Billing & Reimbursement

Latest Developments

• Premera Blue Cross Rescinds Exclusion Policy on SGD/AACs for Autism (3/12/2008)
• Analysis of Medicare Updates to Audiology Coverage Policies (3/10/2008)
• 90-Day Physician Recertification to be Implemented (2/19/2008)

(See also: Audiology & SLP Advocates | Current Legislative News)

Coding For Reimbursement
Find billing code guidance and learn about the different coding systems used to obtain reimbursement for audiology and speech-language pathology services including:

• Current Procedural Terminology (CPT)
• Health Care Common Procedures Coding System (HCPCS)
• International Classification of Diseases (ICD-9)

Medicare
Learn about the federal Medicare program and how it relates to audiology and speech-language pathology services. Find reimbursement information and resources about Medicare including:

• Fees
• Coverage guidelines
• Local medical review policies

Medicaid
Learn about the Medicaid program and how it relates to audiology and speech-language pathology services. Find reimbursement information and resources about Medicaid including:

• Coverage guidelines
• School based services

Private Health Plans
Learn about private health plans and how they relate to audiology and speech-language pathology services. Find information and resources about reimbursement by private health plans including:

• Appealing denied claims
• Coverage under private health plans
• Determining fees