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    <loc>https://www.qualcodeinc.com/infocode</loc>
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    <lastmod>2026-03-04</lastmod>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/march2026</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2026-03-04</lastmod>
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      <image:title>InfoCode - March 2026 Highlights</image:title>
      <image:caption>Hello February! This year marks a pivotal inflection point for documentation integrity. We are moving toward a reality where technology supports human expertise rather than replacing it.. ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/311ce462-7d39-405e-85da-1a50ec01eda7/ICD10.png</image:loc>
      <image:title>InfoCode - March 2026 Highlights - ICD-10-CM: No New Codes — But Notable Changes</image:title>
      <image:caption>Effective for discharges and encounters on or after April 1, 2026. Encoder and grouper systems (MS-DRG V43.1) should be updated before April 1st. Contact QualCode for coding support, DRG validation, or audit services. Full update files: cms.gov/medicare/coding-billing/icd-10-codes</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/february2026</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2026-03-04</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/1769894220078-IXWNMRRS6DNQVEJIU9CX/Subscribe+to+Monthly+Newsletter.png</image:loc>
      <image:title>InfoCode - February 2026 Highlights</image:title>
      <image:caption>Hello February! The transition we are witnessing this month marks a pivotal moment for digital health delivery. For many organizations, the end of January represents a "regulatory cliff" that demands immediate workflow adjustments. ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/0e1390c5-04f3-472d-b534-c230bcea75c0/telehealth.png</image:loc>
      <image:title>InfoCode - February 2026 Highlights - The Post-January 30th Landscape: Navigating the Telehealth "Cliff"</image:title>
      <image:caption>The temporary extension of Medicare telehealth flexibilities, granted by the Continuing Appropriations and Extensions Act of 2026, is set to expire on January 30, 2026. Unless Congress acts again, the industry will face a significant shift as many pandemic-era rules revert to pre-COVID statutory requirements.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/january2026</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2026-01-31</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/126fd267-b999-42bb-bb4b-b19b2b5781ef/Subscribe+to+Monthly+Newsletter.png</image:loc>
      <image:title>InfoCode - January 2026 Highlights</image:title>
      <image:caption>Happy New Year! Starting 2026 with precision is more than just a goal—it is a necessity. With nearly 300 new codes entering the landscape this month, "clean claims" are your first line of defense against denials. At QualCode, we are focused on helping you bridge the gap between complex new documentation requirements and sustainable revenue integrity. Let’s make 2026 a year of accuracy and financial strength. ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/805282f3-23cd-4c25-bd17-2a9566c0cdae/Screenshot+2026-01-10+7.39.35+PM.png</image:loc>
      <image:title>InfoCode - January 2026 Highlights - QCT﻿racker ® Feature Highlight: NEW YEAR LAUNCH</image:title>
      <image:caption>Prevents the use of obsolete codes in early January backlogs, ensuring immediate claim acceptance.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/1628a43a-c637-4720-876b-20e1a41b39a7/Screenshot+2026-01-10+7.47.32+PM.png</image:loc>
      <image:title>InfoCode - January 2026 Highlights - 2026 CPT® Launch: Navigating the 418 Changes</image:title>
      <image:caption>The 2026 Current Procedural Terminology (CPT®) code set, released by the American Medical Association (AMA), represents one of the most substantial updates in years. With 418 total changes—encompassing 288 new codes, 84 deletions, and 46 revisions—this update spans digital health, cardiology, and AI-augmented services.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/september2025-zbytr-6z2c9-6f6np</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2026-01-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/3d71220f-5b4a-4cbb-b543-e3d3e80b4d26/subscribe+to+the+newsletter+%285%29.png</image:loc>
      <image:title>InfoCode - December 2025 Newsletter Highlights</image:title>
      <image:caption>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? ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/10a0ff86-45e2-4445-8e3d-74c4d00ced9b/CMS+Revamps+AHEAD+Model+to+Drive+Quality%2C+Transparency+%26+Affordability+in+Healthcare.png</image:loc>
      <image:title>InfoCode - December 2025 Newsletter Highlights - CMS Launches “GENEROUS” Drug Pricing Model to Strengthen Medicaid</image:title>
      <image:caption>The Centers for Medicare &amp; 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.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/06c08112-e540-4cb6-8bb7-61ccb7466853/CMS+Revamps+AHEAD+Model+to+Drive+Quality%2C+Transparency+%26+Affordability+in+Healthcare+%281%29.png</image:loc>
      <image:title>InfoCode - December 2025 Newsletter Highlights - RCM 2025: AI, Audits &amp; Billing Trends You Can’t Ignore</image:title>
      <image:caption>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.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/september2025-zbytr-6z2c9</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2026-01-11</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/1764627828852-GWM7PVU4YRW1GKZECJFZ/subscribe+to+the+newsletter+%284%29.png</image:loc>
      <image:title>InfoCode - November 2025 Newsletter Highlights</image:title>
      <image:caption>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? ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/3e01c0b1-e367-43f0-b841-ca5376053590/IMG_3594.jpeg</image:loc>
      <image:title>InfoCode - November 2025 Newsletter Highlights - QualCode Partners with Decision Point Software to Deliver Next Generation QC Tracker®️ for NYC Hospitals.</image:title>
      <image:caption>QualCode announces a strategic partnership advancing quality control tracking for hospital coding operations—improving accuracy, audit-readiness, and revenue integrity across complex inpatient workflows.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/3f096a82-d497-40d3-a9fd-425c4df87db9/AI+coding+posts.png</image:loc>
