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JAAA Editorial: Time is the Enemy

Vol. 30, No. 2 (February 2019) 
Gary P. Jacobson, Ph.D.
Editor-in-Chief, Journal of the American Academy of Audiology

Gary P. Jacobson, Ph.D

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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


Publication Issue: November/December 2018

NPR: Music to Ease Hearing Loss

NPR featured a piece on  “All Things Considered,” considering how to improve speech understanding in noisy environments. The segment focused on an ongoing study by Frank Russo, the director of the Science of Music, Auditory Research, and Technology Lab (SMART Lab) at Ryerson University in Toronto.

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A Proposed Protocol: Assessment for Patients with Single-Sided Deafness or Asymmetric Hearing Loss

Do you fit bone-conduction hearing aids, contralateral routing of signals (CROS) hearing aids, and/or cochlear implants to your adult patients with single-sided deafness or asymmetric hearing loss (with the four-frequency pure-tone average in the poorer ear being greater than or equal to 70 dB HL)? Curious which one is the best treatment? If so, you may be interested in a consensus paper by Van de Heyning et al (2016). 

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Does Chronic Tinnitus Impact Listening Effort?

Does chronic tinnitus have an impact on listening effort? Degeest et al (2017) completed a pilot investigation where this was the primary question. Subjects included 13 individuals with both normal hearing and constant, chronic tinnitus and 13 individuals who made up a matched control group without tinnitus. Both subject groups completed a dual-task paradigm and a subjective assessment of listening effort in three real-world conditions: (1) quiet with one talker, (2) quiet with multiple talkers, and (3) in background noise.

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The Cocktail Party Effect

2016 is over, and many of us attended celebrations of remembrance of the year's transpiration and resolutions for the year to come. Civilizations around the world have been celebrating the New Year for at least four millennia, but not always in December. Learn more about the history of New Year’s Eve (NYE).

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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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The Importance of Frequency Regions for Cochlear Implant Patients

Sladen and Ricketts (2015) report that given current cochlear implant (CI) technology, the majority of post-lingually deafened adults achieve 80 percent word recognition (in quiet) after only six months experience with a CI. In their study, CI users were presented with monaural information and the NH listeners had binaural input. The noisy condition was a 10 dB SNR with six-talker babble. Of note, “the average decrease in performance between quiet and noisy conditions was 13% for the NH group and 20 percent for the CI group.”  

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Predicting When Dementia Starts

Murman (2015) reviews cognitive changes associated with normal aging.  He states that “there is emerging evidence that healthy lifestyles may decrease the rate of cognitive decline….” Murman notes that in 1910 the average lifespan for a male was 48 years and for female it was 52. In 2010, the lifespan averages are 76 years for men and 81 years for women. Murman divides cognitive ability into multiple domains—attention, memory, executive cognitive function, language and visuo-spatial ability.

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Change the Game, Change the Focus

Beck (2015) notes that hearing care professionals (HCPs) should consider a philosophical change from simply correcting hearing loss to maximal hearing and listening. He reports that hearing is the perception of sound, whereas listening is applying meaning to sound. Beck advocates that for the brain to listen maximally, technology must preserve the natural acoustic information the brain needs to make sense of sound.

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