Prior authorizations for Interventional Radiology (IR) procedures remains unpredictable. Payers frequently outsource reviews to TPAs such as eviCore, AIM, or Carelon – often switching without notice. Rules vary by plan, and reviewers are often non-specialists.
Cigna has announced a temporary pause to the implementation of its Evaluation and Management (E/M) Coding and Accuracy Policy (R49), which was initially scheduled to take effect on October 1, 2025.
Effective October 1, 2025, The Centers for Medicare & Medicaid Services (CMS) has released an update on Medicare operations during the current government shutdown. Two
Beginning October 1, 2025, Cigna will implement a new Evaluation and Management (E/M) reimbursement policy (Policy R49) that allows for the automatic downcoding of high-level E/M services.
This proposal delivers the most extensive set of Diagnostic Radiology, Interventional & ASC MPFS Changes in several years, covering both professional reimbursement and site-of-service adjustments.
In every thriving company, there’s usually a great boss behind the scenes; someone who leads with purpose, manages with clarity, and creates a workplace where accountability and engagement go hand-in-hand. In the fast-paced world of Radiology & Interventional Radiology practices, that often means building and leading multidisciplinary teams of physicians, APPs, nurses, technologists, and administrators towards a shared goal of sustainable, compliant, and compassionate patient care.
Billing for Yttrium-90 (Y90) radioembolization procedures in an Office-Based Lab (OBL) is one of the most complex challenges in interventional radiology revenue cycle management. There is no one-size-fits-all answer.
RUC Surveys are now open for new & revised CPT codes – Radiologists, your input is very important! The American College of Radiology (ACR) is currently gathering physician work data through RUC surveys to help determine the relative value of several radiology procedures.
On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a Medicare Advantage (MA) Audit Expansion.
The Society of Interventional Radiology (SIR) has announced that RVS Update Committee (RUC) surveys will be sent starting June 13, 2025, to randomly selected SIR members.
In every thriving Radiology & Interventional practice, there’s usually a great boss behind the scenes; someone who leads with purpose, manages with clarity, and creates a workplace where accountability and engagement go hand-in-hand. Becoming a great boss comes down to mastering two key roles: Leadership and Management.
Coming soon – CPT 2026: Major Radiology & Interventional Coding Updates. The 2026 CPT code set includes the most extensive Radiology and Interventional coding updates in years. These CPT code updates will significantly impact clinical documentation, coding workflows, and billing systems.
Medicare’s updated billing policies for lower extremity vascular, wound care, and skin substitutes procedures are bringing new compliance challenges in 2025 and beyond. Vascular and wound care billing is now officially under the microscope of Federal watchdogs.
Insights from StreamlineMD CEO Harry Curley on PBS Forum 360 Healthcare costs keep climbing while reimbursements shrink, and many physicians feel caught in an unsustainable squeeze. On a
In the healthcare industry, claims denials are a natural element of revenue cycle management (RCM) and can be a significant hurdle for endovascular and interventional
For healthcare providers, CMS audits can be a daunting reality. Whether it is a RAC audit looking for overpayments, a CERT audit measuring error rates, or a UPIC audit investigating fraud, understanding the differences between these audits is crucial.
The challenges with genicular artery embolization (GAE) reimbursement vary across carriers. Some payers consider this procedure to be experimental and, therefore, partially or fully deny reimbursement for the associated CPT codes.
The healthcare industry has seen a significant shift toward office-based settings for endovascular and interventional procedures, particularly with the growth of office-based labs (OBLs) and
Newly released 2025 CPT Changes for Radiology, Interventional, and Cardiology Specialists have increased in comparison to the last few years. Make sure your radiology coding, interventional coding, and cardiology coding service teams are current on these changes. StreamlineMD is ready and here to help!
The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 final payment rules, which include impacts on wound care. These rules significantly affect the U.S. healthcare system. Below is a summary of the most important provisions in the 2025 Medicare Physician Fee Schedule (MPFS), Hospital Outpatient Prospective Payment System (HOPPS), and Home Health Prospective Payment System (HHPPS).
Prior authorizations for Interventional Radiology (IR) procedures remains unpredictable. Payers frequently outsource reviews to TPAs such as eviCore, AIM, or Carelon – often switching without notice. Rules vary by plan, and reviewers are often non-specialists.
Cigna has announced a temporary pause to the implementation of its Evaluation and Management (E/M) Coding and Accuracy Policy (R49), which was initially scheduled to take effect on October 1, 2025.
Effective October 1, 2025, The Centers for Medicare & Medicaid Services (CMS) has released an update on Medicare operations during the current government shutdown. Two
Beginning October 1, 2025, Cigna will implement a new Evaluation and Management (E/M) reimbursement policy (Policy R49) that allows for the automatic downcoding of high-level E/M services.
This proposal delivers the most extensive set of Diagnostic Radiology, Interventional & ASC MPFS Changes in several years, covering both professional reimbursement and site-of-service adjustments.
