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 […]

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, […]

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. […]

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.