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

Why This Topic Matters

Audiology diagnostic testing has specific Medicare billing requirements that can affect claim payment and compliance. Understanding who must order, supervise, perform, and bill the service helps practices reduce denials and avoid improper claim submission.

Article Sections

1. Only Schedule Audiology with a Physician Order

   Introduces Medicare ordering requirements for audiological diagnostic tests and notes that the discussion applies to practices with audiology services. It also references CMS guidance on who may order testing under certain circumstances.

2. Look at Professional and Technical Components

   Explains how CMS distinguishes technical and professional portions of audiology diagnostic services and discusses supervision and billing considerations. The section also addresses situations where a service is not divided into separate components.

3. Get Familiar With the Codes

   Reviews the broader CPT audiology code area referenced by the article and identifies examples discussed in CMS guidance. It includes a note about an exception involving a specific audiology test.