DESCRIPTION OF SERVICES

PCG's Virtual ExaminerŽ is more than a claims review system with a focus on code combinations and fraud and abuse detection. It is a cost containment program that evaluates the claim not only for fraudulent and abusive billing practices but also reviews each claim for eligibility, history, TPL, and Case Management opportunities. This differentiates Virtual ExaminerŽ from competing software that focuses solely on edits within a single claim. Provider profiles assist the network in identifying those practices that have aberrant billing and coding procedures. Virtual ExaminerŽ has over 25,000,000 AMA and CMS-based edits and structure to allow clients to add or change existing edits. PCG Software's customers receive quarterly software updates and clinical and claim decision support.

PCG Software, Inc. provides our clients with a cost containment program that pays for itself in recoveries. While our competition rents you software, a recurring liability, we sell you a product that allows you to retain critical premium dollars. Call and arrange for a free Virtual ExaminerŽ analysis of your actual claims data. Our current clients were won over by the actual savings reports on their own beneficiaries.

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