In every thriving company, there’s usually a great boss behind the scenes; someone who leads with purpose, manages with clarity, and creates a workplace where accountability and engagement go hand-in-hand. In the fast-paced world of Radiology & Interventional Radiology practices, that often means building and leading multidisciplinary teams of physicians, APPs, nurses, technologists, and administrators towards a shared goal of sustainable, compliant, and compassionate patient care.
Billing for Yttrium-90 (Y90) radioembolization procedures in an Office-Based Lab (OBL) is one of the most complex challenges in interventional radiology revenue cycle management. There is no one-size-fits-all answer.
RUC Surveys are now open for new & revised CPT codes – Radiologists, your input is very important! The American College of Radiology (ACR) is currently gathering physician work data through RUC surveys to help determine the relative value of several radiology procedures.
On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a Medicare Advantage (MA) Audit Expansion.
The Society of Interventional Radiology (SIR) has announced that RVS Update Committee (RUC) surveys will be sent starting June 13, 2025, to randomly selected SIR members.
In every thriving Radiology & Interventional practice, there’s usually a great boss behind the scenes; someone who leads with purpose, manages with clarity, and creates a workplace where accountability and engagement go hand-in-hand. Becoming a great boss comes down to mastering two key roles: Leadership and Management.
Coming soon – CPT 2026: Major Radiology & Interventional Coding Updates. The 2026 CPT code set includes the most extensive Radiology and Interventional coding updates in years. These CPT code updates will significantly impact clinical documentation, coding workflows, and billing systems.
Medicare’s updated billing policies for lower extremity vascular, wound care, and skin substitutes procedures are bringing new compliance challenges in 2025 and beyond. Vascular and wound care billing is now officially under the microscope of Federal watchdogs.
Insights from StreamlineMD CEO Harry Curley on PBS Forum 360 Healthcare costs keep climbing while reimbursements shrink, and many physicians feel caught in an unsustainable squeeze. On a
In the healthcare industry, claims denials are a natural element of revenue cycle management (RCM) and can be a significant hurdle for endovascular and interventional
For healthcare providers, CMS audits can be a daunting reality. Whether it is a RAC audit looking for overpayments, a CERT audit measuring error rates, or a UPIC audit investigating fraud, understanding the differences between these audits is crucial.
The challenges with genicular artery embolization (GAE) reimbursement vary across carriers. Some payers consider this procedure to be experimental and, therefore, partially or fully deny reimbursement for the associated CPT codes.
The healthcare industry has seen a significant shift toward office-based settings for endovascular and interventional procedures, particularly with the growth of office-based labs (OBLs) and
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Cyber Incident Update – 9/28/25 at 6:00 pm EST:
StreamlineMD applications are up and live!
We are pleased to inform you that, following clearance from our cybersecurity experts, client access to our system has been restored. You may begin accessing the system starting at 6:00 PM EST today, Sunday, September 28, 2025.
Please note that while core functionality is fully restored, the following features are currently unavailable as we continue working to bring all components back online:
1. SMD Mobile App (viewing PDF chart)
2. Patient Portal
3. RxPhoto (inside the EHR)
We are working to restore these remaining services as quickly and securely as possible.
We will continue to monitor system performance closely and will provide updates as additional components become available.
If you experience any issues or require support, please contact our support team directly at 330-564-2641.
Thank you once again for your continued patience, understanding, and trust.
Cyber Incident Update – 9/28/25 at 2:00 pm EST:
Following our scheduled call with the cybersecurity team earlier today, we have been advised that additional security measures must be implemented before client access can be restored. Specifically, changes to our VPN configuration are required to ensure a more secure connection environment.
Our internal teams are actively working on these adjustments and will move as quickly and carefully as possible to complete the necessary changes.
Our next update will be at 4:00 PM EST.
Cyber Incident Update – 9/28/25 at 12:00 pm EST:
We are pleased to share that our internal teams currently have access to the system environment. In the interim, if needed, we are able to assist by running your patient appointment schedules for the week. Please contact our support team or email at [email protected] if you require this service.
We are scheduled to meet with our cybersecurity team at 1:00 PM EST today to review final clearance for restoring client access. We will provide another update following that discussion.
We appreciate your continued patience and partnership as we work to bring services back online safely and securely.
Cyber Incident Update – 9/27/25 at 10:00 pm EST:
We are pleased to report that our routine nightly processes have completed successfully, and the system environment remains stable and fully operational.
At this stage, we are awaiting final clearance from our cybersecurity partner before restoring client access.
However, our partner informed us that they need more time and so this clearance will not be available until after 1:00 PM EST tomorrow, Sunday, September 28, 2025.
Thank you for your patience while we maintain the highest standards of security and system integrity.
Cyber Incident Update – 9/27/25 at 7:00 pm EST:
We are continuing to move forward with final preparations for restoring system access. Our internal teams have completed their validation processes, and the environment remains fully operational.
At this time, we are running our routine nightly processes to further confirm system stability and readiness. We continue to await final clearance from our cybersecurity experts to bring services fully back online.
We remain optimistic that systems will be accessible to clients by tomorrow morning, Sunday, September 29, 2025, at 7:00 AM EST.
As always, we are taking every measure to ensure a secure and controlled restoration.
