November 2025 Newsletter Highlights
A Note From Natalie
November brings renewed focus and appreciation.
This month brings more than just new claims and audits; it brings renewed focus on the people behind the process, the regulations ahead, and the opportunities we must act on now.
Ready to optimize your revenue cycle for what's next?
Natalie Williams ~ President & CEO
QualCode Partners with Decision Point Software to Deliver Next Generation QC Tracker®️ for NYC Hospitals.
QualCode announces a strategic partnership advancing quality control tracking for hospital coding operations—improving accuracy, audit-readiness, and revenue integrity across complex inpatient workflows.
CMS is now auditing every eligible Medicare Advantage contract annually
CMS expects to complete the backlog by early 2026. The agency said it will use new technology and increase its team of medical coders from 40 to approximately 2,000 to assist with efforts.
Smarter Tools, Stronger Coders: Leading the Next Wave of RCM
As automation tools evolve, the real value lies in how humans use them. Coders who understand both compliance and technology will lead the next wave of transformation in revenue cycle management.