Coding and coverage are important components of the reimbursement equation. Find resources for coding, coverage, and reimbursement below.
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.
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 Finalizes 2.83% Cut for 2025
On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) and the Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) proposed regulations. Unless otherwise noted, the regulations are effective on January 1, 2025.
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.
Medicare FAQ
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.
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.
