2025 Endovascular & Interventional OBL vs ASC Fee Impact Analysis
In this blog we analyze the 2025 CMS Final Rule’s reimbursement impact on image-guided procedure specialists performing services in Office/OBL (POS 11) and ASC (POS 24) environments.
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.
OIG Adds Lower Extremity Revascularization Procedures to 2025 Work Plan
The OIG will apply greater scrutiny to lower extremity revascularization procedures as part of its 2025 work plan
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 […]
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 […]
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 […]