Services

AI-enabled revenue governance across credentialing, billing, coding, EDI, and EHR support, built to reduce denial drift, protect reimbursement, and stabilize cash flow.

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End-to-end medical billing and RCM solutions that improve claim accuracy, reduce denials, and accelerate collections at every stage of the revenue cycle.

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Appeals Processing

A/R ANALYSIS AND FOLLOW-UP

CREDIT BALANCE AND REFUNDS PROCESSING

Denials Management

OLD A/R AND LEGACY A/R

PAYER AND FRONT END REJECTIONS

WORKERS’ COMPENSATION BILLING PROCESS

Demographic Verification

DEMO AND CHARGE ENTRY

ELIGIBILITY VERIFICATION

CREDIT BALANCE AND REFUNDS PROCESSING

VISION BILLING SERVICES

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MULTI-SPECIALTY MEDICAL CODING

Specialty

Multi-Specialty billing and coding governance across 34 practice areas, tuned to each specialty’s payer rules, documentation standards, and audit risk.

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Allergy and Immunology

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Behavioral And Mental Health

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FQHC

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General Surgery

Hematology And Oncology

Infectious Diseases

Naturopathy

Nephrology

Neurology

Observation Care

OB/GYN

Orthopedic

Otolaryngology (ENT)

Pain Management

Pathology

Pediatric

Physical Therapy

Plastic Surgery

Podiatry

Pulmonology

Radiology

Rheumatology

Urology

Resources

Insights, case studies, and whitepapers on RCM performance, AI-enabled controls, and the financial outcomes that come with structured revenue governance.

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Contact Info

QWay Healthcare, Inc
1249 South River Road
Suite 106
Cranbury, NJ 08512

[email protected]

+1 (609) 905-7929

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CMS HCC Coding: Top Mistakes and How to Prevent Them

by Shehan Wilson | Feb 24, 2026 | Coding, Billing & Compliance

Last time, we broke down the CMS HCC model and showed how it helps match payments to the real care patients need. Now, it’s time to get into making it better, the most common HCC coding mistakes that silently drain your revenue, plus how to avoid them. HCC coding...

New CPT Codes for 2025: What’s Changing?

by Shehan Wilson | Feb 24, 2026 | Coding, Billing & Compliance

Ah, the world of CPT codes – when you thought you had them all memorized, the AMA hits you with a brand-new batch. If you’re like most medical professionals, you probably have a love-hate relationship with CPT codes. Well, buckle up because the 2025 CPT codes are...

Top ICD-10 Codes to Know Before 2026: Most Common Diagnoses and Trends 

by Shehan Wilson | Feb 24, 2026 | Coding, Billing & Compliance

As we step into 2026, let’s take a look at the top ICD-10 codes every provider should know for the year ahead. These are the codes most frequently used in claims, documentation, EHRs, and day-to-day clinical practice. It’s no surprise that many of the most commonly...

From ICD-10 to ICD-11: A Human-Centered Evolution in Healthcare 

by Shehan Wilson | Feb 24, 2026 | Coding, Billing & Compliance

Our previous blog explored how the launch of ICD-11 marked a significant turning point in global healthcare. We unpacked the innovations, compared ICD-10 with ICD-11, and highlighted how it transforms documentation, coding, and care delivery. With over 55,000 codes,...
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QWay Healthcare
QWay Healthcare is the AI-enabled healthcare revenue authority for organizations living with constant unpredictability.
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QWay Healthcare, Inc.
1249 South River Road
Suite 106
Cranbury, NJ 08512

Sales: +1 (609) 905-7929

Email: [email protected]

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