December 2025 Newsletter
A Note From Natalie
December brings a moment to assess and advance.
After more than 25 years of trusted excellence in revenue integrity, QualCode is officially entering it’s ‘Legacy Phase’ — a new chapter defined by deeper innovation, stronger partnerships, and an unwavering commitment to quality that has stood the test of time.
As 2025 winds down, the RCM landscape is shifting rapidly — AI is expanding, audits are tightening, and compliance standards continue to rise, pushing teams to operate smarter and with greater precision.
Ready to optimize your revenue cycle for what's next?
Natalie Williams ~ President & CEO
CMS Launches “GENEROUS” Drug Pricing Model to Strengthen Medicaid
The Centers for Medicare & Medicaid Services (CMS) has unveiled a bold new initiative — the GENErating cost Reductions fOr U.S. Medicaid (GENEROUS) Model — designed to lower prescription drug costs, expand access to essential medications, and protect taxpayer dollars.
RCM 2025: AI, Audits & Billing Trends You Can’t Ignore
At QualCode, we help you stay ahead — leveraging analytics, compliance-ready workflows, and automation to protect revenue and clean up your cycle before payers strike back.