AudiologyOnline Phone: 800-753-2160


Neuromod Devices - Your Partner for Tinnitus CTA - September 2021

Coding and Reimbursement Q & A

Kim Cavitt, AuD

March 20, 2017

Share:

Question

Where can I find official word that audiologists do not need to participate in PQRS reporting in 2017, to show to my office manager?

Answer

It is in the final rule of the MIPS program, the Merit-Based Incentive Payment System, where it shows that audiology is an ineligible provider until 2019.  Go to cms.gov and look at Medicare, Merit-Based Incentive Payment System final rule for 2016, search the document for audiology, and you will find that we are on the ineligible list.

What do you do when an insurance company demands a letter of medical necessity to cover the cost of hearing aids?

In that case, you write a letter of medical necessity that explains why those hearing aids are medically necessary for the patient in front of you to participate in their own healthcare decisions and in the quality of life. In my experience, especially when the patient's coverage is linked to accident, illness or injury, you should write a letter of medical necessity, and the physician should write one as well.

Can you recommend amplification on a physician report?

Yes. The fact that amplification is an outcome does not make testing non-covered.
 
This Ask the Expert were taken from the course, Coding and Reimbursement Update for 2017 & Beyond - access the course here.


kim cavitt

Kim Cavitt, AuD

Kim Cavitt, AuD was a clinical audiologist and preceptor at The Ohio State University and Northwestern University for the first ten years of her career.  Since 2001, Dr. Cavitt has operated her own Audiology consulting firm, Audiology Resources, Inc.  Audiology Resources, Inc. provides comprehensive operational and reimbursement consulting services to hearing healthcare providers. Dr. Cavitt is a Past-President of the Academy of Doctors of Audiology (ADA), a Representative to the Audiology Quality Consortium (AQC), a member of the State of Illinois Speech Pathology and Audiology Licensure Board, and Vice President of Government Relations for the Illinois Academy of Audiology.  She also serves on committees through ADA and ASHA and is an Adjunct Lecturer at Northwestern University.


Related Courses

Fundamentals of Audiology Coding
Presented by Kim Cavitt, AuD
Recorded Webinar
AudiologyOnline

Presenter

Kim Cavitt, AuD
Course: #37127Level: Intermediate3 Hours
  'Very informative! Great information'   Read Reviews
This course discusses various coding options used by audiologists. Part one defines audiology CPT, Modifiers, HCPCS and Place of Service codes and discusses their appropriate use. Part two focuses on the basics of IC-10, the most common codes used by audiologists, and how to effectively integrate this new code set into an audiology practice.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

ICD 10: Fundamentals and Appropriate Use in an Audiology Practice
Presented by Kim Cavitt, AuD
Recorded Webinar
AudiologyOnline

Presenter

Kim Cavitt, AuD
Course: #29962Level: Intermediate1 Hour
  'Highlighted basic info relating to the use of ICD 10 codes'   Read Reviews
This course will focus on the fundamentals of ICD 10 in an audiology practice, including coding scenarios, local coverage determination implementation, and code use.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

2021 Coding and Reimbursement Update
Presented by Kim Cavitt, AuD
Recorded Webinar
AudiologyOnline

Presenter

Kim Cavitt, AuD
Course: #35600Level: Intermediate1.5 Hours
  'This course was short and helpful'   Read Reviews
This course will focus on the coding and insurance updates that are new for 2021. We will discuss the CPT changes, MIPS additions, and managed care medical policy and coverage updates.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Ethical and Legal Requirements of Audiology Practice - Staying Compliant
Presented by Kim Cavitt, AuD
Recorded Webinar
AudiologyOnline

Presenter

Kim Cavitt, AuD
Course: #30065Level: Intermediate2 Hours
  'Well organized; presented a large volume of information in a manner that was not overwhelming'   Read Reviews
In this presentation, we will discuss the foundations of ethics and compliance in audiology, as well as U.S. regulations. We will explore the AAA and ASHA Codes of Ethics, state ethical guidelines contained in several state licensure laws, Medicare, HIPAA, the FDA Guidelines, Stark laws, and Anti-kickback laws and explain, in detail, how they relate to specific scenarios we encounter in audiology.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

2020 Coding and Reimbursement Update
Presented by Kim Cavitt, AuD
Recorded Webinar
AudiologyOnline

Presenter

Kim Cavitt, AuD
Course: #34179Level: Intermediate1.5 Hours
  'Informative'   Read Reviews
This course will focus on the coding and insurance updates that are new for 2020. We will discuss the CPT changes, MIPS additions, and managed care medical policy and coverage updates.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.