      <image:title>InfoCode - November 2025 Newsletter Highlights - CMS is now auditing every eligible Medicare Advantage contract annually</image:title>
      <image:caption>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.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/ba0e32dd-3d73-4c67-bbf1-ccbed34361a0/AI+coding+posts+%281%29.png</image:loc>
      <image:title>InfoCode - November 2025 Newsletter Highlights - Smarter Tools, Stronger Coders: Leading the Next Wave of RCM</image:title>
      <image:caption>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.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/september2025-zbytr</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-12-01</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/f2d93711-ddaa-4315-bade-8bd5c7d0f11c/subscribe+to+the+newsletter+%283%29.png</image:loc>
      <image:title>InfoCode - October 2025 Newsletter Highlights</image:title>
      <image:caption>October marks an important checkpoint in the Revenue Cycle Management industry. With the latest ICD-10-CM code updates taking effect this month and CMS final rules on the horizon, compliance and coding accuracy are front and center. It’s a season of both challenge and opportunity. Ready to optimize your revenue cycle for what's next? ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/a1a6a4a8-b12a-46bc-84a1-8af145099c1f/Blue+and+White+Futuristic+Modern+Advanced+Generative+AI+Presentation+%281%29.png</image:loc>
      <image:title>InfoCode - October 2025 Newsletter Highlights - AI is changing medical coding.</image:title>
      <image:caption>The future of medical coding is here — and it’s powered by AI. What was once experimental is now operational, actively reshaping speed, accuracy, and compliance across the revenue cycle.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/ff7e45c8-844b-478f-8098-73aae6d21fe0/Invited%21.png</image:loc>
      <image:title>InfoCode - October 2025 Newsletter Highlights - Medicare Telehealth: Pre-Pandemic Rules Effective October 1, 2025</image:title>
      <image:caption>Effective October 1, 2025, Medicare reverted to its pre-COVID telehealth guidelines, as pandemic-era flexibilities were set to expire on September 30. Many services currently reimbursed under telehealth may no longer qualify.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/3f6797ee-631d-4aed-9f0d-593d2802a9fd/%F0%9F%93%A2+Coding+Update+AMA+Releases+CPT%C2%AE+2026+Code+Set.png</image:loc>
      <image:title>InfoCode - October 2025 Newsletter Highlights - CPT 2026 Adds Remote Monitoring &amp; AI Diagnostic Codes</image:title>
      <image:caption>AMA has released early details for the 2026 CPT® code set, and the updates reflect some of the biggest shifts we’ve seen in recent years. This update is more than just another set of codes — it’s a sign of how healthcare technology is reshaping the revenue cycle. Coders, compliance officers, and providers must prepare now.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/september2025</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-10-09</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/ea515098-66e0-4a9c-bff2-ad5a34294604/subscribe+to+the+newsletter.png.png</image:loc>
      <image:title>InfoCode - September 2025 Newsletter Highlights</image:title>
      <image:caption>September is here—and with it comes fresh opportunities to strengthen your RCM With new ICD-10-CM updates taking effect in October, and payer audits intensifying, this month is all about preparation and precision. At QualCode, Inc., we’re dedicated to keeping you informed and equipped with the tools and insights you need to stay ahead. Ready to optimize your revenue cycle for what's next? ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/7b40ae73-d6f5-4701-b50d-d81b779bbd8b/IMG_3243.jpg</image:loc>
      <image:title>InfoCode - September 2025 Newsletter Highlights - Nearly 500 New Cancer-Related ICD-10-CM Codes Arriving October 1, 2025</image:title>
      <image:caption>Beginning October 1, 2025, the 2026 ICD-10-CM code set will introduce 487 new diagnosis codes—many of which directly impact oncology documentation, billing, and compliance.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/fd73c4c5-8bbc-4636-8781-356b7c83c02d/IMG_3246.jpg</image:loc>
      <image:title>InfoCode - September 2025 Newsletter Highlights - Four Revenue Cycle Management Trends That Should Be On Every Leader’s Radar</image:title>
      <image:caption>This expansion is driven by the increasing adoption of AI and digital solutions in healthcare, the global shift toward value-based care, and the growing need for outsourced services due to IT infrastructure and skilled personnel shortages.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/33b1554f-8d69-414a-9dc2-6f9f2e3845a2/IMG_3245.jpg</image:loc>
      <image:title>InfoCode - September 2025 Newsletter Highlights - CMS Announces New Health Tech Ecosystem Initiative.</image:title>
      <image:caption>CMS has launched a new initiative to improve data exchange and patient care. Over 60 companies have pledged to work together to develop secure digital tools that prioritize patient needs. These tools will focus on improving health outcomes, streamlining care, and enhancing patient experiences.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/august2025</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-08-16</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/10303968-0f1d-472e-99b7-49a75c468c58/subscribe+to+the+newsletter.png.png</image:loc>
      <image:title>InfoCode - August 2025 Newsletter Highlights</image:title>
      <image:caption>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? ﻿QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/a0733f58-d9b7-49c4-8052-ebefd92823c1/2025+Budget+Bill+to+be+Signed+in+Law.jpg</image:loc>
      <image:title>InfoCode - August 2025 Newsletter Highlights - The recently passed 2025 [Big Beautiful] Budget Bill marks a major turning point in the healthcare reimbursement landscape.</image:title>
      <image:caption>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.</image:caption>
