Welcome to the StreamlineMD Blog
Welcome to StreamlineMD's official blog page, your go-to resource for insightful information and cutting-edge updates to help Radiology and Interventional Specialists prosper.

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,

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.

Vertebral Fractures – Proper Documentation & Coding
The various image-guided percutaneous procedures used to treat Vertebral Fractures include terms such as Vertebroplasty, Kyphoplasty, Sacroplasty and Augmentation. The nuances of these procedures often cause confusion. This article discusses these procedures, their documentation, and CMS policy to obtain more clarity.

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.

Diagnostic Angiography with Therapeutic Treatment – Understanding Vascular Roadmapping and Correct Coding
The intent of this article is to provide education regarding vascular roadmapping in an effort to understand when it is bundled into therapeutic treatment, when it is appropriate to bill, and the importance of including supporting medical necessity in physician documentation.

Higher Payments for New C-Codes for ASC in 2023
Historically, CMS has created and assigned “C” codes (alpha/numeric) for devices such as drug eluding stents (DES C9600-C9608) and/or hospital billing under HOPPS. For 2023, CMS has created approximately 50 new C codes specifically for billing in the ASC setting, several of which affect coding and billing for some Interventional Radiology and Cardiac Catheterization procedures.

Prepare for MIPS/MACRA 2023
It’s that time again to make sure your practice is on track for reporting MACRA/MIPS for 2023. Below are some resources to assist you in understanding the MIPS/MACRA requirements for 2023.

2023 Interventional Cardiology CPT Code Changes
The following information details Interventional Cardiology CPT changes for 2023 which may impact your practice. There are nine new Category I codes and three new Category III codes, two of which are add-on codes to the main procedure. Be sure to review below, update or create new report templates, and share with your practice management team(s) in preparation for January 1st in order to avoid billing and reimbursement delays.

2023 Changes to Radiology & IR CPT Codes – Continued
As promised, the following information provides further details for 2023 CPT changes. Be sure to review and share with your practice management team(s) for preparation for January 1st to avoid billing and reimbursement delays.

2023 CMS FEE IMPACT – FINAL MPFS FOR OBL/VEIN CASES
See the FINAL 2023 CMS fee impact for image-guided procedure specialists performing services in Office/OBL (POS 11) and ASC (POS 24) environments.

Sneak Peek for 2023 Changes to Radiology & IR CPT Codes
The intent of this article is to provide updates for 2023 Radiology & IR CPT coding, which may impact your practice’s coding, billing, and reimbursement operations. To avoid unnecessary denials, which can delay reimbursement, review the coding changes below to ensure your Radiology practice is ready to go for patients treated beginning January 1, 2023.

Radiology Coding Expert Beth Kujawski joins StreamlineMD
Wendy served in various coding capacities for the Company, since 1988. Most recently, she served as the company’s senior coding authority, monitoring overall quality control, educating, and advising coding staff on the latest coding guidelines, and educating clients and prospects on proper documentation.

Wendy Block Retiring After 34 Years
Wendy served in various coding capacities for the Company, since 1988. Most recently, she served as the company’s senior coding authority, monitoring overall quality control, educating, and advising coding staff on the latest coding guidelines, and educating clients and prospects on proper documentation.

Physician Extenders – Proper Use & Billing – Update 2022
The purpose of this article is to show you how the codes differ by the number of views, values, and the number of times a code can assigned for a single date of service. Understanding how they differ will allow you to optimize your Chest X-Ray documentation and coding.

Intravascular Ultrasound (IVUS) Documenting, Coding & Billing
The purpose of this article is to show you how the codes differ by the number of views, values, and the number of times a code can assigned for a single date of service. Understanding how they differ will allow you to optimize your Chest X-Ray documentation and coding.

Optimize Chest X-Ray Documentation and Coding
The purpose of this article is to show you how the codes differ by the number of views, values, and the number of times a code can assigned for a single date of service. Understanding how they differ will allow you to optimize your Chest X-Ray documentation and coding.

E&M – Get Paid for Smoking & Tobacco Use Cessation Counseling
If you are providing counseling on smoking and tobacco-use cessation during patient office visits, follow these guidelines to make sure you get paid accurately for it.

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,

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.

Vertebral Fractures – Proper Documentation & Coding
The various image-guided percutaneous procedures used to treat Vertebral Fractures include terms such as Vertebroplasty, Kyphoplasty, Sacroplasty and Augmentation. The nuances of these procedures often cause confusion. This article discusses these procedures, their documentation, and CMS policy to obtain more clarity.

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.

Diagnostic Angiography with Therapeutic Treatment – Understanding Vascular Roadmapping and Correct Coding
The intent of this article is to provide education regarding vascular roadmapping in an effort to understand when it is bundled into therapeutic treatment, when it is appropriate to bill, and the importance of including supporting medical necessity in physician documentation.

Higher Payments for New C-Codes for ASC in 2023
Historically, CMS has created and assigned “C” codes (alpha/numeric) for devices such as drug eluding stents (DES C9600-C9608) and/or hospital billing under HOPPS. For 2023, CMS has created approximately 50 new C codes specifically for billing in the ASC setting, several of which affect coding and billing for some Interventional Radiology and Cardiac Catheterization procedures.

Prepare for MIPS/MACRA 2023
It’s that time again to make sure your practice is on track for reporting MACRA/MIPS for 2023. Below are some resources to assist you in understanding the MIPS/MACRA requirements for 2023.

2023 Interventional Cardiology CPT Code Changes
The following information details Interventional Cardiology CPT changes for 2023 which may impact your practice. There are nine new Category I codes and three new Category III codes, two of which are add-on codes to the main procedure. Be sure to review below, update or create new report templates, and share with your practice management team(s) in preparation for January 1st in order to avoid billing and reimbursement delays.

2023 Changes to Radiology & IR CPT Codes – Continued
As promised, the following information provides further details for 2023 CPT changes. Be sure to review and share with your practice management team(s) for preparation for January 1st to avoid billing and reimbursement delays.

2023 CMS FEE IMPACT – FINAL MPFS FOR OBL/VEIN CASES
See the FINAL 2023 CMS fee impact for image-guided procedure specialists performing services in Office/OBL (POS 11) and ASC (POS 24) environments.

Sneak Peek for 2023 Changes to Radiology & IR CPT Codes
The intent of this article is to provide updates for 2023 Radiology & IR CPT coding, which may impact your practice’s coding, billing, and reimbursement operations. To avoid unnecessary denials, which can delay reimbursement, review the coding changes below to ensure your Radiology practice is ready to go for patients treated beginning January 1, 2023.

Radiology Coding Expert Beth Kujawski joins StreamlineMD
Wendy served in various coding capacities for the Company, since 1988. Most recently, she served as the company’s senior coding authority, monitoring overall quality control, educating, and advising coding staff on the latest coding guidelines, and educating clients and prospects on proper documentation.

Wendy Block Retiring After 34 Years
Wendy served in various coding capacities for the Company, since 1988. Most recently, she served as the company’s senior coding authority, monitoring overall quality control, educating, and advising coding staff on the latest coding guidelines, and educating clients and prospects on proper documentation.

Physician Extenders – Proper Use & Billing – Update 2022
The purpose of this article is to show you how the codes differ by the number of views, values, and the number of times a code can assigned for a single date of service. Understanding how they differ will allow you to optimize your Chest X-Ray documentation and coding.

Intravascular Ultrasound (IVUS) Documenting, Coding & Billing
The purpose of this article is to show you how the codes differ by the number of views, values, and the number of times a code can assigned for a single date of service. Understanding how they differ will allow you to optimize your Chest X-Ray documentation and coding.
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