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Coding and Reimbursement Main Image

CODING AND REIMBURSEMENT | When and Why to Modify

Billing modifiers were created to provide additional information to the payer about the performed procedure(s) and help describe and/or qualify the services provided. There are common modifiers used by commercial payers and the Centers for Medicare and Medicaid Services (CMS), that indicate to the payer that the services provided have been altered in a way that is different than the ascribed definition of the billing code. For example, a modifier should be used when all of the tests in a bundled code were not performed or when only one ear was tested.

Topic(s): Centers for Medicare and Medicaid Services (CMS), Medicare, Advance Beneficiary Notice (ABN), CPT - Current Procedural Terminology, Coding, Reimbursement, Practice Management, Patient care, Treatment

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PUBLIC RELATIONS | Getting Media Coverage Is Only Part of the Equation

In 1968, artist Andy Warhol coined the expression “15 minutes of fame,” when he said “In the future, everyone will be world-famous for 15 minutes.” Since that time, people who are lucky enough to be interviewed or have their story in the news often joke that they received their “15 minutes.”

Topic(s): Public Awareness

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Publication Issue: Audiology Today September/October 2019

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The Birth of Our Professional Home

As our Academy reached its 30th birthday in 2018 and our 30th annual conference just this past March (2019), it may be instructive to the younger members to recount the events leading to the founding of our professional home. It all began at the 1987 convention of the American Speech-Language-Hearing Association (ASHA) in New Orleans. Before this event, the professional home of all audiologists in the United States was ASHA.

Topic(s): Professional

Feature Story Main Image

ARC19: Advances in Amplification

Hearing aid processing no longer operates under the assumption that the real-world listening environments are represented by simple laboratory test conditions, such as the talker of interest is in front with noise behind, or even that there is only a single talker of interest. In addition, the driving philosophy has shifted from treating a single complaint (e.g., understanding in noise) to holistically treating individuals across the full range of their real environments and experiences (e.g., connecting to an auditory world).

Topic(s): Amplification, Research, Hearing, Hearing Assistive Technologies (HAT), Hearing Aids, Hearing Health Care, Patient care, Treatment

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Publication Issue: Audiology Today September/October 2019

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Get to Know a New Class of Audiologists

It is estimated that two to three of every 1,000 children in the United States are born with some degree of hearing loss and that more will acquire hearing loss later in childhood, according to the National Institutes of Health. The passage of the Newborn and Infant Hearing Screening Act of 1999 and the adoption of universal newborn hearing screenings in many states, in conjunction with early-intervention services, changed lives and outcomes for many children.

Topic(s): Students, Hearing Loss, Bilateral Hearing Loss, Hearing Aids, mastoidectomy, Acoustic, Psychology, cochlear phone clip, cochlear mini-microphone, Academia, Education

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How to Effectively Access and Collaborate with Early Hearing Detection and Intervention Systems

Public health agencies, in conjunction with Early Hearing Detection and Intervention (EHDI) programs, monitor the results of newborn screening outcomes, newborns with risk factors for the late onset of hearing loss, the prevalence of confirmed hearing loss, the type and degree of these losses, and the number of babies enrolled in services. A public health system is the best way for all of the parties providing hearing care to a child to have access to the results of the provided care. 

Topic(s): Pediatric, Early Hearing Detection and Intervention (EHDI), Patient care, Treatment, Hearing

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Our Responsibility to Move Audiology Forward

A culture of quality is needed if we are to bring audiology into the spotlight and highlight our expertise in hearing and balance. Ritz-Carlton co-founder and former president Horst Schulze states that we can create transactions every day, but until we place the person next to us as the most important person in the world in that moment, we will never create an experience.

Topic(s): Professional, Patient care, Public Awareness, Centers for Medicare and Medicaid Services (CMS), Coding, Reimbursement, Practice Management, Hearing Assistive Technologies (HAT), Balance/Vestibular, Hearing Aids, Hearing Health Care

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Publication Issue: Audiology Today September/October 2019

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Decoupling Professional Audiological Services from the Sale of Hearing Devices

Background

Helping adults manage hearing loss is by far the most fundamental aspect of audiology practice, making this the bread and butter of our profession. Hearing instruments play a crucial role in managing hearing loss in adults (Ftouh et al, 2018; Laplante-Lévesque et al, 2010).

Topic(s): over-the-counter (OTC) hearing aid devices, Patient care, Treatment, Hearing Aids, Hearing Assistive Technologies (HAT), Hearing Health Care, Audiologist

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KNOW HOW | Changing Times Will Revitalize Audiology Services

Audiology services and provisions are changing following the passage of the over-the-counter (OTC) hearing aid legislation. In the end, what that will actually mean is still unclear. Likely, we will see a device that can manage mild hearing loss for patients and give them some options for their hearing health care. Those of us who have practiced for many years are still trying to decide how that will fit into our current practice model and whether to incorporate an OTC product in the clinic. 

Topic(s): Patient care, over-the-counter (OTC) hearing aid devices, Audiometric Test, Tinnitus, Cochlear Implants (CI), Hearing, Balance/Vestibular, speech-in-noise, Bluetooth, Professional

ACADEMY NEWS Main Image

ACADEMY NEWS | Differentiating Fact from Fiction: The Challenge to Members for Outreach in Hearing Health Care

In an article by a graduate student at the University of Maryland-Baltimore (UMB), Amanda Labuza spoke to the importance of outreach and relayed her experience with UMB’s Neuroscience Outreach and Volunteer Association (NOVA). 

Through this experience, Amanda noted,

Topic(s): Hearing

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Publication Issue: Audiology Today July/August 2019