Know the Facts: Charging Medicaid Patients
It is critical that audiologists and hearing instrument specialists understand regulations for charging for and delivering services or items to patients with Medicaid coverage.
It is critical that audiologists and hearing instrument specialists understand regulations for charging for and delivering services or items to patients with Medicaid coverage.
The bill would ensure those on Medicare are able to access a full range of hearing and balance healthcare services provided by audiologists.
While provider participation in managed care remains optional, managed care is now an integral part of US healthcare. Hearing care as a supplemental benefit will continue to grow in private and public health plans. Author Carrie Meyer, AuD, says it is critical that audiologists and hearing aid specialists understand the dynamics of managed care and become well informed to make the best decisions for their practices and their patients in this rapidly changing healthcare environment. Part 1 of this 3-part series is a primer on health insurance and managed care.
UnitedHealthcare announced the launch of its 2021 Medicare Advantage and prescription drug plans, showcasing “affordable coverage, exclusive benefits, expanded plan access, and a simplified member experience that connects people to quality care— when and where they need it.”
Read MoreThese foundational modifications were designed to make E/M office visit coding and documentation simpler and more flexible, according to the AMA. The changes to CPT codes ranging from 99201-99215 are proposed for adoption by the Centers for Medicare and Medicaid Services on January 1, 2021.
Read MoreA federal appeals court who heard the case determined that “insurance companies cannot discriminate against disabled people by broadly denying coverage for the types of treatment they need,” according to the article, but said the plaintiffs may not be entitled to coverage because “not everyone with a hearing loss is disabled.”
Read MoreIn awarding its credentialing accreditation, NCQA conducted a review process of Amplifon that focused on several key areas, including internal quality improvement, appropriateness of agreements and collaboration with clients, peer review process, credential verification, and monitoring of sanctions and complaints.
Read MoreThe company has developed digital technologies that allow access to hearing tests and related care from any location, including their homes, local community, and mobile devices when on the go.
Read MoreA bipartisan group is urging fellow Members of Congress to include provisions of the Medicare Audiologist Access and Services Act (H.R. 4056/S. 2446) in upcoming COVID-19 packages. The bill would include eliminating physician order requirements, updating the Medicare statute to classify audiologists as (LLP) practitioners, and authorizing Medicare to reimburse audiologists for the Medicare-covered medically necessary treatment services.
Read MoreThe company’s expansion is said to be largely tied to updated guidance and increased flexibility provided by the Centers for Medicare & Medicaid Services (CMS), which results in MA plans offering more supplemental benefits for 2020 and beyond.
Read MoreThe new recommendations are specifically targeted to communities that are in Phase 1 of the Guidelines for Opening Up America Again with low incidence or relatively low and stable incidence of COVID-19 cases.
Read MoreThe American Speech-Language-Hearing Association (ASHA) announced that as a “direct result of its...
Read MoreAs part of the expansion, Medicare will pay physicians, nurse practitioners, clinical psychologists, and licensed clinical social workers to offer telehealth services in any healthcare facility including doctor’s offices, nursing homes, hospitals, or their homes, according to the article.
Read MoreBorn of the annual “Inc. 5000” franchise, this regional list represents “a unique look at the most successful companies within the Florida economy’s most dynamic segment—its independent small businesses.”
Read MoreA bill sponsored by South Carolina Sen. Greg Hembree to provide coverage for hearing aids and repairs, up to $2,500 every two years, is currently in the Senate’s banking and insurance committee.
Read MoreThis acquisition will reportedly allow AuDStandard “to provide the industry’s most innovative and effective marketing services to current and future clients,.”
Read MoreAccording to the study, which analyzed data from the 2016 Cost Supplement to the Medicare Current Beneficiary Survey, out-of-pocket expenses comprised 79% of spending for hearing care among Medicare beneficiaries with supplemental coverage.
Read MoreAre subtle but important distortions of audiological science being slipped into hearing-related legislation? H.R. 3’s current language promotes a bias—intended or not—that mild-to-moderate hearing loss and severe-to-profound hearing loss are two distinct categories, requiring two distinct legislative treatments. Says who?
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