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      <image:title>InfoCode - August 2025 Newsletter Highlights - What’s New? July 2025 HCPCS Code Update(s)</image:title>
      <image:caption>⚠️ Don’t let outdated codes delay your claims. New drugs, discontinued injections, and narrative updates all went into effect July 1st.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/ca27f6bb-7ea5-4411-99ae-216485077e89/IMG_2838.jpg</image:loc>
      <image:title>InfoCode - August 2025 Newsletter Highlights - CMS proposes physician payment rule to cut waste, enhance quality measures and improve Chronic Disease Management for people with Medicare.</image:title>
      <image:caption>The Centers for Medicare &amp; 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.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/may2025-waaac-j523n</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-07-30</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/134aa9b2-29e2-4794-887c-0e8b65447b95/A+Note+from+Natalie</image:loc>
      <image:title>InfoCode - July 2025 Newsletter Highlights</image:title>
      <image:caption>Let’s celebrate freedom, accuracy, and forward momentum — all July long. ﻿ This month, we celebrate not only the nation’s independence on July 4th, but also the continued strength and resilience of the Revenue Cycle Management industry. July is the perfect time to assess performance, update coding practices, and prepare for policy changes ahead. Looking for ways to level up your revenue cycle and improve coding compliance as well? Remember: QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:title>InfoCode - July 2025 Newsletter Highlights - 2025 budget reconciliation could be catastrophic for hospitals</image:title>
      <image:caption>The specifics: Experts say the substantial increase in uninsured Americans caused by Medicaid cuts would likely lead to more uncompensated care, putting an additional strain on hospital finances. Not surprisingly, rural hospitals would likely be hit the hardest because many already have negative margins.  ﻿What’s next: Track the status of the budget reconciliation bill here. This bill passed in the House on May 22, 2025 and goes to the Senate next for consideration. ﻿Now is the time to focus on denial management and accurate medical coding to offset potential revenue loss.</image:caption>
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      <image:title>InfoCode - July 2025 Newsletter Highlights - Experts speculate on the impact of more aggressive Medicare Advantage audits</image:title>
      <image:caption>The specifics: In its FY 2026 budget request to Congress, CMS said it plans to increase its team of medical coders from 40 to approximately 2,000 by September 1, 2025. The goal? To address an ongoing backlog of Risk Adjustment Data Validation (RADV) audits to confirm that diagnoses used for payment are supported by medical records. The agency currently audits about 60 plans each year but intends to expand that to all 500-plus MA plans moving forward.  ﻿What’s next: Revenue cycle leaders should prepare for a potential impact of a more aggressive approach to MA audits that could include increased administrative burden and scrutiny over documentation, heightened risk of payment recoupments and denials, and stricter prior authorization and utilization management. QualCode can help your organization prepare for what may lie ahead.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/ba91a2a3-16ec-4a28-9738-91970fccb33b/IMG_2396.jpg</image:loc>
      <image:title>InfoCode - July 2025 Newsletter Highlights - New ICD-10-CM and ICD-10-PCS codes ﻿take effect October 1, 2025</image:title>
      <image:caption>The specifics: CMS recently announced its October 1, 2025, ICD-10-PCS procedure code update. The CDC did the same for its ICD-10-CM diagnosis code update effective the same date.   What’s next: Review these changes with medical coding staff to ensure coding compliance and revenue integrity. Remember: QualCode can help you improve clinical documentation to meet any new requirements. In addition, it’s beneficial to look ahead to ICD-11. Experts say it’s important to understand some of the main areas and concepts that the new coding system includes.</image:caption>
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  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/may2025-waaac</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-07-06</lastmod>
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      <image:title>InfoCode - June 2025 Newsletter Highlights</image:title>
      <image:caption>In the Month of June, ﻿find creative ways to honor diversity of all kinds within your department. This month, we celebrate LGBTQ Pride Month commemorating the contributions of lesbian, gay, bisexual, transgender, and queer individuals. We also celebrate Juneteenth, short for June 19th, recognizing the ending of slavery in the United States. Looking for ways to level up your revenue cycle and improve coding compliance? Remember: QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/057f2292-3c5c-4b67-aa5a-2c1f469b88cd/IMG_2026.jpg</image:loc>
      <image:title>InfoCode - June 2025 Newsletter Highlights - Medicaid cuts would hurt struggling providers, experts say</image:title>
      <image:caption>The specifics: At least $715 billion in cuts to Medicaid could become a reality if health provisions in the budget resolution (termed ‘One Big, Beautiful Bill’) are finalized. At least 8.6 million Americans could lose coverage.  What’s next: Organizations must understand how Medicaid cuts could threaten financial stability and take steps now to mitigate financial impact. Partnering with an outsource vendor may be one way to lay the groundwork for nimble revenue cycle management processes.</image:caption>
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      <image:title>InfoCode - June 2025 Newsletter Highlights - Healthcare Price Transparency</image:title>
