid faster with fewer surprises.
CPT, HCPCS, ID-10, APC, ASC, GPCI, NDC
Crosswalks and modifiers
Pricing calculator for contracting
Review bundled and related codes
Access from anywhere
Prevent Denials for your Clients
Target your biggest coding denials
Run a 6-month denial report to identify the codes your billing team struggles with most. Then use iVECoder for 30 days to retrain how those claims should be submitted. Repeat the cycle until first-pass approvals rise—and continue refining until your clients consistently achieve 97–99% first-pass rates.
The impact of high denials
Too many claim denials can create serious financial and operational problems for healthcare providers. Delayed or denied payments reduce cash flow, increase administrative costs, and force staff to spend more time correcting and appealing claims instead of focusing on patient care. Over time, high denial rates can lead to staffing strain, billing backlogs, missed revenue opportunities, and slower reimbursement cycles. Excessive denials may also trigger additional scrutiny from commercial payers, CMS, or Medicaid programs, especially when patterns involve coding errors, medical necessity issues, modifier misuse, or authorization problems. In some cases, providers may face pre-payment reviews, audits, recoupments, or stricter payer oversight. High denial volumes can also negatively impact provider reputation, payer relationships, and patient satisfaction. At PCG Software, we believe denial prevention through proactive coding review, compliance monitoring, and real-time claims intelligence is significantly more effective and less costly than managing denials after claims have already been processed.
Why denials happen in the first place?
Every locality, plan, Medicare vs Medicaid, it's impossible for any biller to know all the rules. You need a software that can help you run mock claims and authorizations to understand if the claim is likely to be approved before sending it.
Improve Coding & Documentation Accuracy
Assist Your Clients with Better Documentation
Incomplete or unclear documentation is a leading cause of medical necessity denials and delayed payments. iVECoder® gives billing teams immediate access to CPT®, HCPCS, and payer guidance, so you can validate documentation before submitting claims. Billers can quickly confirm the alignment between diagnosis and procedure, identify required modifiers, and ensure all necessary clinical elements are present. This results in cleaner submissions, fewer back-and-forth requests with providers, and higher first-pass approval rates for both claims and authorizations.
Research Related and Bundled codes
Bundled services are a leading cause of denials, reductions, and lost revenue. iVECoder® enables billing teams to instantly identify relationships among CPT®, HCPCS, and APC codes, including NCCI edits and global period restrictions. Instead of relying on outdated references, your team can quickly determine whether a service is separately billable, bundled, or requires a modifier. This prevents unbillable combinations, reduces rework, and ensures claims are compliant before they reach the payer.
Code Pricing Calculator
Evaluate and Negotiate Pricing
Utilize iVECoder's CMS Calculator feature to evaluate your existing reimbursement rates and leverage this information to negotiate more advantageous rates for a particular code, rather than facing a failed attempt at a universal rate increase for all codes.
FREE Trial, Demo, & Setup
Only $99 /mo and month-to-month
Included
30-minute discussion and demo
Live with iVECoder same-day
Free 14-day iVECoder demo
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