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 create a superbill that best meets the needs of your practice setting.
Have additional coding, reimbursement, or compliance questions? E-mail the Academy’s reimbursement mailbox. By submitting questions to the centralized mailbox, the CRC can review and discuss all inquiries posed to the Academy. This allows the CRC to research responses, identify trends in coding and reimbursement, develop coding and reimbursement resources, and engage in advocacy with payers regarding concerning policies.
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…
2023 Final Rule – Medicare Physician Fee Schedule (MPFS)
Updated Guidance November 9, 2022 Late November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule on the 2023 Medicare Physician Fee Schedule (MPFS). The Academy has compiled a chart of 2023 reimbursement values for audiology codes, available here. This Final Rule contains significant provisions for the delivery of audiology services….