Presenters: 
Erin L. Miller, AuD
Anna M. Jilla, AuD, PhD
Annette A. Burton, AuD

CEUs: 0.15 AAA CEUs

Duration: 90 minutes

Instructional Level: Beginner

Program Focus: Knowledge 

Description:

Currently, many payers do not provide coverage to their beneficiaries for all services within audiology’s scope of practice. Some payers only cover medically necessary hearing and balance assessment services with no coverage provision for therapeutic services. Additionally, most payers do not cover the assessment and management services performed by audiologists, which are necessary for quality patient care. Audiologists must be knowledgeable of payer-specific policies for those with whom they contract and determine if their reimbursement covers the cost of providing the service. This session will discuss case-based coding/payment options for audiologists to consider when providing non-covered audiology services.

Learning Outcomes: 

1. Describe alternatives for coding of audiology services that fall outside of those currently defined by the Current Procedural    Terminology (CPT)™ code set.
2. Identify ethical and legal options to code for non-covered audiology services.
3. Summarize how coding for non-covered audiology services can elevate the value of audiology services to consumers.

Erin L. Miller, AuD
Professor of Instruction; Coordinator, Northeast Ohio AuD Consortium
University of Akron

Anna M. Jilla, AuD, PhD
Jo Mayo Endowed Assistant Professor of Audiology
Lamar University

Annette A. Burton, AuD
Director
Easterseals Center for Better Hearing