      <image:caption>The specifics: The departments of Labor, Health and Human Services, and the Treasury recently announced a Request for Information (RFI) seeking public input on how to improve prescription drug price transparency. The agencies also released updated guidance for health plans and health insurance issuers that sets a clear applicability date for publishing an enhanced technical format for disclosures. Finally, CMS released new guidance to strengthen the Hospital Price Transparency requirements, requiring hospitals to post the actual prices of items and services, not estimates. CMS also issued its own RFI to gather public feedback on how to boost hospital compliance.  ﻿What’s next: Review these documents, provide public feedback, and stay tuned for future developments.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/a28cc014-a6f4-44f6-9ca0-de00625b6b6e/Blue+and+White+Simple+Business+Loan+Company+Service+Instagram+Post+.png</image:loc>
      <image:title>InfoCode - June 2025 Newsletter Highlights - CMS expands Medicare Advantage audits immediately</image:title>
      <image:caption>The specifics: Beginning immediately, CMS announced it will audit all eligible Medicare Advantage contracts in what the agency is calling an “aggressive strategy.”  ﻿What’s next: CMS will deploy advanced systems to review medical records and flag unsupported diagnoses. It will also increase its team of medical coders from 40 to approximately 2,000 by September 1, 2025, to manually verify flagged diagnoses to ensure accuracy. Finally, CMS will collaborate with the OIG to recover uncollected over-payments identified in past audits.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/may2025</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-06-05</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/4fe113da-aecb-4762-9c1e-27909c1548c7/image-374.JPG</image:loc>
      <image:title>InfoCode - May 2025 Newsletter Highlights</image:title>
      <image:caption>May is recognized as Mental Health Awareness Month. The month of May also includes the celebration of National Nurses Week from May 6 - 12, 2025. We encourage you to take a moment to acknowledge and appreciate the hard-working nurses within your organization. Looking for ways to level up your revenue cycle and improve coding compliance? Remember: QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/d7fdf13b-fa02-47f4-b6de-58e1383c3db4/Medicare+Advantage</image:loc>
      <image:title>InfoCode - May 2025 Newsletter Highlights - CMS finalizes an increase in average benchmark payments to MA plans</image:title>
      <image:caption>The specifics: CMS recently finalized an increase in the average benchmark payments to MA plans by 5.06%, or $25 billion. ﻿What’s next: With these increased payments to payers comes the potential for better negotiated rates with providers, bonuses, and higher quality-based incentive payments. However, with higher payments from CMS, MA plans may expect more from providers in terms of clinical documentation, quality scores, and patient satisfaction.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/2a537157-1e3c-489a-be4e-24589bd1a432/Coding+Revisions</image:loc>
      <image:title>InfoCode - May 2025 Newsletter Highlights - CMS publishes the July 2025 NCD update.</image:title>
      <image:caption>The specifics: CMS recently published its most recent NCD update, effective July 1, 2025. NCD coding changes are the result of newly available codes, coding revisions to NCDs released separately, or coding feedback received. ﻿What’s next: Review the NCD updates with coding and billing staff to ensure compliance and avoid denials.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/115d2583-92cf-4a3b-8a10-ff6b63f515cd/Social+Determinants</image:loc>
      <image:title>InfoCode - May 2025 Newsletter Highlights - Screening for SDOH in EDs needs improvement.</image:title>
      <image:caption>The specifics: Less than one-third of EDs screen for social determinants of health, such as food or housing insecurity, according to a new report. Among EDs with screening policies, 81.6% had response policies in place, primarily utilizing social work consultations, although only 20.5% had an ED-based social worker and 23.4% had around-the-clock social work availability. ﻿What’s next: Authors say EDs must expand SDOH screening practices; however, organizations must also ensure EDs have the resources and infrastructure to respond appropriately to identified social needs.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/april2025</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-05-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/06c4ce6a-7f6f-4025-8f11-a0325178191c/image-166.jpg</image:loc>
      <image:title>InfoCode - April 2025 Newsletter Highlights - Spring has Sprung!</image:title>
      <image:caption>Now is the time for new beginnings and fresh starts. We’d like to take a moment to thank our clients for their continued collaboration and dedication. We also want to recognize a couple of notable dates this month, including World Health Day (April 7th) and HIP Week (April 21st - April 25th). Looking for ways to spruce up your revenue cycle and improve coding compliance? Remember: QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/3e33f104-3418-4dc3-8328-fa58c93e51cd/Revenue+cycle+directors</image:loc>
      <image:title>InfoCode - April 2025 Newsletter Highlights - Revenue cycle leaders continue to invest in AI and advanced automation</image:title>
      <image:caption>The specifics: 92% of leaders indicate their top priority is to invest in AI and advanced automation for RCM, according to a recent study. Key focus areas for investment, in order of priority, include patient access, claim management, revenue integrity, patient financial care, denial prevention, and denial management. ﻿What’s next: Start exploring the use of AI in RCM; however, be sure to take a mindful approach centered on change management and leveraging existing RCM staff and vendor partnerships in new ways.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/19d6fd7a-8907-4239-ab50-546da5912fc8/CMS+ANNOUNCEMENT</image:loc>
      <image:title>InfoCode - April 2025 Newsletter Highlights - CMS plans to end four innovative payment models by the end of 2025</image:title>
      <image:caption>The specifics: CMS recently announced the end of several innovative payment models by December 31, including Maryland Total Cost of Care, Primary Care First, ESRD Treatment Choices, and Making Care Primary.  ﻿What’s next: Participants should expect follow-up communication from their models with timelines, technical assistance, and other information regarding the wind-down and close-out. In addition, CMS will publish final evaluation reports from ending models to inform participants and other stakeholders of the important findings and insights about the tested approaches to value-based care.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/b1288e9d-5332-4369-b7bf-52a9cdd92953/Annual+1.3%25+increase</image:loc>
