QualCode, Inc.

🔍 Outpatient Coding Expertise at QualCode! Outpatient coding demands deep knowledge of sequencing rules, recognizing definitive diagnoses vs. symptoms, and coding services across various settings like emergency departments, ASCs, and outpatient clinics. QualCode’s experts ensure accuracy in everything from medical necessity to bundling, using their proficiency to avoid claims denials and complete both CMS-1500 and UB-04 forms correctly. Connect with us today! #MedicalCoding #OutpatientServices #ASC #HealthcareCompliance #ClaimsProcessing #QualCode

Upcoding is a major ethical dilemma for coders, according to a recent survey. https://lnkd.in/gXrsa_WQ #medicalcoding #medicalbilling #revenuecyclemanagement #qualcodeinc

Coding errors are costing hospitals millions. With an average denial rate of 8-12%, it's time to take control. QualCode, offers solutions to streamline your coding process and increase revenue. Learn more about how we can help your facility. See how we can help! https://lnkd.in/dgi2K4A #healthcare #coding #finance #qualcodeinc

💡 AI tools are revolutionizing the Medicare Advantage space. Here are 3 key impacts: 1. Risk Adjustment Accuracy: AI streamlines data validation by improving coding precision and uncovering hidden diagnoses. 2. Efficiency in Audits: AI tools like NLP can enhance audits by detecting discrepancies and automating responses. 3. Better Patient Outcomes: By analyzing real-time data, AI allows dynamic risk assessments and improved member health insights. Check out the article here: https://lnkd.in/gZ49N4tx #healthcareinnovation #medicareadvantage #aiinhealthcare #audittech #patientcare #ai #medicalcoding #qualcodeinc

Hospital payments set to increase by an estimated $2.9 billion, according to recently released FY 2025 IPPS final rule. https://lnkd.in/gVP3fc5S #ipps #medicare #medicalcoding #medicalbilling #revenuecyclemanagement #qualcodeinc

Natalie Williams, President and CEO of QualCode Inc., is a seasoned expert in health information management with over 30 years of experience. She built QualCode into a top-tier provider of medical coding and revenue cycle management solutions. Connect with us to learn how we can help! https://lnkd.in/gvCbWQEX #cms #medicalcoding #medicalbilling #revenuecyclemanagement #qualcodeinc

CMS recently issued a final rule establishing appeals processes for certain Medicare beneficiaries initially admitted as hospital inpatients but subsequently reclassified as outpatients receiving observation services. https://lnkd.in/gYV68HaR #cms #medicalcoding #medicalbilling #revenuecyclemanagement #qualcodeinc

Insurer Blue Cross Blue Shield has agreed to pay $2.8 billion to resolve antitrust class action claims by hospital systems, physicians, and other health providers. https://lnkd.in/eH8r-xtd #bcbs #underpayment #medicalcoding #medicalbilling #revenuecyclemanagement #qualcodeinc

84% of claim denials are potentially avoidable, according to a recent study. How can QualCode help you avoid them? https://lnkd.in/ghEb4_vb #healthcaredenial #medicalcoding #medicalbilling #revenuecyclemanagement #qualcodeinc

🔍 Ensure Your Business is Operating at Peak Efficiency with QualCode's Compliance Audits! Running a successful healthcare organization means staying compliant with industry regulations, and QualCode is here to help! 💼 Don't wait for an issue to arise—be proactive! Reach out today to schedule your compliance audit today. #healthcare #revenuecycle #medicalcoding #compliancematters #clinicaldocumentation #staycompliant #qualcodeinc