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QualCode works seamlessly within your organization to give you the coding and compliance help you need—when you need it. Our services include the following:

DRG / APC review
Errors in your medical codes mean improper reimbursement. Mistakes that lead to underpayments can strain your organization. QualCode team members perform DRG and APC audits to ensure coding accuracy—so you receive full payment for services rendered. Tell me more.

Coding compliance advisory
The ever-changing regulations and requirements for HIPAA and Medicare/Medicaid make coding compliance a constant challenge. Our compliance advisors create standardized coding and documentation guidelines tailored to your organization. We also schedule auditing and monitoring activities to ensure continuous compliance with OIG standards. Tell me more.

Coding outsourcing
Our skilled medical coding personnel keep your billing cycle on track during temporary staffing shortages from vacations or personnel changes. We also offer permanent coding help. Outsourcing this function gives you expert coders and fewer errors—often at a savings over in-house staff. Tell me more.

Remote coding services
Do you have an EHR system? Save even more money with our remote-coding service. We access your online data directly, preserving privacy and confidentiality as we provide coding support. Tell me more.

Education and training
Bringing in new team members? Do you want to keep your staff current on the latest coding regulations? We provide customized education and training at your site. Tell me more.

Medical data abstraction
Extracting relevant patient data for clinical research can consume staff time. But it’s critical to the success of your project. With QualCode’s data abstraction experts, get the patient information you need, while devoting your time to other important aspects of the research project. We customize data-collection tools to your needs. You get the right information on time and on budget. Tell me more.

"The services provided by QualCode are of high quality and consistency. Their strong knowledge of HIM systems and reimbursement methodologies has a positive impact on our revenue and quality standards."

—SM, Manager, Coding & Reimbursement
Montefiore Medical Center, Bronx, N.Y