decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / B-02-004
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Article Overview
This article is a Medicare Program Memorandum from CMS that explains coverage and payment guidance for audiology diagnostic services furnished by qualified audiologists. It is relevant to billing staff, audiology practices, and compliance teams that need to understand the general Medicare framework for these services, including references to Social Security Act provisions, carrier review of qualifications, and related administrative effective dates.
Why This Topic Matters
It helps readers determine whether audiology diagnostic services are covered under Medicare and what broad administrative requirements apply. The memo also clarifies how CMS framed the policy at the time and which organizations and manual references were part of the guidance.
Article Sections
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Program Memorandum and transmittal information
Administrative context for the memorandum, including issuing agencies, transmittal details, and the purpose of the reissue.
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Subject: Payment for Services Furnished by Audiologists
Overview of the Medicare coverage and payment framework discussed for audiology diagnostic services, including the general scope of the policy and related statutory references.
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Audiologist qualification requirements
General qualification criteria for audiologists and the types of credentials or verification sources carriers may review.
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Effective date, implementation date, and discard date
Timing information for when the memorandum applies, when it should be implemented, and when it may be discarded.
What You Will Learn
- What the memorandum addresses at a high level for audiology diagnostic services
- Which organizations and federal sources are referenced in the guidance
- What general qualification and administrative review topics are included
- Which dates govern the memorandum’s applicability and retention
Who Should Read This
- Medical coders
- Audiology practices
- Billing staff
- Compliance staff
- Medicare claims administrators
Codes Discussed
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