Does a Medicare referral source always have to be a physician?
Under Medicare publication 100-02, chapter 15, referrals may come from a physician or "non-physician practitioner". The non-physician practitioner is defined elsewhere as referring to nurse practitioners or physician's assistants.
Robert C. Fifer, Ph.D. is currently the Director of Audiology and Speech-Language Pathology at the Mailman Center for Child Development, Department of Pediatrics, University of Miami School of Medicine. He received his B.S. degree from the University of Nebraska at Omaha in Speech-Language Pathology with a minor in Deaf Education. His M.A. degree is from Central Michigan University in Audiology. And his Ph.D. degree is from Baylor College of Medicine in Audiology and Bioacoustics. Dr. Fifer's clinical and research interests focus on the areas of auditory evoked potentials, central auditory processing, early detection of hearing loss in children, and auditory anatomy and physiology. He is the immediate Past-President of the Florida Association of Speech-Language Pathologists and Audiologists, a member of ASHA's Health Care Economics Committee, and the ASHA representative to the American Medical Association's Health Care Professions Advisory Committee for the Relative Value Utilization Committee in addition to being ASHA's representative to the AMA's Practice Expense Advisory Committee. Additional responsibilities at the state level include serving as a consultant to the Florida Department of Health's Children's Medical Services and the audiology representative to the Genetics and Newborn Screening Advisory Council.
Robert C. Fifer, PhD
Director of Audiology and Speech Language Pathology at the Mailman Center for Child Development at the University of Miami
Robert C. Fifer, Ph.D. is Director of Audiology and Speech Language Pathology at the Mailman Center for Child Development at the University of Miami. Dr. Fifer represents ASHA on the AQC.
This presentation will discuss the recent updates from the AMA and Medicare that affect procedure and diagnosis coding in addition to general reimbursement. The specific topics will include the 2010 fee schedule, PQRI, evaluation and management codes, new category I and category III CPT codes, the RAC, ICD-9 updates, the role of the SGR in determining reimbursement rates, and financial classification modifiers.
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.
This article discusses some of the current barriers to a successful hearing care practice in these uncertain economic times, and provides recommendations to modernizing a practice to address the needs of today's consumer using a customer-experience model. Specifically, marketing, arrival and the reception area are addressed; a future article will address phone scheduling, testing and the recommendation phases of the patient experience.