What are the opening hours?

Monday 8:30am - 5pm Tuesday 8:30am - 5pm Wednesday 8:30am - 5pm Thursday 8:30am - 5pm Friday 8:30am - 5pm

QualCode, Inc.

Home
United States
Albany, NY
QualCode, Inc.

A reliable and results driven Revenue Cycle Management vendor specializing in revenue integrity and compliance for over 25 years!

12/18/2025

🚨 ICD-10 Code Update Alert — CMS Just Posted New Files for 2026!

Includes a special April 1, 2026 update effective through September. These files include the latest diagnosis and procedure codes every coder, biller, and RCM leader should have loaded into their workflows.

⚙️ Why this matters:
✔ Accurate claims depend on the right ICD-10 diagnosis and procedure codes.

✔ Using outdated codes increases the risk of denials and audit flags.

✔ Some codes impact DRG assignment, severity adjustments, and reimbursement.

📁 Make sure your ICD-10 code tables, EHR, and CCI/NCCI edits are updated with the CMS files now available — including CM, PCS, and POA indicators.

Source: https://www.cms.gov/medicare/coding-billing/icd-10-codes

12/08/2025

⚠️ CMS Alert for Billers & Providers
The latest guidance from CMS under NCA 320 makes clear: Medicare will not cover items or services that are deemed medically unnecessary, fall outside defined benefit categories, or lack “reasonable and necessary” justification.

That means any billed service must:
• meet a valid medical-need justification,
• fall under a recognized Medicare benefit category, and
• comply with any applicable National or Local Coverage Determinations.

At QualCode, we help you audit your Medicare billing practices — ensuring claims are backed by proper documentation, coverage criteria, and compliance standards to minimize denials and audit risk.

https://www.cms.gov/medicare-coverage-database/view/nca.aspx?NCAId=320

11/27/2025

This Thanksgiving, we reflect on more than two decades of growth, partnership, and purpose. Every milestone we’ve achieved has been made possible by the clients who trust us and the professionals who drive our shared mission forward.

As we enter our Legacy Phase, we remain deeply thankful — for your partnership, your confidence, and your role in shaping the future of healthcare revenue integrity.

11/24/2025

📢 Regulatory Update Alert

CMS has released the 2026 Hospital OPPS & ASC Payment System Final Rule — and it’s got several major implications for outpatient services and billing workflows.

• OPPS payments increase by 2.6% for 2026 (market basket update 3.3% minus productivity 0.7%)
American College of Cardiology

• Some key shifts:
– Cardiac catheter ablation procedures just added to the ASC Covered Procedures List (CPL)
American College of Cardiology

– Outpatient stress test (93017) national payment rate drops from ~$311.40 to ~$220.60 under APC 5722
American College of Cardiology

– Amyloid imaging (78803) payment rate dramatically declines from ~$1,305.48 to ~$554.73
American College of Cardiology

For providers partnering with QualCode:
✅ Now is the time to review your outpatient coding and billing strategies.
✅ Ensure you’re aligned with the new payment rates and updated procedures list.
✅ Avoid revenue risk due to mismatches in service setting or payment classification.

At QualCode, we’re here to help you stay ahead of change, optimize your coding workflows, and protect your revenue-cycle integrity.

https://www.acc.org/Latest-in-Cardiology/Articles/2025/11/21/22/22/CMS-Releases-2026-Hospital-OPPS-Final-Rule

11/11/2025

Today, we honor the brave men and women who have served our nation with courage, sacrifice, and integrity.
Your dedication protects the freedoms that allow us to grow, innovate, and serve others.

From all of us at QualCode, Inc. — thank you for your service. 💙❤️🤍

Address

418 Broadway Street, North
Albany, NY
12207

Opening Hours

Monday	8:30am - 5pm
Tuesday	8:30am - 5pm
Wednesday	8:30am - 5pm
Thursday	8:30am - 5pm
Friday	8:30am - 5pm

Telephone

+12123686200

Website

http://qualcodeinc.com/

Alerts

Be the first to know and let us send you an email when QualCode, Inc. posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to QualCode, Inc.:

Want your practice to be the top-listed Clinic in Albany?