Coding

Coding

Issues in Cervical Vestibular-Evoked Myogenic Potentials

Blakley and Wong (2015) evaluated 48 normal patients without hearing loss and without vestibular complaints, all of whom underwent cervical vestibular-evoked myogenic potential (cVEMP) testing. The authors note that cVEMP is used to assess the sacular (and inferior vestibular nerve) response to loud sounds through measurement of sternocleidomastoid (SCM) activity.

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Update on Academy Initiatives: Interview with President Erin L. Miller, AuD

Douglas L. Beck, AuD, speaks with Dr. Miller about hiring the new executive director, Tanya Tolpegin, reimbursement structures, itemization, bundling, unbundling, outcomes, legislative efforts, ADA, direct access, and more.

Douglas L. DLB (DLB): Hi, Erin. It’s a pleasure to speak with you! Now that we’re about in the middle of your tenure as president of the American Academy of Audiology, I’d like to get an update and see how things are going.

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2015 Hospital Outpatient Prospective Payment System (HOPPS)

Effective January 1, 2015, The Centers for Medicare and Medicaid Services (CMS) reclassified several Ambulatory Payment Classification (APC) categories, which will affect payment of audiology services performed in hospital outpatient departments. APCs are grouped by payment methodology, which often places audiology services with non-audiology services in the same APC and paid at the same rate.

Medical Records Retention

It is generally recommended that your practice have a written policy regarding the retention of your patients' medical records. The policy should specify what records will be kept about your patients, the time period for which each category of record will be kept, and the storage medium (paper, microfilm, optical disk, magnetic tape, or other). It should also specify how the documents will be destroyed at the end of the record retention period.

How Do I Become HIPAA Compliant?

Audiologists Must Begin the Process Now!


  • Read the rules. It is every audiologist's individual responsibility to know and understand both federal and state regulations regarding HIPAA.
  • Appoint your HIPAA team.
  • Appoint a privacy officer.
  • Designate a contact person for patient complaints.
  • Provide training to all staff.
  • Gather your current policies and procedures.

Congress acts on the Federal Trade Commission's (FTC) Red Flag and Address Discrepancy Rule

Due to Congressional action on December 7, 2010, health care providers are now exempt as "creditors" in the FTC Red Flag Address and Discrepancy Rule. This legislation specifically excludes health care providers as "creditors" due to a change in the definition of "creditor," which included those who "advance funds by providing services in advanced of receiving payment," as with claims filed to third party payors.

Compliance

Have additional coding, reimbursement or compliance questions? E-mail the Academy’s reimbursement mailbox. By submitting questions to the centralized mailbox, the Academy’s Coding and Reimbursement Committee (CRC) is able to 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.

International Classification of Diseases, 10th Edition

Beginning October 1, 2015, all health-care providers made the transition from ICD-9 to ICD-10. Now that the ICD-10 compliance deadline has come and gone, audiologists have been working to familiarize themselves with proper coding using ICD-10 codes. Below, the Academy has complied resources to assist audiologists in familiarizing themselves with the ICD-10 system. These resources include a list of codes pertinent to audiologists, a sample superbill template with ICD-10 codes, and other helpful compliance information.