Ask The Experts
Q&A from the most trusted names in audiology.
Directional Microphone Verification
March 17, 2003
My practice is a 'bare bones' practice. We do not have real ear equipment. Nonetheless, we would like to verify performance of directional microphones for our patients. How can we accomplish this? Read More
Hearing Aids - Adults
Same Day Billing for Audio Procedures and Medical Procedures
March 10, 2003
In an ENT practice, what are the procedures that if billed with an audio procedure with the same date of service result in only one or the other being paid, that is, only the medical procedure or only... Read More
Practice Management and Professional Issues
Indications for Rotary Chair Testing
March 3, 2003
We are getting a rotary chair. What are the current indications for the test? Which of the various rotary chair tests provide the most dignositic information (i.e. the SHA, VVOR,Step test, OPK)? Which... Read More
Vestibular Issues and Balance Disorders
High Tech Hearing Instrument Shells - 'LasR™
February 24, 2003
Please discuss ''LasR™'' hearing instrument shells, the technology, and please explain what benefits we should expect from this technology? Read More
Hearing Aids - Adults Earmolds and Ear Impressions
CPT Coding for Vestibular Assessment
February 24, 2003
What CPT codes should be used for subtests such as head shaking, hyperventilation induced nystagmus, or vibration induced nystagmus. What is the appropriate code for the canalith repositioning maneuve... Read More
Vestibular Issues and Balance Disorders Practice Management and Professional Issues
Tympanograms After Myringoplasty
February 17, 2003
Is there any evidence to suggest that tympanograms should not be undertaken after myringoplasty? Read More
Medical and Surgical Hearing Evaluation - Children Pediatrics
ABR and ENG Reimbursement
February 17, 2003
I have gotten numerous answers to this question... can an independent audiologist bill insurance for the entire ABR and ENG? I do the test, and I interpret the test and then I send the results to the... Read More
Practice Management and Professional Issues Vestibular Issues and Balance Disorders Electrophysiology
Rotary Nystagmus in Posterior Canal BPPV
February 10, 2003
Why is the nystagmus in a BPPV patient rotary? What is the underlying explanation for the rotational characteristic? Read More
Vestibular Issues and Balance Disorders
Physician Referral
February 10, 2003
Very often, a physician will refer a patient to our private practice audiology clinic for an ''Audiologic Evaluation and ENG'' with a diagnosis of ''Vertigo''. In the best interest of the patient, his... Read More
Practice Management and Professional Issues
Palatal Myoclonus
February 3, 2003
I have heard little about palatal myoclonus and its associated objective tinnitus. Please elaborate on this subject. I have attempted to document the ''pulsatile'' contractions responsible for the tin... Read More
Tinnitus and Hyperacusis
CPT Coding for Speech Delay
February 3, 2003
We have children referred to us by their primary care physician for delayed speech, asking for a hearing test to be done to make sure they have normal hearing. What diagnosis code do you use for these... Read More
Practice Management and Professional Issues Hearing Evaluation - Children Pediatrics
Gap Detection
January 27, 2003
What are the factors for gap detection (related to parameters of procedures, stimuli, etc.)? Read More
Central Auditory Processing Disorder (CAPD)
Does Counseling Matter?
January 27, 2003
How important and effective is one-on-one counseling? Does it really matter, and is it really worth the time? Do handouts help educate the patient or are they seen as sales tools, rather than as sourc... Read More
Aural Rehabilitation and Counseling - Adults
West Nile Virus and Cholesteatoma
January 20, 2003
I have a patient who is a survivor of West Nile Virus. She lost mobility on her right side. Ever since she had the virus she noticed a decrease in right ear hearing. I sent her to her ENT and she had... Read More
Medical and Surgical
Evaluating Digital Hearing Aids
January 20, 2003
Can speech noise be used to evaluate digital hearing aids? If so, should the noise reduction circuits be turned off before the measurements are made? In the case of basic digital hearing instruments,... Read More
Hearing Aids - Adults
Fitting Young Children with Directional Technology
January 13, 2003
Do you recommend fitting children under 5 yrs. old with directional mics? We have been faced with several new referrals of young kids that we are fitting with Widex Divas, Phonak Claros, etc. and are... Read More
Hearing Aids - Children Pediatrics
Binaural Balance
January 13, 2003
In practice we sometimes bump into the binaural Hearing Aid fitting with the instruments of different technologies. I mean the situation when patient is fitted with analog (classic) instrument on one... Read More
Hearing Aids - Adults
Reimbursement Issues
January 6, 2003
What are the reimbursement options for hospital audiology program administrators? How are flat-fee outpatient clinic rates, often incorporating an array of specialty services for Medicaid recipients b... Read More
Practice Management and Professional Issues
MRI and Cochlear Implants
January 6, 2003
I am case managing a 12 yo child with a history of brain tumor, which was removed at age 3, followed by radiation, chemo. He has had several CVA's post radiation and developed bilateral sensorineu... Read More
Cochlear Implants
Billing for Cerumen Removal
December 23, 2002
Can Audiologists bill Medicare for cerumen removal? What is the code? Read More
Practice Management and Professional Issues
