Question
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 the audio?
Answer
To my knowledge, the only code that is restricted by Medicare (for which some other companies are following suit) is cerumen removal. There are currently restrictions on billing for cerumen removal and either an audiogram or ENG on the same date of service. I am not aware of any other circumstances where either the physician can bill for the exam or the bill go forward for the audiogram. If there is a restriction, it is most likely a private third party payer who has arbitrarily made that designation.
Bob Fifer
Robert C. Fifer, Ph.D. Director of Audiology and Speech-Language Pathology Mailman Center for Child Development P.O. Box 016820 Miami, Florida 33101
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.
Related Courses
1https://www.audiologyonline.com/audiology-ceus/course/labyrinthine-reimbursement-for-hearing-aids-34378Labyrinthine Reimbursement for Hearing Aids: Navigating the PuzzleThis course will discuss factors affecting hearing aid reimbursement including the influence of insurances/HMOs, government regulations and corporate structures. Pro's and con's of billing models will also be discussed.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comLabyrinthine Reimbursement for Hearing Aids: Navigating the PuzzleThis course will discuss factors affecting hearing aid reimbursement including the influence of insurances/HMOs, government regulations and corporate structures. Pro's and con's of billing models will also be discussed.34378OnlinePT60M
This course will discuss factors affecting hearing aid reimbursement including the influence of insurances/HMOs, government regulations and corporate structures. Pro's and con's of billing models will also be discussed.
2https://www.audiologyonline.com/audiology-ceus/course/understanding-privilege-for-healthcare-professionals-36096Understanding Privilege, for Healthcare ProfessionalsSystems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comUnderstanding Privilege, for Healthcare ProfessionalsSystems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.36096OnlinePT60M
Systems of privilege have created a wide division of inequality. This course will help hearing care professionals identify their privilege and determine how to make a difference in their places of employment.
3https://www.audiologyonline.com/audiology-ceus/course/creating-leadership-in-audiology-through-37632Creating Leadership in Audiology Through a Mentoring CircleThere are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comCreating Leadership in Audiology Through a Mentoring CircleThere are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.37632OnlinePT60M
There are so many components to quality patient care that it is challenging to “master” them all. What if you could come together with other professionals who possess knowledge or experience that could help you or your practice? There are a number of veteran audiologists as well as rising professionals who have wisdom, qualifications, narratives, and unique journeys to share. The purpose of this talk is to rethink the traditional mentor/mentee vertical relationship and explore collaboration in the form of circle…where all professionals, regardless of age or experience, learn from each other.
4https://www.audiologyonline.com/audiology-ceus/course/unlocking-more-time-for-patients-41986Unlocking More Time for PatientsOn busy days in clinic have you ever wished for more time? Learn about Phonak products and processes across the patient journey that free up valuable clinic time for providers as well as reduce the time patients need to spend in the office for follow-up care.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comUnlocking More Time for PatientsOn busy days in clinic have you ever wished for more time? Learn about Phonak products and processes across the patient journey that free up valuable clinic time for providers as well as reduce the time patients need to spend in the office for follow-up care.41986OnlinePT60M
On busy days in clinic have you ever wished for more time? Learn about Phonak products and processes across the patient journey that free up valuable clinic time for providers as well as reduce the time patients need to spend in the office for follow-up care.
5https://www.audiologyonline.com/audiology-ceus/course/core-topics-for-audiology-assistants-37123Core Topics for Audiology AssistantsThis course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comCore Topics for Audiology AssistantsThis course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).37123OnlinePT180M
This course includes one hour of content on each of the following topics: 1) ethical concepts and decision-making; 2) universal safety precautions, including the Occupational Safety & Health Administration's (OSHA) bloodborne pathogens standard, and 3) patient confidentiality and the Health Insurance Portability & Accountability Act (HIPAA).
