Ask the Experts | Practice Management & Professional Issues | Billing for Failed OAE Screening Billing for Failed OAE Screening Debbie Abel, AuD February 20, 2006 Print Question What is the appropriate code for a baby who fails an OAE screening in the nursery? We have an ongoing battle with our coders concerning this. They want us to use V72.1. The problem is that when we see them for a further testing, if we have used this code, the insurance company won't pay for further testing. In the past we had been using 389.9 unspecified and there were no problems. Please advise. Answer Unspecified 4 digit codes can often be problematic, but if you've had no problems, "why fix it if it ain't broke?" Abnormal auditory perception, unspecified, a 5 digit code, (388.40) may also be helpful as well as V41.2 (problems with hearing). It may be advisable to contact the particular insurance carrier to see if they will divulge their preferences as to how to code this appropriately. Debbie Abel, Au.D., is the former chair of the Coding and Practice Management Committee for the American Academy of Audiology and a former member of the AAA Ethical Practices Board. She currently is serving her first year of her term on the American Academy of Audiology and is the board liaison to the CPMC. She's been in private practice for 13 years in Alliance, OH. Debbie Abel, AuD Related Courses Presenter Robert C. Fifer, PhD Billing & Coding - 2011 Update [Recorded Course] Course: #18033 CEUs/Hours Offered: AAA/0.2 Intermediate; ACAud/0.2; BAA/2.0; CAA/2.0; IHS/2.0 Cost: Free to View This course will discuss recent trends that impact both health care and the practice of audiology, present appropriate code selection techniques, and review the PQRI. Course Details Presenter Robert C. Fifer, PhD Billing & Coding - Update for 2009 and Beyond [Recorded Course] Course: #13210 CEUs/Hours Offered: AAA/0.2 Intermediate; ACAud/2.0; BAA/2.0; CAA/2.0; CASLPA/2.0 Cost: Free to View This presentation will focus on the recent coding changes of 2008, the meaning and impact of the new Medicare regulations, and a brief review of coding principles with respect to national expansion of the RAC, Medicaid Integrity Contractors, and anticipated Blue Cross recovery efforts. Course Details Presenter Kim Cavitt, AuD Compliance, Legalities and Ethics in Audiology [Recorded Course] Course: #20427 CEUs/Hours Offered: AAA/0.2 Intermediate; ACAud/2.0; ASHA/0.2 Intermediate, Related; BAA/2.0; CAA/2.0; CASLPA/2.0; IHS/2.0 Cost: Free to View In this presentation, we will discuss the foundations of ethics and compliance in audiology. We will explore the current Ethical Practice Guidelines on Financial Incentives from Hearing Instrument Manufacturers, the AAA and ASHA Codes of Ethics, state ethical guidelines contained in several state licensure laws, Medicare, HIPAA, the FDA Guidelines , Stark laws, Safe Harbors and Anti-kickback laws and explain, in detail, how they relate to specific scenarios we encounter in our profession. This course is part of a multi-course series, Billing, Coding and Compliance Bootcamp. Visit our course library to view the other courses in this series. Course Details Presenter Kim Cavitt, AuD Managed Care Terms [Recorded Course] Course: #20425 CEUs/Hours Offered: AAA/0.1 Intermediate; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0 Cost: Free to View In this presentation, we will define and discuss all of the terms that surround the billing and reimbursement process. Knowledge of these terms will assist audiologists in establishing a background in managed care. This course is part of the multi-course series, Billing, Coding and Reimbursement Bootcamp. Visit our course library to view other courses in this series. Course Details Presenters Dave Fabry, PhD Marion Downs, MS, DHS, Hon DSc Words of Wisdom from Marion Downs - A Perspective on Hearing In Children [Recorded Course] Course: #10444 CEUs/Hours Offered: AAA/0.1 Introductory; ACAud/1.0; BAA/1.0; CAA/1.0; CASLPA/1.0; IHS/1.0 Cost: Free to View This session will provide an interactive forum for discussion with Marion Downs, one of the true pioneers in the area of pediatric hearing loss and amplification. Using an "interview" format, Marion will discuss her views on a variety of topics, including newborn hearing screening, advances in hearing aid and cochlear implant technology, the importance of aural rehabilitation, and a host of other topics. In addition, attendees have the opportunity to submit questions that they want to hear in advance. Audience participation is required! Please note: Integrated real-time closed captioning will be provided. Course Details
