August 2025 Newsletter Highlights
A Note From Natalie
August is all about preparation, precision, and progress.
As summer winds down, August gives us a valuable opportunity to realign, re-calibrate, and get ready for the demands of Q4.
It’s the perfect time to refine documentation, reinforce coding accuracy, and stay ahead of regulatory updates.
From back-to-school transitions to payer updates and pre-fall audits, August is your moment to strengthen your revenue cycle strategy.
Ready to optimize your revenue cycle for what's next?
Natalie Williams ~ President & CEO
The recently passed 2025 [Big Beautiful] Budget Bill marks a major turning point in the healthcare reimbursement landscape.
With a mission to promote transparency, patient protection, and accountability, this legislation introduces powerful reforms that reshape how providers, coders, and billing professionals operate.
At QualCode, we are embracing these changes as opportunities to elevate our services and deliver unmatched precision, speed, and compliance across the entire revenue cycle.
What’s New? July 2025
HCPCS Code Update(s)
⚠️ Don’t let outdated codes delay your claims. New drugs, discontinued injections, and narrative updates all went into effect July 1st.
CMS proposes physician payment rule to cut waste, enhance quality measures and improve Chronic Disease Management for people with Medicare.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would increase quality care for Medicare recipients while significantly reducing unnecessary spending. The calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) proposed rule would advance primary care management through new quality measures, reduce waste and unnecessary use of skin substitutes, and introduce a new payment model focused on improving care for chronic disease management.