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Ask The Experts

Q&A from the most trusted names in audiology.

Billing for Medicaid/Medicare

Steven C. White, PhD, CCC-A

April 28, 2003

Can an independant audiologist whose practice is located in the same building as a physician bill for medicaid and medicare without any physician referral(for all services, please)?   Read More

Extended Warranty

Charles Stone, AuD

April 21, 2003

Please describe extended warranty programs for hearing aids?   Read More

Choosing an Au.D. Program

Neil J. DiSarno, PhD

April 14, 2003

What features should I look for when choosing an Au.D. program?   Read More

Pre-kindergarten Hearing Screening

Cheryl DeConde Johnson, EdD

April 7, 2003

What do you suggest for prekindergarten hearing screening? We presently do pure tone testing on all students, but also do tympanometry measures on all pre kindergarten students as well. We are wonderi...   Read More


Written Referrals and Medicare

Robert C. Fifer, PhD

March 31, 2003

Is it necesary to have a WRITEN referral for a hearing test to be covered under medicare?   Read More

Transtympanic vs. Extratympanic Electrocochleography

John A. Ferraro, PhD, MS, ASHA Fellow, FAAA

March 24, 2003

Can you please explain the advantages and disadvantages of transtympanic versus extratympanic electrocochleography testing?   Read More

Directional Microphone Verification

Eric Branda, MS, CCC-A

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

Same Day Billing for Audio Procedures and Medical Procedures

Robert C. Fifer, PhD

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

Indications for Rotary Chair Testing

Peta J. Gates, MA, CCC-A

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

High Tech Hearing Instrument Shells - 'LasR™

Lori Timmerman, MA, CCC-A

February 24, 2003

Please discuss ''LasR™'' hearing instrument shells, the technology, and please explain what benefits we should expect from this technology?   Read More


CPT Coding for Vestibular Assessment

Robert C. Fifer, PhD

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


Tympanograms After Myringoplasty

Charles Augustine Syms, MD

February 17, 2003

Is there any evidence to suggest that tympanograms should not be undertaken after myringoplasty?   Read More


ABR and ENG Reimbursement

Robert C. Fifer, PhD

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


Rotary Nystagmus in Posterior Canal BPPV

Henry Trahan, MCD

February 10, 2003

Why is the nystagmus in a BPPV patient rotary? What is the underlying explanation for the rotational characteristic?   Read More

Physician Referral

Bryan Liang, MD, JD, PhD

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

Palatal Myoclonus

Kyle C. Dennis, PhD, CCC-A, FAAA

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

CPT Coding for Speech Delay

Robert C. Fifer, PhD

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


Gap Detection

Robert Keith, PhD

January 27, 2003

What are the factors for gap detection (related to parameters of procedures, stimuli, etc.)?   Read More

Does Counseling Matter?

Megan Carreras

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

Evaluating Digital Hearing Aids

Carol Thomas Bryant, AuD

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

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