Thank you again for your continued patience and support. Our next update will be provided by 10:00 PM EST.
Cyber Incident Update – 9/27/25 at 11:00 am EST:
We are pleased to share that our team has gained access to the system environment and is actively conducting testing—an important step toward the full restoration of services.
As part of this process, we have completed testing of the Practice Management (PM) and Coding software and are pleased to report that no issues have been identified with the software. Testing will continue across all system components to ensure overall stability and reliability.
Our teams will continue working throughout the day to validate all aspects of the system before bringing it back online.
We are deeply grateful for your continued patience, support, and trust as we proceed with restoration in a safe and controlled manner.
We will provide another update at 2:00 pm EST.
Cyber Incident Update – 9/26/25 at 7:00 pm EST:
We are pleased to share that our team is now gaining access to the system environment and actively conducting testing. This is an important step toward full restoration of services.
We again want to reassure you that there is no evidence of any compromise of Protected Health Information (PHI) or damage to our systems.
Our teams will continue to work throughout the evening and into the weekend to validate all aspects of the system before bringing it back online.
Thank you for your continued patience, support, and trust as we move forward with restoration in a safe and controlled manner.
We will provide another update at 10:00 am EST on Saturday, September 27, 2025.
Cyber Incident Update – 9/26/25 at 3:00 pm EST:
We continue to make steady progress in our restoration efforts. At this time, 95% of servers have been cleared; however, they remain behind protective firewalls as we work closely with our team of experts toward full restoration.
The StreamlineMD systems will remain unavailable for the rest of today, Friday, September 26, 2025. Our teams will begin comprehensive testing of all aspects of the system as soon as possible, likely this evening and over the weekend.
Importantly, there is no evidence of any compromise of Protected Health Information (PHI) or damage to our systems.
We truly appreciate your support and understanding during this process. You are important to us, and we remain committed to restoring services safely and securely.
We will provide another update at 6:00 pm EST.
Cyber Incident Update – 9/26/25 at 2:00 pm EST:
We continue to work diligently this afternoon with our cybersecurity team and are making steady progress.
We anticipate the StreamlineMD systems will remain inaccessible for the remainder of today, Friday, September 26, 2025.
We will provide another update at 6:00 pm EST.
We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.
Cyber Incident Update – 9/26/25 at 11:00 am EST:
We continue to work throughout the day with our cybersecurity team and continue to make progress.
We anticipate the StreamlineMD systems will not be accessible before 3:00 pm EST on Friday, September 26, 2025.
We will provide another update at 2:00 pm EST.
We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.
Cyber Incident Update – 9/26/25 at 09:00 am EST:
We continue to work this morning with our cybersecurity team and continue to make progress.
We still don’t anticipate StreamlineMD systems to be fully operational before 12:00 pm EST on Friday, September 26, 2025.
We will provide another update at 12:00 pm EST.
We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.
Cyber Incident Update – 9/26/25 at 07:00 am EST:
We have continued to work through the night with our cybersecurity team and continue to make progress.
We will continue restoring servers to service and testing internally.
We still don’t anticipate StreamlineMD systems to be fully operational before 12:00 pm EST on Friday, September 26, 2025.
We will provide another update at 9:00 am EST.
We appreciate your continued patience and understanding as we work to restore services in a secure and controlled manner.
Cyber Incident Update – 9/25/25 at 11:00 pm EST:
So far, we are making great progress, and our systems are internally coming back online. At this time, there is no evidence of system damage or PHI compromise.
Throughout the night, we will continue restoring servers to service and testing internally.
We don’t anticipate StreamlineMD systems to be fully operational before 12:00 pm EST on Friday, September 26, 2025.
We will provide another update on Friday, September 26, at 6:00 am EST
Cyber Incident Update –9/25/25 at 7:00 pm EST:
We are currently in the process of restoring our servers and anticipate determining a timeline for resuming full operations by 10:00 PM EST this evening, September 25, 2025.
Our team continues to work diligently and in close coordination with our security partners in response to the cybersecurity incident that occurred during the overnight hours of September 24, 2025. As a precaution, our systems remain offline to prevent any potential data compromise. We continue to follow our established cybersecurity protocols to ensure the protection and integrity of your data.
We will provide our next update by 10:00 PM EST today.
We appreciate your continued patience and understanding as we work to bring our systems back online safely.
Incident Update – 9/25/25 at 12:00 pm EST:
StreamlineMD is currently working closely with our security team to address a cybersecurity incident that occurred during the overnight hours of September 24, 2025. As a precautionary measure, we proactively shut down our systems to prevent any potential data compromise.
Our team is actively following established cybersecurity protocols to ensure the continued protection of your data. At this time, the software will remain inaccessible for the remainder of the day, September 25, 2025.
We understand the impact this may have on your operations and sincerely appreciate your patience and understanding. We are committed to providing updates as frequently as possible and will keep you informed of our progress.
StreamlineMD is experiencing a cyber incident
Our security software detected malicious behavior and our team of internal and external experts are working to resolve the issue. The security team has made it clear that we need to shut down our services altogether, pending a more detailed analysis.