QualCode: The gold standard in revenue cycle management

QualCode 25 Years of Excellence
 
 

QualCode is a comprehensive revenue cycle management company that’s is dedicated to specializing in revenue integrity and compliance

As our name suggests, quality is in our DNA, and it drives everything we do. At QualCode, we’re all about revenue integrity, and we don’t just talk the talk. Many of our clients will tell you that walk the walk as well.  

We understand the enormous amount of pressure our clients face in today’s uncertain times. Many healthcare organizations continue to struggle with medical coder shortages and are unable to maintain productivity and accuracy standards. That’s why we strive to provide customized revenue cycle management services to meet the needs of every client we serve. We know it has become increasingly more difficult to ensure medical coding compliance, and we’re here to help.

The 5 Cs of Building Stronger Relationships With Your Coding Vendor - by Natalie Williams

Let’s face it—choosing the right coding vendor for your organization can be overwhelming.

There are so many options out there, and it’s easy to get caught up in focusing on productivity, accuracy, and cost. But here’s the thing: while those factors are crucial, what really makes a difference is the relationship you build with your vendor.

At QualCode, Inc., we turn challenges into opportunities.
Review our updated capability statement for details.

Your Challenges

  • Inaccurate quality metrics yielding less-than-ideal rankings on U.S. News & World Report

  • Increased medical coder burnout, healthcare staffing shortages, and an inability to recruit and retain top talent

  • Lack of a comprehensive process for coding quality validation, leading to lost revenue opportunities and increased risk for post-payment audits and recoupments

  • Lack of clinical validation to support your claims

  • Rising discharge-not-final-billed (DNFB) accounts due to limited internal coding resources

How We Can Help

  • Correctly capture and sequence all secondary diagnoses to improve healthcare quality rankings

  • Perform clinical validation and pre-bill DRG reviews to enhance revenue integrity and decrease overpayments

  • Perform inpatient and outpatient clinical documentation to improve revenue integrity

  • Provide flexible coding support to manage DNFB accounts, alleviate coder stress, and enhance coder retention

  • …and so much more

 

InfoCode

The more you know, the better you code

Clients Who Trust QualCode

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New York Presbyterian Lawrence
Montefiore New Rochelle
New York Presbyterian Brooklyn
Stony Brook University Hospital
New York Presbyterian Columbia Cornell
Montefiore
Saint Josephs Medical Center

“The Children’s Aid Society’s Health and Wellness Division has been receiving services from QualCode for over five years. QualCode has provided valuable feedback related to the best practices on health records maintenance and visit claims. The staff of the company is always available for consultation and technical assistance and they are quick to respond to our needs. The quality of the services delivered by QualCode is always excellent and for these reasons I would highly recommend QualCode services.”  

— JH, Deputy Director, Programs & Business Development The Children’s Aid Society

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Our Partners

Microsoft Partner
PhyCare Solutions