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 […]

2024 CPT Changes for Radiology, Interventional, and Cardiology Specialists

2024 CPT Changes for Radiology, Interventional, and Cardiology Specialists Changes for 2024 are minimum for Radiology / Imaging Specialists, as outlined below; most new codes are Category III T codes. Cardiology has many new category III codes for next year. In a previous post, we provided a sneak peak at upcoming changes.  This post provides […]

2024 E/M Documentation and Coding Changes

2024 E/M Documentation and Coding Changes 2024 office visit codes 99202-99205 and 99212-99215 are revised to remove the time “range” in minutes from each code. Instead, clinicians billing based on time requires a single “minimum time threshold” to meet or exceed. AMA CPT is not changing the descriptor to 99211 Office or other outpatient visits […]

2024 Endovascular & Interventional OBL vs ASC Fee Impact Analysis

StreamlineMD is proud to present the 2024 Endovascular & Interventional OBL vs ASC Fee Impact Analysis below based on recently released 2024 CMS Final Rule. Executive Summary: OBL fee reduction between -3% and -9%, averaging around -5% overall. Significant increases in the ASC, ranging from -4% to +74%. 37225’s 74% increase to $12,269 in the […]

Radiology and Interventional Documentation and Coding Updates

AMA and CMS recently released new Radiology and Interventional Documentation and Coding Updates for 2024.  Please review these changes with your providers and revenue cycle management teams to ensure optimal performance in 2024. 1. CMS Carotid Revascularization Policy 2. CMS rescinds AUC/CDS 3. Upcoming 2024 CPT changes   1. CMS Policy Update – Carotid Revascularization, […]

Victory! Aetna/eviCore Cancel Arterial Intervention Pre-auths

Aetna/eviCore Cancel Arterial Intervention Pre-auths Great News! After several months of SIR’s physician leadership and teams working with medical directors from Aetna/eviCore, Aetna/eviCore will remove the IVUS CPT codes 37252 and 37253 from the pre-auth policy for arterial lower extremity revascularization procedures. While this is positive news, this does not guarantee payment. SIR Leadership, well […]

Notice: Watch for AMA and SIR Reimbursement Surveys

AMA Physician Practice Expense Survey & SIR RUC Survey Make a Difference in Your Future Two meaningful surveys are beginning to circulate on two financial meaningful matters to physician practices. Be sure to inform your leadership & support teams to be watching emails and USPS. Complete by any deadline submission dates listed in the survey. […]

StreamlineMD RCM Updates for Radiology & Interventional Specialists

StreamlineMD Documentation, Coding & Billing Updates for Radiology & Interventional Specialists Below are updates for Radiology and Interventional specialists regarding documentation and coding for: IVUS JZ/JW Modifiers Cardiac Velocity Flow Mapping PET coding for Posluma Aetna eviCore Peripheral Vascular Interventional Radiology IVUS Policy Update  This updated policy, effective 9/1/23, contains detailed information on coverage for […]