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Compliance

Compliance

Coding and Reimbursement Image

CODING AND REIMBURSEMENT | Demystifying CPT Code 92700

There are Current Procedural Terminology (CPT) codes for almost every audiology procedure that exists. It is important to use the code that most accurately represents the audiologic procedure or service provided, which is often very straightforward.  

Topic(s): Audiologist, Bone-Anchored Hearing Devices (BHADs), Bone-Conduction Implant (BCI), cervical vestibular-evoked myogenic potential (cVEMP), speech-in-noise, Tinnitus, saccade, Practice Management, Coding, Reimbursement, Compliance, CPT - Current Procedural Terminology

Coding and Reimbursement Image

CODING AND REIMBURSEMENT | CMS Includes Audiologists in the QPP

Under the final Quality Payment Program (QPP) rule for 2019, the Centers for Medicare and Medicaid Services (CMS) announced that audiologists will be considered “eligible clinicians” for QPP participation, effective January 1, 2019. The QPP replaced the Sustainable Growth Rate (SGR) formula that for many years served as the underpinning of Medicare provider payment. 

Topic(s): Audiologist, Medicaid, Medicare, Coding, Compliance, Reimbursement, Practice Management

The Family Educational Rights and Privacy Act

The Family Educational Rights and Privacy Act is the legislation that covers a child’s educational file and information at school.  FERPA was signed into law in 1974, pre-dating the Health Insurance Portability and Accountability Act (HIPAA) by more than 20 years.  Federally, it is less “strict” compared to HIPAA, allowing some personal identifiers to be disclosed to those who are neither the student nor the guardians, including home address, date of birth and grade level.  Individual states, however, can place heavier restrictions on the sharing of educational data.  Why is this relevant t

Transparency in Hearing Aid Dispensing

As highlighted in the recent report from the National Academies of Sciences, Engineering, and Medicine (June 2016), it is common for patients to be confused by the costs associated with the acquisition of a hearing aid.  Separating or itemizing the cost of the device from the cost of services creates increased transparency for patients and highlights the professional components of the dispensing process.