Coding and coverage are important components of the reimbursement equation. Compliance information is a guide to help audiologists uphold professional standards. Find resources for coding, coverage, reimbursement, and compliance below.
Find the latest updates in audiology coding and resources such as billing templates, guidance on modifier usage, and more here.
2020 and 2021 Coding Articles
To help address coding questions, the Coding and Reimbursement Committee has compiled articles that have appeared in Audiology Today.
New Audiology CPT Codes for 2021
There are seven new CPT codes for auditory-evoked potential (AEP) and vestibular-evoked myogenic potential (VEMP) services.
Find the latest updates in Medicare coverage policies for audiology services.
Participating in Medicare
Find a list of resources diving into how to participate in Medicare from sample claim forms to an advanced beneficiary notice (ABN) reference guide.
Medicare Frequently Asked Questions
Find a list of frequently asked questions regarding Medicare from advanced beneficiary notice to sending referral pads to physicians.
Find the latest information regarding the Quality Payment Program and Merit-Based Incentive Payment System along with Medicare fee schedules for audiology services.
The Academy has developed a list of new items for reimbursement for audiologists. Keep up with the latest reimbursement and coding news here.
Quality Payment Program and Merit-Based Incentive Payment System
As patients, payers, and policy-makers focus on quality care, the Academy will present up-to-date information on program participation.
Ask Your Audiology Organizations: Coding and Reimbursement Guidance from Your National Organizations
Members of the Academy's Coding and Reimbursement Committee (CRC) and the Practice Policy Advisory Council (PPAC) collaborated with other audiology organizations to develop coding guidance based on frequently asked questions (FAQs).
2023 Proposed Rule – Medicare Physician Fee Schedule
November 9, 2022
Late November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) issued the Final Rule on the 2023 Medicare Physician Fee Schedule (MPFS). The Academy has compiled a chart of 2023 reimbursement values for audiology codes, available here. This Final Rule contains significant provisions for the delivery of audiology services. We have provided an overview of important provisions below.
The Academy offers in-depth information on Medicaid. Continue to check back for more updates on Medicaid resources.
The American Academy of Audiology (the Academy) Coding and Reimbursement Committee (CRC) compiled an in-depth chart of State Medicaid contact information. The CRC hopes this chart will be a useful reference tool to provide an initial contact number for audiologists, contact information for State Medicaid program trainers, as well as links to State Medicaid program fee schedules and provider manuals.
The Academy offers a wealth of resources to ensure audiologists and audiology practices maintain compliance with applicable federal regulations and more.
Federal Regulations Affecting the Practice of Audiology
This summary guide includes information on the Anti-Kickback Statute. Safe Harbor, Stark laws, and the False Claims Act (FCA).
Food and Drug Administration (FDA) Hearing Aid Dispensing Guidelines
These guidelines involve the required use of a medical clearance, medical waiver, and other provisions for dispensing.
COVID-19 updates are ongoing. The Academy is dedicated to providing its community with relevant and timely information. Keep a lookout for COVID-19 resources that will benefit you in any practice setting.