Medicare

Medicare

CMS Announces Claims Hold

In anticipation of possible congressional action to suspend the two percent budget sequestration cut slated to take effect April 1, 2021, the Centers for Medicare and Medicaid Services (CMS) has instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow.  Further information from CMS will be posted here as it becomes available. Congress is expected to act on this issue in mid-April.

Photo of a plant growing out of a crack in ground

AUDIOLOGY ADVOCATE | New Year, New Congress, and New Opportunities for Success

2021 marks the start of a new administration, a new Congress, and the end of a year punctuated by a global pandemic, economic strain, and political turmoil. The start of 2021 will be dominated by efforts to contain the pandemic, as well as efforts related to transitions in the House, Senate, and federal agencies.

The new administration headed by President Joe Biden and Vice President Kamala Harris places Democrats in control in the White House. In addition, Democrats control the House of Representatives and, with a slim margin, the Senate.

Topic(s): Advocacy, audiology, Medicare, COVID-19, Over-the-Counter (OTC) Hearing Aid Act

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Publication Issue: Audiology Today March/April 2021

FY21 Omnibus Appropriations Bill Benefits Audiology Medicare Reimbursement

On January 11, Health and Human Services (HHS) Secretary Alex Azar extended the COVID-19 Public Health Emergency (PHE) declaration effective January 21, 2021, for an additional 90 days. This means that all of the telehealth and other waivers and flexibilities that have been implemented during the PHE will remain in effect until at least April 21, 2021.

Final Stimulus Package Includes Partial Relief from 2021 Medicare Reimbursement Cuts to Audiology

On December 21, 2020, Congress passed a new stimulus package that includes provisions to mitigate planned Medicare reimbursement cuts for a variety of providers, including audiologists. 

Academy Encourages CMS to Allow Audiologists to Use Medicare Online Assessment “G” Codes

The Academy has delivered a letter to the Centers for Medicare and Medicaid Services (CMS) urging them to issue a Correction Notice to the 2021 Physician Fee Schedule to add audiologists to the list of providers able to use online assessment “G” codes designed for practitioners who are not authorized to perform evaluation and management (“E&M”) services. 

Academy Submits Comments to CMS Regarding CY21 Medicare PFS

The Academy submitted comments to the Administrator of the Centers for Medicare and Medicaid Services (CMS) on October 4, 2020, in response to the proposed rule for the CY21 Medicare Physician Fee Schedule (PFS).  

The comments highlighted several provisions that would adversely impact practicing audiologists and the Medicare beneficiaries they treat.  

Congress Must Act to Halt Medicare Payment Cuts and Avoid Further Damage to the U.S. Health-Care System


August 17, 2020: A message from Paul Pessis, AuD


Practice Policy Advisory Committee Member


Close-up of of social security card and money

CODING AND REIMBURSEMENT | What Is the Social Security Number Removal Initiative and What Does It Mean to Audiologists?

Unfortunately, identity theft is something that we all need to think about these days. Medical identity theft is defined by the Office of the Inspector General (OIG) as when someone steals personal information such as a name, a social security number, or a Medicare number and uses it to obtain medical care, purchase drugs, or submit fake claims to Medicare.

Topic(s): Coding, Reimbursement, Medicare, Centers for Medicare and Medicaid Services (CMS)

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Publication Issue: Audiology Today September/October 2017

2021 Medicare Physician Fee Schedule (PFS) Summary

The Centers for Medicare and Medicaid Services (CMS) issued for public inspection on August 4 the proposed rule on the 2021 PFS.

Catherine Palmer, Academy President photo

PRESIDENT'S MESSAGE | Real Change for Our Profession

On Friday, March 20, 2020, the entire group of audiologists I work with at the University of Pittsburgh Medical Center (UPMC) was taking care of patients in person. Three days later, Monday, March 23, 2020, we were providing all of our services remotely. 

We had been thinking about expanding into telehealth over the past year, but we had all sorts of reasons why it wouldn’t, couldn’t, and shouldn’t work. And then one day, it had to work or we wouldn’t have been able to take care of our patients. 

Topic(s): President's Message, audiology, Telehealth, tele-audiology, teleaudiology, Centers for Medicare and Medicaid Services (CMS), CARES Act, Medicare, cochlear implant codes, Cochlear Implants (CI)

Publication Issue: Audiology Today July/August 2020