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 […]

Diagnostic Radiology Documentation Tips to Prevent Denials and Improve Payments

This blog covers diagnostic radiology documentation tips to prevent denials and improve payments.  Scroll down to see the top 3 reasons that insurance companies deny diagnostic radiology claims. This is the second in a series following last month’s blog Interventional Procedure Documentation Tips to Prevent Denials and Improve Payments. Primary Take Aways: Update your report […]

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 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 […]

2024 Endovascular & Interventional OBL vs ASC Fee Impact Analysis

StreamlineMD is proud to present the 2024 Endovascular & Interventional OBL vs ASC Fee Impact Analysis below based on recently released 2024 CMS Final Rule. Executive Summary: OBL fee reduction between -3% and -9%, averaging around -5% overall. Significant increases in the ASC, ranging from -4% to +74%. 37225’s 74% increase to $12,269 in the […]

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. […]