tci Medicare Compliance & Reimbursement - 2014 Issue 24

Medicare Approvals: Note Who Provided the Service Before Billing Audiology Tests

Ensure physician’s order to prevent having to write off claim. Bear in mind that audiological diagnostic tests are a separate benefit and not an incident-to service.Heed the following advice if your practice includes an audiologist. Only Schedule Audiology with a Physician Order Although an audiologist can submit claims under her own name, a physician must order the test. “Medicare patients have to have a doctor’s referral,” says Catherine Tinkey of ENT Medical Services in Iowa City. “Some commercial insurers don’t require it, but most do.” “Our rule of thumb is...

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