Coding and coverage are important components of the reimbursement equation. Compliance information is a guide to help audiologists uphold professional standards. Find resources for coding, coverage, reimbursement, and compliance below. 

Coding

Find the latest updates in audiology coding and resources such as billing templates, guidance on modifier usage, and more here.

Reimbursement Coding

2020 and 2021 Coding Articles

To help address coding questions, the Coding and Reimbursement Committee has compiled articles that have appeared in Audiology Today.

New Audiology CPT Codes for 2021

There are seven new CPT codes for auditory-evoked potential (AEP) and vestibular-evoked myogenic potential (VEMP) services.

Coverage

Find the latest updates in Medicare coverage policies for audiology services.

Insurance coverage image

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.

Reimbursement

Find the latest information regarding the Quality Payment Program and Merit-Based Incentive Payment System along with Medicare fee schedules for audiology services.

reimbursement

Reimbursement News

The Academy has developed a list of new items for reimbursement for audiologists. Keep up with the latest reimbursement and coding news here.

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.

Ask Your Audiology Organizations: Coding and Reimbursement Guidance from Your National Organizations

Members of the Academy's Coding and Reimbursement Committee (CRC) and the Practice Policy Advisory Council (PPAC) collaborated with other audiology organizations to develop coding guidance based on frequently asked questions (FAQs).

 

2022 Proposed Medicare Physician Fee Schedule – Initial Calculations of Proposed Payment Rates for Audiology Services

The Academy payment policy team has organized a chart of the proposed payment rates for audiology service (see “Current Resources”) based on initial calculations. Staff will continue analysis and post additional guidance. Access the schedule here.

Compliance

The Academy offers a wealth of resources to ensure audiologists and audiology practices maintain compliance with applicable federal regulations and more.

compliance image

Federal Regulations Affecting the Practice of Audiology

This summary guide includes information on the Anti-Kickback Statute. Safe Harbor, Stark laws, and the False Claims Act (FCA).

Food and Drug Administration (FDA) Hearing Aid Dispensing Guidelines

These guidelines involve the required use of a medical clearance, medical waiver, and other provisions for dispensing.

wave-mark

COVID-19 Updates

COVID-19 updates are ongoing. The Academy is dedicated to providing its community with relevant and timely information. Keep a lookout for COVID-19 resources that will benefit you in any practice setting.