      <image:title>InfoCode - April 2025 Newsletter Highlights - Collection rate from commercially insured patients is on the decline</image:title>
      <image:caption>The specifics: The collection rate for providers from commercially insured patients fell more than 3 percentage points, from 37.6% in 2023 to 34.4% in 2024, according to a recent report. Experts say patient collections could become even more challenging as patients face higher deductibles and out-of-pocket expenses. ﻿What’s next: Revenue cycle teams must refine financial counseling, improve point-of-service collections, and enhance patient payment strategies to mitigate the risk of delayed or lost revenue.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/january2025</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-05-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/e54d3dc0-e009-46ca-86c2-9f29dbe4dc44/Natalie+Williams+Dec+Newsletter.jpg</image:loc>
      <image:title>InfoCode - January 2025 Newsletter Highlights - Happy New Year!</image:title>
      <image:caption>We’d like to take a moment to say thank you to our clients for all the collaboration throughout 2024 and send our most sincere wishes for a healthy, joyful, prosperous, and compliant 2025. Remember: QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:title>InfoCode - January 2025 Newsletter Highlights - New CMS proposed rule would expand access to anti-obesity medications, make MA prior authorization rules public</image:title>
      <image:caption>The specifics: If finalized, CMS proposed rule (CMS-4208-P) would permit coverage of anti-obesity medications for the treatment of obesity. If finalized, the rule would also make Medicare Advantage (MA) plans’ prior authorization and coverage criteria publicly available. ﻿What’s next: Comment on the proposed rule no later than 5pm EST on January 27, 2025. Stay tuned for additional developments and a final rule.</image:caption>
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      <image:title>InfoCode - January 2025 Newsletter Highlights - New CMS framework seeks to optimize care delivery, access, and equity</image:title>
      <image:caption>The specifics: A new CMS framework includes seven priorities to improve the healthcare experience and reduce administrative burden by improving care approval processes; reducing redundant or outdated data collection, documentation, and reporting requirements; leveraging technology to adopt best practices; and more. ﻿What’s next: Read through the framework to stay abreast of CMS rulings and other important efforts to reduce administrative burden and improve health equity.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/71cfb46c-31bf-435f-9bc1-355289a95fc0/12+-+December+16+FB+Agency+Financial+Report.png</image:loc>
      <image:title>InfoCode - January 2025 Newsletter Highlights - HHS releases information blocking rule related to care access</image:title>
      <image:caption>The specifics: HHS recently published a final rule amending two exceptions from previous information blocking rules and clarifying additional activities that don’t constitute information blocking through the Protecting Care Access Act. The rule took effect December 17. ﻿What’s next: Here’s a quick overview of the rule and what you need to know. Familiarize yourself with what’s new and ensure efficient workflows to prevent costly fines and penalties.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/december2024</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-01-22</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/e54d3dc0-e009-46ca-86c2-9f29dbe4dc44/Natalie+Williams+Dec+Newsletter.jpg</image:loc>
      <image:title>InfoCode - December 2024 Newsletter Highlights - As we wrap up another remarkable year, I want to take this opportunity to thank you for being an essential part of our journey at Qualcode.</image:title>
      <image:caption>Your support has been instrumental in making this year a success. At Qualcode, we believe the holiday season is about reflecting on shared successes, cherishing relationships, and looking forward to brighter opportunities ahead. May your holiday season be filled with joy, peace, and time well-spent with loved ones. Here’s to a prosperous and inspiring 2025! Remember: QualCode can help. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/0bd52dee-5a3d-406e-b8a3-69506b641e9b/11+-+November+19+FB+CMS+Changing.png</image:loc>
      <image:title>InfoCode - December 2024 Newsletter Highlights - CMS reduces the timeframe for MACs to review certain prior authorizations</image:title>
      <image:caption>The specifics: Medicare recently announced that starting January 1, 2025, it would reduce the timeframe for MACs to review Medicare fee for service standard prior authorization requests to no more than seven calendar days. MACs currently have 10 days to respond. The timeframe for expedited requests remains two business days. ﻿What’s next: Keep close tabs on prior authorizations in the New Year to ensure MACs comply with this new timeframe that will help providers ensure access to timely care.</image:caption>
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      <image:title>InfoCode - December 2024 Newsletter Highlights - Medicare shared savings program generates the largest savings in its history</image:title>
      <image:caption>The specifics: CMS recently announced that the Medicare shared savings program saved the agency more than $2.1 billion in 2023. ﻿What’s next: Leverage this momentum to identify ways in which your own Account Care Organization (ACO) can improve cost containment and quality of care. Want to know what’s new for ACOs in 2025? Read this summary from the American Medical Association (see p. 7 of the PDF).</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/36c83639-e97d-4968-86ef-a231a2af360a/11+-+November+7+FB+Final+Rule+for+Physician+Fee.png</image:loc>
      <image:title>InfoCode - December 2024 Newsletter Highlights - CY 2025 Medicare physician fee schedule final rule includes many new revenue opportunities</image:title>
