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.
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
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.
2025 CPT Changes for Radiology, Interventional & Cardiology Specialists
Newly released 2025 CPT Changes for Radiology, Interventional, and Cardiology Specialists have increased in comparison to the last few years. Make sure your radiology coding, interventional coding, and cardiology coding service teams are current on these changes. StreamlineMD is ready and here to help!
Key Insights on CMS 2025 Final Payment Rules Impacts on Wound Care Providers
The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 final payment rules, which include impacts on wound care. These rules significantly affect the U.S. healthcare system. Below is a summary of the most important provisions in the 2025 Medicare Physician Fee Schedule (MPFS), Hospital Outpatient Prospective Payment System (HOPPS), and Home Health Prospective Payment System (HHPPS).
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.
FDA Approves New Alternative Standard for MQSA Reporting
On October 29, 2024, the FDA approved Alternative Standard #25 allowing the provider an assessment of “Incomplete: Need additional imaging evaluation” for the follow-up report issued within 30 calendar days of an initial report that received an assessment of “Incomplete: Need prior mammograms for comparison”.
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.
ASC Complexity Codes for Interventional Cardiac Cath Procedures
The following outline highlights the key aspects of Medicare coding and billing for procedures performed in ASCs, particularly focusing on the new complexity codes introduced in 2023 and their impact on 2024 billing.
Mammography Quality Standards Act (MQSA) – FDA Changes Effective 9/10/2024
On March 10, 2023, the FDA announced the final rule amending the MQSA regulations. Physicians and hospitals have had 18 months to adopt the FDA’s changes going into effect on September 10, 2024.
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
Help Improve Prior Authorizations
Prior authorizations are a significant administrative burden and the current process is cumbersome, inefficient, and costly, and ultimately delays radiology and interventional specialist patient care.
Proper Nurse Visit Billing for Minimal Problems
AMA Definition – Minimal Problem Since 2021, the AMA definition of a “minimal problem” is a problem that may not require the presence of the
URGENT – Check Email for AMA Practice Expense Survey
The American Medical Association (AMA) contracted with Mathematica, an independent research company, to conduct the AMA Physician Practice Information Survey. Email recipients are not publicly
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,
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.
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
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
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
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.
2025 CPT Changes for Radiology, Interventional & Cardiology Specialists
Newly released 2025 CPT Changes for Radiology, Interventional, and Cardiology Specialists have increased in comparison to the last few years. Make sure your radiology coding, interventional coding, and cardiology coding service teams are current on these changes. StreamlineMD is ready and here to help!
Key Insights on CMS 2025 Final Payment Rules Impacts on Wound Care Providers
The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 final payment rules, which include impacts on wound care. These rules significantly affect the U.S. healthcare system. Below is a summary of the most important provisions in the 2025 Medicare Physician Fee Schedule (MPFS), Hospital Outpatient Prospective Payment System (HOPPS), and Home Health Prospective Payment System (HHPPS).
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.
FDA Approves New Alternative Standard for MQSA Reporting
On October 29, 2024, the FDA approved Alternative Standard #25 allowing the provider an assessment of “Incomplete: Need additional imaging evaluation” for the follow-up report issued within 30 calendar days of an initial report that received an assessment of “Incomplete: Need prior mammograms for comparison”.
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.
ASC Complexity Codes for Interventional Cardiac Cath Procedures
The following outline highlights the key aspects of Medicare coding and billing for procedures performed in ASCs, particularly focusing on the new complexity codes introduced in 2023 and their impact on 2024 billing.
Mammography Quality Standards Act (MQSA) – FDA Changes Effective 9/10/2024
On March 10, 2023, the FDA announced the final rule amending the MQSA regulations. Physicians and hospitals have had 18 months to adopt the FDA’s changes going into effect on September 10, 2024.
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
Help Improve Prior Authorizations
Prior authorizations are a significant administrative burden and the current process is cumbersome, inefficient, and costly, and ultimately delays radiology and interventional specialist patient care.
Proper Nurse Visit Billing for Minimal Problems
AMA Definition – Minimal Problem Since 2021, the AMA definition of a “minimal problem” is a problem that may not require the presence of the
URGENT – Check Email for AMA Practice Expense Survey
The American Medical Association (AMA) contracted with Mathematica, an independent research company, to conduct the AMA Physician Practice Information Survey. Email recipients are not publicly
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,
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.
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