OIG Adds Lower Extremity Revascularization Procedures to 2025 Work Plan
The OIG will apply greater scrutiny to lower extremity revascularization procedures as part of its 2025 work plan
BCBS is Reducing Payment for E/M Service on the Same Day as Procedure
Recent payer policies will only reimburse 50% when an E/M and procedure are performed on the same day. Payers are now adding a layer of complexity by reducing the Evaluation and Management (E/M) service payment by 50% when a separately identifiable E/M service is provided in addition to the minor procedure performed. The use of […]
Help Improve Prior Authorizations
Prior authorizations are a significant administrative burden and the current process is cumbersome, inefficient, and costly, and ultimately delays radiology and interventional specialist patient care. Act now to help improve prior authorizations. Urge your Representatives and Senators to support the “Improving Seniors” Timely Access to Care Act of 2024″ (S. 4518/H.R. 8702). This bipartisan bill […]
Proper Nurse Visit Billing for Minimal Problems
AMA Definition – Minimal Problem Since 2021, the AMA definition of a “minimal problem” is a problem that may not require the presence of the provider. This type of visit is performed “incident-to” an established care plan and under the direct supervision of the physician or non-physician. Performance or supervision of these services typically takes […]
URGENT – Check Email for AMA Practice Expense Survey
The American Medical Association (AMA) contracted with Mathematica, an independent research company, to conduct the AMA Physician Practice Information Survey. Email recipients are not publicly known and the AMA will not disclose the recipients names. There are two elements to the PPI survey—a financial survey and a physician hours survey. Why This Survey is Important […]
Prevent Interventional Pain Denials and Improve Payments
StreamlineMD is here to provide interventional pain management documentation tips to prevent denials and improve payments. With continuous declines in physician payments, every detail counts. Update your report templates/macros. Ensure that your documentation is clear and concise, and consistent with CPT 2024 code language. Why Insurance Carriers Deny Claims: Insurance carriers’ business model is to […]
Dennis Chaltraw joins StreamlineMD as Director of RCM Client Relations
Dennis Chaltraw has joined StreamlineMD as Director of Revenue Cycle Management Client Relations effective March 4, 2024 Dennis Chaltraw joins StreamlineMD with a wealth of experience from his tenure at Oregon Imaging Centers, Radiology Associates, PC, and the ReNew Vascular Institute, where he served as the Director of Revenue Cycle Management (RCM) for the past […]
Diagnostic Radiology Documentation Tips to Prevent Denials and Improve Payments
This blog covers diagnostic radiology documentation tips to prevent denials and improve payments. Scroll down to see the top 3 reasons that insurance companies deny diagnostic radiology claims. This is the second in a series following last month’s blog Interventional Procedure Documentation Tips to Prevent Denials and Improve Payments. Primary Take Aways: Update your report […]
Interventional Procedure Documentation Tips to Prevent Denials and Improve Payments
Start the year off right by reviewing StreamlineMD’s… Interventional Procedure Documentation Tips to Prevent Denials and Improve Payments Update your report templates/macros. Ensure that your documentation is clear and concise, and consistent with CPT 2024 code language. Why Insurance Carriers Deny Claims: Insurance carriers’ business model is to collect premiums quickly and pay out […]
Act Now to Stop Cuts to Radiology & Interventional Specialists
Your Pay Cuts are Unsustainable Your pay cuts are unsustainable. Radiology and Interventional Specialists have suffered tremendous pay reductions annually for the past several years. It’s really hard to believe that CMS and Congress have treated these specialists, who are so critical to the future of healthcare, so recklessly, especially considering recent aggressive inflation. We […]