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Developing Patient-Centered Clinical Protocols - Ethical and Practical Considerations

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1.  What test addresses the number one patient complaint? Pure tone audiometry Word recognition testing speech in noise testing tympanometry

2.  What is one possible way to bill for speech in noise testing? Include it with your comprehensive protocol - 92557 Bill it as unlisted code - 92700 Speech testing with additional time (22 modifier) - 92556 All of the above

3.  To bill for speech testing, in addition to SRT, you must include: Words in quiet Words in noise Sentence level test Any speech test

4.  Testing speech perception in quiet Is always required Does not predict benefit with HAT Does not predict satisfaction with HAT Does not predict anything

5.  What is the benefit of doing binaural speech testing? Provides information about performance with both ears together You can bill for it Tells you about temporal processing You should not do it

6.  If you choose to perform dichotic digits as a screening of central auditory function, what should you do? 1 pair 2 pair 3 pair 4 pair

7.  For an adult, when should tympanometric testing be included? Always When complaints or audiometry suggest middle ear pathology When bone is not completed Never

8.  Why would one complete a PIPB Function? To rule out middle ear pathology To rule out cochlear pathology To rule out retro-cochlear pathology This is not a test

9.  Wideband reflectance Is tympanometry across the frequency spectrum Can have 226 or 1000 extracted Does not have a specific billing code All of the above

10.  Why would one cut bone conduction testing? Lack of time Previous SNHL audiogram without changes Previous SNHL audiogram with changes Previous tympanometry completed