ASHA provides information on payment for audiology and speech-language pathology Medicare services provided in all outpatient settings, including in-depth analysis of relevant policy changes and national payment rates.
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Audiology and speech-language pathology services under Medicare Part B (outpatient) have reimbursement rates established by the MPFS regardless of provider setting, except for outpatient audiology services provided in hospitals. ASHA provides information on the MPFS for audiologists and SLPs, including in-depth analysis of relevant policy changes and revisions to the fee schedule, Medicare Part B payment rules, geographic adjustment calculations, and new developments each calendar year. The Centers for Medicare & Medicaid Services (CMS) updates the fee schedule annually for implementation on January 1.
ASHA's analysis of the 2022 MPFS provides an overview of relevant policy changes and calculates national average payment amounts for audiologists and SLPs, including a comparison with 2021 payment rates to help clinicians estimate the impact of the Medicare cuts. On December 10, 2021, Congress intervened to partially mitigate the cuts. ASHA provides the updated payment rates below.
Medicare pays for hospital-based outpatient audiology services under the OPPS. Speech-language pathology services performed in hospital outpatient clinics are billed fee-for-service through the MPFS, with the exception of a few CPT codes not classified as “always” or “sometimes” therapy codes. ASHA provides information on the OPPS for audiologists and SLPs, including an analysis of relevant policies, changes to Ambulatory Payment Classifications (APCs), and rates for implementation each calendar year. CMS updates the OPPS annually for implementation on January 1.
ASHA's analysis of the OPPS provides an overview of relevant policy changes and national APC payment amounts for audiologists and SLPs.