Overview of H.R. 1116 - Comprehensive Medicare Audiology Services

What H.R. 1116 does

H.R. 1116

  • moves audiology forward in the current health care system by recognizing audiologists as diagnostic and treatment providers, able to receive Medicare reimbursement for professional services provided;
  • increases access to care by allowing Medicare beneficiaries to receive diagnostic and treatment services from audiologists;
  • maintains audiologists' ability to use clinical judgment and expertise in treating their patients;
  • recognizes that plans of care are a Medicare requirement for treatment providers and requires the ordering physician to periodically review the plan of care to ensure overall patient care coordination; 
  • encourages interdisciplinary participation through collaboration with the medical/health home and other specialty care providers;
  • positions audiologists positively in health care reform, which is focused on treating the whole patient;
  • has a good likelihood of passage in the current political and health reform environments.

What H.R. 1116 does not do

H.R. 1116

  • has no impact on the current Medicare requirement for physician or other primary care provider referral or plan of care review,
  • does not make audiology services subject to the therapy caps,
  • has no direct impact on Medicare reimbursement values and rates,
  • has no impact on hearing aid coverage under Medicare.

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