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 […]

Aetna will require pre-authorization for multiple IR procedures starting Sept 1, 2023

As recently reported by the SIR, Aetna has partnered with eviCore to provide prior authorization for the following procedures; cerebrovascular angiography, carotid angioplasty/stent, carotid endarterectomy, TEVAR, endovascular repair of descending thoracic aorta, treatment of abdominal aortic aneurysms, peripheral vascular non-coronary stent procedures, treatment options for saphenous ablation, phlebectomy, sclerotherapy, endovenous ablation, and Iliac vein angioplasty/stenting. […]

Effective July 1, 2023: Reporting for Discarded Drugs – JW vs JZ Modifiers

Effective July 1, 2023, mandatory reporting of all single-use containers as used (JZ Modifier) or wasted (JW Modifier) amounts must be reported on Part B claims. This is part of the Medicare Shared Savings Program Requirements, Drug Waste Accountability Act as part of the 2021 Infrastructure Investment and Jobs Act.

2023 E/M Updates for Consultation Services

The American Medical Association (AMA) published many changes impacting CPT® E/M codes and guidelines, taking effect Jan. 1, 2023. There are 25 deleted codes and many revisions to codes and guidelines in five code categories.

StreamlineMD Releases New Client Portal

We are excited to announce that StreamlineMD will be rolling out new features, allowing you to access security request forms & training videos online through our new StreamlineMD Client Portal.