Become a Great Radiology & Interventional Radiology Boss: A Simple (But Not Always Easy) Guide (Part 2)

In every thriving company, there’s usually a great boss behind the scenes; someone who leads with purpose, manages with clarity, and creates a workplace where accountability and engagement go hand-in-hand. In the fast-paced world of Radiology & Interventional Radiology practices, that often means building and leading multidisciplinary teams of physicians, APPs, nurses, technologists, and administrators towards a shared goal of sustainable, compliant, and compassionate patient care.

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

CPT Modifier 25

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 […]