pure-tones (PTs)

pure-tones (PTs)

Academy Letter to Palmetto GBA: CPT 92557 Should Be Covered

The Academy recently wrote to Palmetto GBA, a Medicare Administrative Contractor, to express concerns regarding the Palmetto policy for reimbursement of tests on the same day a vestibular function study is performed.  

Specifically, Palmetto stated that only CPT 92552 (pure-tone audiometry threshold; air only) or CPT 92553 (air and bone) will be covered on the same day as a vestibular function study, but not CPT 92557 (comprehensive audiometry threshold evaluation and speech recognition). We argued that CPT 92557 should be covered.

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Clinical Practice Report Card: Are We Meeting Best-Practice Standards for Adult Hearing Rehabilitation?

Professional introspection is a primary road to growth and surveys of professional practice offer a window to our performance. Development and refinement of clinical protocols and services over the years have enhanced treatment outcomes for millions of individuals with hearing loss. One means of continually improving services is to periodically survey how clinicians practice. 

Topic(s): adult hearing rehabilitation, best-practice standards, Certification, pre-treatment self-assessment measures, pure-tones (PTs), speech-recognition testing, speech-in-noise, uncomfortable listening levels (UCL), verification of hearing aid fitting, probe-microphone verification of hearing aid fittings, Hearing Assistive Technologies (HAT), Personal Sound Amplification PSAP, audiological rehabilitation services, audiology aides, communication partners, communication training, clear speech training, at-home augmentative training

Pure-Tone Average and Speech-in-Noise

The pure-tone average (PTA) of 500, 1000, 2000 Hz has long been used as a calculation for hearing impairment for speech understanding. It became the basis for the 1959 American Academy of Ophthalmology and Otolaryngology (AAOO) hearing-impairment calculation. 


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Managing Auditory Processing Problems in Individuals with Autism Spectrum Disorder

Hey, audiologists! Have you ever considered offering auditory processing interventions for individuals with autism spectrum disorder (ASD) at your clinic or practice?

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JAAA Editorial: Rise of the Machines: Audiology and Mobile Devices

Over the past few decades, advances in mobile device technology have enabled many of the core audiology tests to be delivered through smart phones or tablet computers.

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Evaluating Rehabilitation Options for Individuals with Hearing Difficulties and Pure-Tone Hearing Thresholds within Normal Limits

At the end of last year, we reviewed an article by Alicea and Doherty (2017) that examined the motivation for hearing health-care intervention services by individuals with normal audiograms who present with hearing difficulties. Since then, two studies have been published that evaluated intervention approaches for these individuals.

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Can You Hear Me Now?

Hearing difficulty (HD) and tinnitus in the presence of normal audiometric thresholds represent a clinical challenge. So-called, hidden hearing loss (HHL) has captured significant interest from clinicians and researchers in attempts to understand factors that contribute to this phenomenon. Etiologies ranging from cochlear synaptopathy to central auditory processing deficits have been suggested. Most audiologists have come across these patients with complaints of hearing problems (particularly in noise) but normal hearing.

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Unilateral Hearing Loss: What to Do?

Patients with unilateral hearing loss can present with variable issues. Much is dependent on the severity of the hearing loss (threshold and speech understanding), age of onset, hearing status of contralateral ear, and presence of comorbidities (e.g., vertigo, cognitive status, central auditory processing, hyperacusis, tinnitus, disease/pathology/disorder, etc.). Adult-onset severe-to-profound unilateral sensorineural hearing loss with normal hearing sensitivity in the contralateral ear presents a unique dilemma.

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Variations on a Theme: Mild Hearing Loss and Word Recognition Scores

Timmer et al (2015) report that the prevalence rate of mild hearing impairment varies greatly with the definition. They report that the weak correlations between audiologic assessments and patient-based self-reported difficulties indicate further assessment of individuals with mild hearing impairment is warranted.  In their Table 2 (page 788) they offer a “summary of descriptive classifications of mild hearing impairment” which includes similar, although different, common definitions of mild hearing loss.

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