      <image:caption>The specifics: On November 1, CMS published its CY 2025 Medicare physician fee schedule final rule that takes effect January 1, 2025. While the rule includes a 2.8% payment cut, it also includes many new payable medical codes, including codes for caregiver training services, new atherosclerotic cardiovascular disease risk assessment and risk management services, advanced primary care, and more. In addition, there are more opportunities to bill evaluation and management (E/M) visit complexity add-on code, G2211. Understanding clinical documentation requirements is key for all of these services. What’s next: Review the rule and identify potential opportunities to improve patient care and generate more revenue through accurate medical coding.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/november2024</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-12-12</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/9aa29d5d-aae2-48e5-ac3e-df515a66d603/Natalie+Williams+QualCode+-+newsletter.jpg</image:loc>
      <image:title>InfoCode - November 2024 Newsletter Highlights - November marks the beginning of a busy holiday season with Thanksgiving on November 28 topping the list.</image:title>
      <image:caption>It’s also Native American Heritage Month. However, there are many other important dates throughout the month as well. For example, we have an opportunity to honor all those who serve in the United States armed forces on Veteran’s Day (November 11). November 13 is World Kindness Day, and there’s no better reason to perform random acts of kindness and help others. Also don’t forget World Diabetes Day (November 14). Think about ways to celebrate these and other important dates in your revenue cycle management department. And always focus on revenue integrity and compliance. QualCode can help.  ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:title>InfoCode - November 2024 Newsletter Highlights - Observation rates for MA beneficiaries in 2024 remain elevated</image:title>
      <image:caption>The specifics: Medicare Advantage plans classified three to four times as many hospital stays as observation visits from July 2023 through the end of June 2024 when compared with traditional Medicare, according to a recent report. This is even despite a federal regulation that went into effect in January requiring Medicare Advantage plans to cover the same services as traditional Medicare. ﻿What’s next: Determine whether any of the Medicare Advantage plans with which your organization participates follow the same trend. If so, there could be significant financial implications. Claim audits may help uncover this information.</image:caption>
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      <image:title>InfoCode - November 2024 Newsletter Highlights - BCBS agrees to pay $2.8 billion to resolve antitrust class action claims</image:title>
      <image:caption>The specifics: Blue Cross Blue Shield (BCBS) recently agreed to pay $2.8 billion to resolve antitrust class action claims regarding dividing markets and fixing prices. Plaintiffs originally filed the lawsuit in 2012, and the settlement covers U.S. healthcare service providers, including hospitals and some doctors, with Blue plan patients between July 2008 and October 2024. What’s next: The agreement is subject to approval from U.S. District Judge R. David Proctor. Court is expected to review the Motion for Preliminary Approval in November, and formal notice will be sent to all class members at a later date determined by the Court.</image:caption>
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      <image:title>InfoCode - November 2024 Newsletter Highlights - New CMS rule gives patients appeal rights when their hospital status changes</image:title>
      <image:caption>The specifics: According to a new CMS final rule, eligible Medicare beneficiaries may be able to appeal a denial of their Part A coverage when a hospital reclassifies them from inpatient to outpatient status at some point during their hospital stay. ﻿What’s next: Know how this rule may affect your healthcare organization. This article provides more information about what the rule means for hospitals, including what to do in the event of a successful appeal and how to notify Medicare beneficiaries of their changes in status.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/october2024</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-10-31</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/40047292-4471-409d-b423-5f78abefa364/September+Natalie+Williams.jpg</image:loc>
      <image:title>InfoCode - October 2024 Newsletter Highlights - October is upon us, and with it comes the Columbus Day holiday as well as several other important dates to note.</image:title>
      <image:caption>October 10 is World Mental Health Day, a time to raise awareness of mental health issues around the world. What can you do to improve mental health at work? October 10 is also World Homeless Day, a time to acknowledge the needs of people who currently experience homelessness, a social determinant that can negatively affect health outcomes. Finally, October 16 is World Hunger Day, a time to unite and celebrate solutions that end hunger. Recognize these important dates as you continue to promote revenue integrity within your organization. And always remember: QualCode can help.  ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/aac5933d-8b89-4e06-aaec-b99cfe9b8433/9+-+September+12+FB+CPT+Updates.png</image:loc>
      <image:title>InfoCode - October 2024 Newsletter Highlights - AMA releases 2025 CPT codes</image:title>
      <image:caption>The specifics: The American Medical Association recently released its 2025 CPT code update that includes 270 new codes, 112 deletions, and 38 revisions. The changes take effect January 1, 2025. ﻿What’s next: Be sure to review key updates relevant to your specialty. In particular, there are editorial revisions for codes for remote therapy monitoring services, new codes for certain types of artificial intelligence augmentative data analysis, and updates to CPT’s general surgery section to reflect novel surgical approaches.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/43eb4202-47d3-4b9b-b47c-f2a5e0801e8e/9+-+September+17+FB+OPPS+updates+for+October.png</image:loc>
