Supply and Demand at the Heart of US Healthcare Crisis
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 recent episode of PBS’s Forum 360, host Sally Henning sat down with Harry Curley, CEO of StreamlineMD, to unpack the pressures facing US healthcare providers and the innovations that can keep quality […]
Navigating CMS Audits: Understanding the Different Types
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.
GENICULAR ARTERY EMBOLIZATION – REIMBURSEMENT CHALLENGES
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.
Telehealth 2025: Congressional Action Needed on CMS Final Rule
On November 1, 2024, CMS released the CY 2025 Medicare Physician Fee Schedule (MPFS) Final Rule, outlining significant changes to telehealth policies effective January 1, 2025. Without Congress’ intervention, these updates could severely limit access to telehealth services for Medicare patients.
2025 MPFS: Key Updates on Telehealth and Frequency Limitations
The Centers for Medicare & Medicaid Services (CMS) has proposed significant updates for the 2025 Medicare Physician Fee Schedule (MPFS). Among the most noteworthy are the extensions of telehealth flexibilities and revisions to frequency limitations.
BCBS is Reducing Payment for E/M Service on the Same Day as Procedure
Recent payer policies will only reimburse 50% when an E/M and procedure are performed on the same day. Payers are now adding a layer of complexity by reducing the Evaluation and Management (E/M) service payment by 50% when a separately identifiable E/M service is provided in addition to the minor procedure performed. The use of […]
Press Release: StreamlineMD Earns 2024 Great Place to Work Certification™
Contact: Christin O’Farrell Phone: Contact Phone Number Email: cofarrell@streamlinemd.com April 22, 2024 PRC Medical & StreamlineMD Earn 2024/2025 Great Place To Work Certification™ Cuyahoga Falls, OH PRC MEDICAL, LLC and its wholly owned subsidiary StreamlineMD, LLC, are proud to be Certified™ by Great Place To Work® for the 2nd year in a row. This prestigious […]
Prevent Interventional Pain Denials and Improve Payments
StreamlineMD is here to provide interventional pain management documentation tips to prevent denials and improve payments. With continuous declines in physician payments, every detail counts. 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 […]
Dennis Chaltraw joins StreamlineMD as Director of RCM Client Relations
Dennis Chaltraw has joined StreamlineMD as Director of Revenue Cycle Management Client Relations effective March 4, 2024 Dennis Chaltraw joins StreamlineMD with a wealth of experience from his tenure at Oregon Imaging Centers, Radiology Associates, PC, and the ReNew Vascular Institute, where he served as the Director of Revenue Cycle Management (RCM) for the past […]
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 […]