iVECoder by PCG Software
Know What the Payers Know.
Overview
iVECoder is an AI-powered medical coding software that leverages over 30 years of payer knowledge. It provides a mock adjudication of claims, showing how a payer would process it, including CCI edits and over 450 reason codes. It is updated quarterly with the latest CMS, AMA, and Medicaid rules.
✨ Key Features
- Mock claim adjudication
- Payer-based CCI edits and reason codes
- Quarterly updates of CMS, AMA, and Medicaid rules
- Layperson descriptions of codes
- Contract negotiation tool
🎯 Key Differentiators
- Built from a payer's perspective
- Mock adjudication feature
- Focus on 'leveling the playing field' between providers and payers
Unique Value: Empowers providers with the same knowledge and logic that payers use to adjudicate claims, enabling them to fix errors before submission and reduce denials.
🎯 Use Cases (4)
✅ Best For
- Identifying potential claim denials before submission by using payer-side logic.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Organizations needing a full practice management or EHR suite.
🏆 Alternatives
Unlike standard claim scrubbers that check for basic errors, iVECoder simulates the entire payer adjudication process for a deeper level of review.
💻 Platforms
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
🔒 Compliance & Security
💰 Pricing
✓ 14-day free trial
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