      <image:title>InfoCode - October 2024 Newsletter Highlights - OPPS updates took effect October 1</image:title>
      <image:caption>The specifics: In the October 2024 OPPS update, you’ll find various changes to proprietary lab analyses codes; device pass through categories; drugs, biologicals, and radiopharmaceuticals; skin substitutes; blood products; and more. What’s next: Review the changes and monitor claims to ensure your Medicare Administrative Contractor processes and pays them correctly.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/c8cc07bb-d456-4178-ad73-53f2af548a6e/9+-+September+23+FB+Quality+Bonus+Payments.png</image:loc>
      <image:title>InfoCode - October 2024 Newsletter Highlights - Medicare Advantage plans receive at least $11.8 billion in bonus payments</image:title>
      <image:caption>The specifics: After years of steady increases, total spending on Medicare Advantage plan bonuses will decline to $11.8 billion in 2024. Twenty-four million people, or 72% of Medicare Advantage enrollees, are in plans that receive bonuses. What’s next: Be cognizant of these bonuses when thinking about contracting with specific Medicare Advantage plans. Why? The bonuses are based on a five-star rating system and could provide insight into enrollment, quality ratings, and more.</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/article/5cs-of-building-stronger-relationships</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-09-06</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/e562f24f-f151-4573-b3c9-b62b58752068/9+-+September+6+FB+5+Cs+of+Building+Better+Relationships.png</image:loc>
      <image:title>InfoCode - 5 Cs of Building Stronger Relationships with Your Coding Vendor - Let’s face it—choosing the right coding vendor for your organization can be overwhelming.</image:title>
      <image:caption>There are so many options out there, and it’s easy to get caught up in focusing on productivity, accuracy, and cost. But here’s the thing: while those factors are crucial, what really makes a difference is the relationship you build with your vendor. Think about it—this relationship is what helps you navigate the constant changes in healthcare, from new regulations and updated codes to the latest technology. It’s this connection, built on trust and open communication, that ensures your data is accurate, your revenue is protected, and your operations run smoothly. And let’s not forget—strong relationships can also help reduce staff burnout, improve quality metrics, and keep everyone aligned with your strategic goals. It’s the people, on both sides, working together that make all the difference. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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  </url>
  <url>
    <loc>https://www.qualcodeinc.com/infocode/newsletter/september2024</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-09-06</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/40047292-4471-409d-b423-5f78abefa364/September+Natalie+Williams.jpg</image:loc>
      <image:title>InfoCode - September 2024 Newsletter Highlights - Labor Day kicks off the month of September, and with it comes the start of the academic year for many students.</image:title>
      <image:caption>However, September also brings several additional important days, such as World Suicide Prevention Day (September 10) to reduce stigma and raise awareness of ways to prevent suicide by helping people in crisis, and 9/11 National Day of Service and Remembrance (September 11) to honor first responders and the victims of 9/11. In addition, there’s World Patient Safety Day (September 17), World Alzheimer’s Day (September 21), and World Heart Day (September 29). During this month, focus on revenue cycle management (RCM) staff health and wellness while simultaneously meeting coding productivity and accuracy goals. QualCode can help.  ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/fccbe0dc-7dd7-49b9-8db5-5b1a5994a435/Newsletter+Banner+September.png</image:loc>
      <image:title>InfoCode - September 2024 Newsletter Highlights - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/0fd9da13-a413-4061-bec2-22969deeb019/9+-+September+3+FB+HCPCS+code+updates.png</image:loc>
      <image:title>InfoCode - September 2024 Newsletter Highlights - Note new medical codes set to take effect October 1</image:title>
      <image:caption>The specifics: Starting October 1, 2024, several HCPCS code updates for drugs and biologicals; new CPT codes for labs; and new, revised, and deleted ICD-10-CM codes take effect. What’s next: Review these changes with your RCM teams to ensure everyone reports the most accurate and specific codes for revenue integrity. While you’re at it, also be sure to read and share the FY 2025 ICD-10-CM Official Guidelines for Coding and Reporting. Finally, plan to monitor denials closely and implement corrective action plans immediately.</image:caption>
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      <image:title>InfoCode - September 2024 Newsletter Highlights - ICD-10-CM Coordination and Maintenance Meeting is right around the corner</image:title>
      <image:caption>The specifics: During this virtual public forum held September 10-11, you’ll learn about various proposed changes to ICD-10-CM and ICD-10-PCS. This is your opportunity to speak up about the changes and gain a sneak peek into future medical coding updates. ﻿What’s next: Register here for the event.</image:caption>
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    <lastmod>2024-09-06</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/bf0b4c7f-7bea-4cff-97d8-326a9248092a/Natalie+Williams+268.jpg</image:loc>
      <image:title>InfoCode - August 2024 Newsletter Highlights - August marks the beginning of National Black Business Month, a time to promote Black-owned business and celebrate diversity in the business community. QualCode is proud to be one such business.</image:title>
      <image:caption>During this month and beyond, hospitals can strive to ensure pay equity, prioritize employee advancement for workers from underrepresented groups, organize cultural events, and provide diversity, education, and resources. There are also additional important dates to recognize this month, including National Nonprofit Day (August 17), World Humanitarian Day (August 19), Remember Slavery Day (August 23), and Women’s Equality Day (August 26). As the month of August unfolds, look for ways in which you and your revenue cycle management (RCM) team can recognize these dates. While you’re at it, brainstorm ways to improve overall RCM accuracy and productivity. ﻿Natalie Williams ~ President &amp; CEO</image:caption>
