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 […]
Moderate Sedation: Understanding Usage and Reporting
Documenting and coding for Moderate Sedation continues to challenge providers and the purpose of this article is to help clarify AMA guidelines.
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. […]
StreamlineMD Earns 2023 Great Place to Work Certification™
We are thrilled to announce that StreamlineMD has been awarded the prestigious Great Place to Work Certification™ for 2023.
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.
Diagnostic Angiography with Therapeutic Treatment – Understanding Vascular Roadmapping and Correct Coding
The intent of this article is to provide education regarding vascular roadmapping in an effort to understand when it is bundled into therapeutic treatment, when it is appropriate to bill, and the importance of including supporting medical necessity in physician documentation.
Higher Payments for New C-Codes for ASC in 2023
Historically, CMS has created and assigned “C” codes (alpha/numeric) for devices such as drug eluding stents (DES C9600-C9608) and/or hospital billing under HOPPS. For 2023, CMS has created approximately 50 new C codes specifically for billing in the ASC setting, several of which affect coding and billing for some Interventional Radiology and Cardiac Catheterization procedures.