Now Available: ASHA’s Analysis of 2020 Medicare Payment Policies for Outpatient Audiology and Speech-Language Pathology Services

November 15, 2019

ASHA's analysis of the 2020 outpatient Medicare Physician Fee Schedule (MPFS) and hospital Outpatient Prospective Payment System (OPPS) final rules for audiologists and speech-language pathologists are now available on the billing and reimbursement website. These documents provide an overview of relevant policy changes and calculate national average payment amounts for audiology and speech-language pathology services.

Medicare Physician Fee Schedule

The MPFS establishes Medicare Part B policies and payment rates for outpatient audiology and speech-language pathology services. Most speech-language pathology services provided in hospital outpatient settings are also based on the MPFS.

Key policies addressed in the MPFS analysis include new and revised codes for pre- and post-implant evaluation of auditory function, computerized dynamic posturography, and cognitive function intervention, as well as changes to quality measures for reporting through the Merit-Based Incentive Payment System (MIPS). The documents also provide national payment rates for audiology and speech-language pathology services.

Hospital Outpatient Prospective Payment System

Medicare pays for outpatient hospital audiology services under the OPPS. However, most speech-language pathology services provided in hospital outpatient settings are paid under the MPFS.

Key policies addressed in the OPPS analysis include site-neutral payment and Ambulatory Payment Classifications (APCs), as well as associated rates for audiology and some speech-language pathology services.

ASHA Resources

Questions?

Please email reimbursement@asha.org with questions regarding the MFPS or hospital OPPS.


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