Coding Scrubber Integration for Payment Software
Medical Coding Software Integration
Imagine getting real-time notifications that a claims is incorrectly coded before its sent to the Payer... VEWS!
Benefits of Adding a Code Scrubber
Billing systems and clearinghouses process high claim volumes—but without real-time coding validation, preventable errors pass through. Each denial drives rework, increases operational cost, and delays reimbursement, often costing $40+ per appeal before factoring in cash flow impact or client dissatisfaction.
Coding rules across CMS, AMA, Medicaid, and commercial payers are constantly changing, and static scrubbers fall behind. This results in avoidable denials, resubmissions, and increased support burden from providers questioning claim outcomes.
VEWS™ integrates directly into your platform to apply real-time coding logic before submission. Claims are validated against current rules, edits, and reimbursement logic—reducing denials, lowering support tickets, and strengthening your platform’s reliability, compliance, and client retention.
Real-time claims auditing
NCCI, CMS, AMA, and Medicaid
Unbundling, Modifiers, and Duplicates
Flag terminated codes and line items
Improve first-pass acceptance rates
Monthly database updates
Over 72 million total edits
Decreasing the Impact of Denials
Scrub the Claim before submission
VEWS runs a real-time audit on every claim as it’s created or batched, applying 72+ million edits from CCI, CMS, AMA, and Medicaid to catch the errors billing software cannot. The result: cleaner submissions, fewer resubmissions, and dramatically higher first-pass approvals.
Whether your clients use your EMR, billing module, or clearinghouse connection, VEWS analyzes each claim at the code level and returns actionable corrections instantly—no waiting, no back-and-forth, and no surprises.
Compliance benefits of VEWS integration
VEWS ensures every claim aligns with CMS, AMA, Medicaid, and CCI rules, reducing audit exposure and helping your clients stay in-network with payers.
Financial Savings for VEWS for your clients
Fewer denials mean reduced staffing hours, lower appeal costs, faster payments, and a measurable boost in client revenue—making your platform far more valuable.
A New Revenue Stream for You
Most billing software and clearinghouses don’t offer real-time, code-level scrubbing. That gap causes denials, appeals, and costly support tickets that clients often blame on the platform. By integrating VEWS, you instantly transform your system into a premium solution that prevents denials before they ever reach a payer.
VEWS becomes
your built-in upgrade — strengthening retention, reducing churn, and giving your team a product that competitors can’t match. Your clients get cleaner claims and faster reimbursements. You get a differentiated offering you can price, package, and sell your way.
How VEWS Seamlessly Integrates within Your Current Software
Server Setup for Real-time Claims Auditing
For organizations implementing VEWS™, PCG first deploys and validates the dedicated Virtual Examiner® server and database while completing testing through Virtual Reporter®. Once the audit environment is fully operational, VEWS is configured and securely integrated with your existing billing or claims adjudication software through API connectivity. Each claim submitted is evaluated in real time by the Virtual Examiner decision engine, with coding, reimbursement, compliance, and payment integrity determinations returned instantly to support your existing workflow before the claim proceeds.
Ongoing Support and Security
Following implementation, PCG provides ongoing business-day technical support, reimbursement determination assistance, and secure quarterly software updates to ensure your organization remains current with evolving coding, reimbursement, and compliance requirements.
Let's Get Started
Complete the form, and together we'll find a day and time to meet to discuss a full integration strategy.
Needs Assessment and Demo Call
Mutual NDA and BAA
Review of Integration Needs at Technical Level
Proposal of Integration 1-time and Recurring Licensing
Co-Marketing Deployment if applicable
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