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, […]
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. […]
StreamlineMD RCM Updates for Radiology & Interventional Specialists
StreamlineMD Documentation, Coding & Billing Updates for Radiology & Interventional Specialists Below are updates for Radiology and Interventional specialists regarding documentation and coding for: IVUS JZ/JW Modifiers Cardiac Velocity Flow Mapping PET coding for Posluma Aetna eviCore Peripheral Vascular Interventional Radiology IVUS Policy Update This updated policy, effective 9/1/23, contains detailed information on coverage for […]
Moderate Sedation: Understanding Usage and Reporting
Documenting and coding for Moderate Sedation continues to challenge providers and the purpose of this article is to help clarify AMA guidelines.
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. […]
StreamlineMD Earns 2023 Great Place to Work Certification™
We are thrilled to announce that StreamlineMD has been awarded the prestigious Great Place to Work Certification™ for 2023.
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.
2023 E/M Updates for Consultation Services
The American Medical Association (AMA) published many changes impacting CPT® E/M codes and guidelines, taking effect Jan. 1, 2023. There are 25 deleted codes and many revisions to codes and guidelines in five code categories.
StreamlineMD Releases New Client Portal
We are excited to announce that StreamlineMD will be rolling out new features, allowing you to access security request forms & training videos online through our new StreamlineMD Client Portal.