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.
Payer Resources
The Academy provides payers in audiology with the latest information and a wide range of resources.
Coverage
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.
Payment Policy
Find the latest information regarding the Quality Payment Program and Merit-Based Incentive Payment System along with Medicare fee schedules for audiology services.
CMS Finalizes 2.83% Cut for 2025
On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) and the Hospital Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Center (ASC) proposed regulations. Unless otherwise noted, the regulations are effective on January 1, 2025.
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.
Limited Direct Access to Audiology Services Under Medicare: Updated Information
CMS issued additional guidance regarding the new provision for limited direct access to audiology services that will go into effect on January 1, 2023.
Compliance
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.
