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Fitting

Fitting

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CODING AND REIMBURSEMENT | Coding Update: Contralateral Routing Device

The American Academy of Audiology (the Academy) and others recently requested revisions for codes and code descriptors in the CROS/BiCROS family and Centers for Medicare and Medicaid Services approved many of the proposed changes. The groups requested the changes to reflect changes in CROS/BiCROS technology. 

Topic(s): Audiologist, Binaural, Behind The Ear (BTE), Bilateral microphones with contralateral routing of signal (BiCROS), Contralateral Routing of Signal (CROS), In The Ear (ITE), Hearing Aids, Coding, Reimbursement, Practice Management, Medicaid, Medicare, Fitting, Sensorineural Hearing Loss

Author(s): 

Publication Issue: Audiology Today March/April 2019

Role of Open-Fit in Children

Open-fit style hearing aids have been primarily applied to adult populations with high-frequency hearing loss and conserved low-frequency hearing. The use of an open-fit strategy has advantages and disadvantages; for example, open-fit can decrease occlusion complaints, but as a negative may decrease benefits of noise reduction algorithms. Limited research has examined the application of open-fit domes in pediatric populations.

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In the Service of Others: An Interview with Kamal Elliot, AuD By Bre Myers, AuD, PhD

Kamal Elliot, AuD, is a person to be admired. Her desire and dedication to providing the best quality of care led her on journeys into private practice ownership as well as multiple international and local humanitarian missions. She has served on state and national audiology organization boards. Recently, I was fortunate to catch up with Dr. Elliot.

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2016 Student Research Forum Winners

On Friday, April 15, 2016, the five recipients of the 2016 Student Research Forum (SRF) Awards gave five outstanding podium presentations. The SRF has been in existence for about a decade, and would not be possible without funding in part by the American Academy of Audiology Foundation (AAAF) and an underwriting grant from Plural Publishing, Inc. Each year, the SRF awardees are selected through a rigorous review process from a competitive pool of exciting student research from across the country.

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Bimodal Programming

Siburt and Holmes (2015) report that 93 responses to their survey, which queried who programs the hearing aid (adult patients) given a bimodal fitting (‘bimodal’ as used here indicates one ear has a cochlear implant [CI] and the other has a hearing aid). The respondents represented multiple clinical settings (private practice, ENT clinics, university clinics, and hospitals). Fifty-seven responses were from “small centers” (fewer than or up to 20 adult patients per year) and 36 were from “large centers” (more than 20 patients per year).

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Major Issues in First Fittings

Mueller (2015) reports that if you have an approximate idea of how much gain a patient needs, and if we were to somehow fix sound to have only one constant input level, there exists more than 1400 gain curve options available in today’s highly sophisticated hearing aids. Mueller notes that the “heavy lifting” associated with choosing the correct curve may be accomplished by choosing DSLv5 or NAL-NL2, as long as one verifies and validates that what the professional selects is actually being delivered!

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Real-Ear Measures: Status Quo 2015

Sanders et al (2015) report that not only are real-ear measures (REMs) an important part of all hearing aid best practice guidelines, REMs are simply a necessary part of each fitting. They note, as a result of acquiring REMs, it is likely “considerable subsequent adjustments” would need to be made to bring the hearing aid fitting into compliance with the prescription selected, such as NAL-NL2 or DSL v5.0.

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