The Academy submitted comments to the Administrator of the Centers for Medicare and Medicaid Services (CMS) on October 4, 2020, in response to the proposed rule for the CY21 Medicare Physician Fee Schedule (PFS).
The comments highlighted several provisions that would adversely impact practicing audiologists and the Medicare beneficiaries they treat.
In particular, the Academy strongly urged CMS to waive the requirement to adjust Medicare payments for budget neutrality so as to avoid the proposed seven percent cut in reimbursement for audiology.
Among other things, the Academy also asked for some valuation adjustments to the new codes for Vestibular-Evoked Myogenic Potential Testing and Auditory-Evoked Potentials. A final rule will be out later this year.
Related Posts
Academy Updates Superbill Template 2023
The Academy’s Coding and Reimbursement Committee (CRC) has developed an updated, editable superbill template for 2023 to serve as a guide for audiologists working to prepare a superbill for their own practices. The CRC recognizes not all ICD-10 codes found on this template will be utilized in all practice settings. The template is designed to help you…
Medicare Claims Processing with AB Modifier for Limited Direct Access
The Academy has learned from members across the country about denials they are receiving for Medicare claims submitted using the AB modifier. The denials relate specifically to Box 17 on the claim form, which asks for a referring provider. Effective January 1, 2023, the new Medicare policy for limited direct access allows audiologists to see…
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. As stated by CMS in this guidance, This modification in our finalized policy requires multiple changes to our claims processing systems which will take some time to fully operationalize, possibly by July…