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      <image:title>InfoCode - August 2024 Newsletter Highlights - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5eda1b22b7d5f93c9554583e/2e26f5d9-f780-4417-8815-39e4927ca88b/8+-+August+5+Cy+Opps+Rule.png</image:loc>
      <image:title>InfoCode - August 2024 Newsletter Highlights - CMS publishes its CY 2025 Hospital Outpatient Prospective Payment System (OPPS) proposed rule</image:title>
      <image:caption>On July 10, 2024, CMS published its CY 2025 OPPS proposed rule that includes several proposed policies to regarding health disparities, access to behavioral health care, transparency in the health system, and the promotion of safe, effective, and patient-centered care. Be sure to review and comment on the rule no later than September 9, 2024. Take a few moments to review the proposals and voice your opinion.</image:caption>
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      <image:title>InfoCode - August 2024 Newsletter Highlights - Mitigating Highly Suspect Billing Activity</image:title>
      <image:caption>On June 28, 2024, CMS published a proposed rule (Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023) as part of a larger strategy to address significant, anomalous, and highly suspect billing within Accountable Care Organizations. The rule includes a 30-day comment period that ends on July 29, 2024. Stay tuned for more information as it becomes available.</image:caption>
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      <image:title>About QualCode - Natalie Williams</image:title>
      <image:caption>MPA, RHIA, CPC-I, CPC, CPMA, AHIMA-Approved ICD-10-CM/PCS Trainer President &amp; CEO Natalie Williams, is the visionary President and CEO of QualCode, Inc., a leading force in health information management. With over three decades of expertise and a stellar career trajectory, Natalie has solidified her reputation as a trailblazer in the healthcare industry. Her extensive credentials, including being an AHIMA Approved ICD-10-CM/PCS Trainer, reflect her deep knowledge and commitment to excellence.</image:caption>
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      <image:title>About QualCode - Ivore Cross</image:title>
      <image:caption>CIC, COC Director of Operations</image:caption>
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    <lastmod>2025-12-01</lastmod>
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      <image:title>AuditCode - Diagnosis-Related Group (DRG) Validation</image:title>
      <image:caption>Diagnosis-related group (DRG) validation Precise DRG assignment depends on clinically-supported ICD-10 diagnosis and procedure codes, a correct principal diagnosis, accurate sequencing, and detailed clinical documentation. QualCode’s experienced and credentialed auditors validate your DRGs to ensure all conditions are captured and documented correctly and with the level of clinical specificity necessary to avoid payer scrutiny.</image:caption>
    </image:image>
    <image:image>
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      <image:title>AuditCode - Ambulatory Payment Classification (APC) Validation</image:title>
      <image:caption>Correct APC assignment requires accurate CPT/HCPCS coded data, regardless of whether those codes originate from the charge description master (CDM) or whether a coder assigns them manually. QualCode’s auditors validate your hard-coded and soft-coded data so outpatient claims are grouped and paid correctly the first time, every time.</image:caption>
    </image:image>
    <image:image>
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      <image:title>AuditCode - Hierarchical Condition Category (HCC) Risk Adjustment Validation</image:title>
      <image:caption>In an era of risk-adjusted payments, accurate HCC capture is paramount. HCCs drive alterative payment models, pay-for-value contracts, Medicare Advantage payments, and more. QualCode’s HCC experts validate whether your organization captures each patient’s entire risk profile and whether your clinical documentation adequately supports code assignment.</image:caption>
    </image:image>
    <image:image>
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      <image:title>AuditCode - Evaluation and Management (E/M) Audits</image:title>
      <image:caption>Did a provider unknowingly upcode an E/M service due to an inflated note in the electronic health record? What about undercoding? Did the documentation support a level 3 instead of a level 2? Could the provider have billed a separately identifiable service using a modifier? QualCode’s E/M experts review your documentation to answer these and many other questions, giving you the peace of mind in knowing that the claims you submit are accurate and complete.</image:caption>
    </image:image>
    <image:image>
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      <image:title>AuditCode - Coding and Billing Audits for Professional Services</image:title>
      <image:caption>Physician coding increasingly requires ICD-10-CM and HCC coding expertise in addition to an intimate knowledge of CPT and HCPCS codes relevant to each specialty. QualCode’s experienced pro-fee coders take a comprehensive approach to physician billing, helping providers capture all of the revenue to which they’re entitled.</image:caption>
    </image:image>
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      <image:title>AuditCode</image:title>
      <image:caption>Click on this icon!</image:caption>
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    <lastmod>2026-03-30</lastmod>
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      <image:title>Newsletter - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>ServiceCode2 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>ServiceCode2 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>ServiceCode2 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>ServiceCode2 - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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