Coding and coverage are important components of the reimbursement equation. Find resources for coding, coverage, and reimbursement below.Â
Medicare Coverage
Find the latest updates in Medicare coverage policies for audiology services.
Participating in Medicare
Find a list of resources diving into how to participate in Medicare from sample claim forms to an advanced beneficiary notice (ABN) reference guide.
Medicare Frequently Asked Questions
Find a list of frequently asked questions regarding Medicare from advanced beneficiary notice to sending referral pads to physicians.
ABN References and Resources
Need reliable ABN (Advanced Beneficiary Notice of Non-Coverage) resources for your audiology practice?
Check out our ABN References and Resources page.
Payment Policy
Find the latest information regarding the Quality Payment Program and Merit-Based Incentive Payment System along with Medicare fee schedules for audiology services.
CMS Releases Calendar Year 2027 Proposed Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (OPPS)
The Centers for Medicare and Medicaid Services (CMS) released the 2027 Medicare Physician Fee Schedule proposed rule late on July 14, 2026, reducing the PFS conversion factor from $33.5675 to $33.1693 for qualifying alternative payment model (APM) participants and from $33.4009 to $32.8409 for non-qualifying APM participants.
CMS Finalizes CY 2026 Physician Fee Schedule: Key Takeaways for Audiology
On Friday, October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the CY2026 Medicare Physician Fee Schedule (MPFS) Final Rule, outlining payment and policy changes effective January 1, 2026 that impact coverage, valuation, practice expense, telehealth, and quality/reporting across Medicare Part B services.
Quality Payment Program and Merit-Based Incentive Payment System
As patients, payers, and policy-makers focus on quality care, the Academy will present up-to-date information on program participation.
Limited Direct Access to Audiology Services Under Medicare: Updated Information
CMS issued additional guidance regarding the new provision for limited direct access to audiology services that will go into effect on January 1, 2023.
State Medicaid
Click the button below to access detailed answers to frequently asked questions regarding Medicare and audiology services. Stay informed on the latest Medicare policies to help optimize your practice and patient care.