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2023 Coding and Reimbursement Update

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1.  What is the modifier that indicates “Audiology service furnished personally by an audiologist without a physician/NPP order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary”? AB GA GX GY

2.  What audiology services will always require a physician order? Cochlear implant evaluation and programming Auditory brainstem response testing Vestibular testing Otoacoustic emissions

3.  Which commercial health plan medical policy requires a written recommendation for hearing aids from a physician for hearing aid coverage? Aetna BCBS Cigna UHC

4.  HIPAA was last significantly modified in what year? 2003 2005 2013 2022

5.  An advanced beneficiary notice is appropriate for what health plan? Traditional Medicare Medicare Advantage Commercial insurance Both A & B