reimbursment

reimbursment

CMS Releases Hospital Outpatient Prospective Payment Rule

The Centers for Medicare and Medicaid Services (CMS) has released the Hospital Outpatient Prospective Payment (OPP) rule proposing a conversion factor of $83.697 for hospitals meeting facility quality reporting requirements. 

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.

AuD speaking with elderly patient via Tele-audiology

CODING AND REIMBURSEMENT | Specialty Series: Telehealth

In the era of COVID-19, it has become increasingly important to use different methods of clinical service provision to protect our patients’ health while still addressing their hearing, tinnitus, and vestibular health-care needs. 

As audiology clinics increase their use of telehealth as a method for patient care, audiologists must understand how such changes also impact coding and billing. This article will discuss considerations and provide examples of billing and coding for telehealth services for audiologists.

Topic(s): Coding, reimbursment, Telehealth, tele-audiology, telemedicine

Young boy receiving hearing test

CODING AND REIMBURSEMENT | Specialty Series: Pediatric Audiometry

In January 2020, the American Academy of Audiology (the Academy) published its Clinical Guidance Document on the Assessment of Hearing in Infants and Young Children. This article seeks to review collaborative guidance from the Academy, the Academy of Doctors of Audiology (ADA), and the American Academy of Audiology (AAA) on filing claims for pediatric audiometry. Coding for electrophysiologic measures, otoacoustic emissions, and acoustic immittance are discussed elsewhere (Academy, Pediatric Audiology Billing & Coding Questions & Answers).

Topic(s): Coding, Reimbursement, reimbursment, Pediatric Assessment, Pediatric, Pediatric Audiology, pediatric audiometry, electrophysiologic audiometry, Behavioral Audiometry, Behavioral observation audiometry (BOA), visual reinforcement audiometry (VRA), conditioned play audiometry (CPA), Speech Threshold Audiometry, auditory brainstem response (ABR), auditory steady-state response

CODING AND REIMBURSEMENT

CODING AND REIMBURSEMENT | Specialty Series: Tinnitus

The National Health Interview Survey found that approximately 10 percent of U.S. adults had experienced tinnitus in the 12 months previous to the survey (Bhatt et al, 2016; Shargorodsky et al, 2010). This article reviews codes useful when providing tinnitus services. For clinical guidance, the interested reader is directed to the American Academy of Otolaryngology Head and Neck Surgery Clinical Practice Guideline for Tinnitus (Tunkel et al, 2014).

Topic(s): Coding, reimbursment, Tinnitus