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LCD - Vestibular Function Testing (L34537) - CMS
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34537#:~:text=An%20individual%20with%20a%20master%27s%20or%20doctoral%20degree,Clinical%20Competence%20from%20the%20American%20Speech-Language-Hearing%20Association%20%28ASHA%29.
Audiology Services | CMS
https://www.cms.gov/audiology-services
As defined in the Social Security Act, section 1861 , (ll) (3), the term “audiology services” specifically means hearing and balance assessment services furnished by a qualified audiologist. Hearing and balance assessment services are termed “audiology services” regardless of whether they are furnished by an audiologist, physician, nonphysician practitioner (NPP), or …
CMS Manual System
https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R84BP.pdf
R 15/80.3.1/Definition of Qualified Audiologist III. FUNDING: SECTION A: For Fiscal Intermediaries and Carriers: No additional funding will be provided by CMS; contractor activities are to be carried out within their operating budgets. SECTION B: For Medicare Administrative Contractors (MACs):
CMS Implements New Definition of AudiologistASHA CCC's no ...
https://www.audiologyonline.com/releases/cms-implements-new-definition-audiologistasha-6067
In 1994, Congress enacted a definition of an audiologist that relied upon state licensure to determine who was a "qualified audiologist" for the Medicare program. However, in several geographic areas, Medicare and private carriers misinterpreted the Medicare statute and inappropriately required the CCCs.
Definition of Qualified Audiologist - Medical Billing and ...
https://whatismedicalinsurancebilling.org/2012/08/definition-of-qualified-audiologist.html
Audiological tests require the skills of an audiologist and shall be furnished by qualified audiologists, or, in States where it is allowed by State and local laws, by a physician or non-physician practitioner. Medicare is not authorized to pay for these services when performed by audiological aides, assistants, technicians, or…
Medicare Coverage of Audiologic Diagnostic Testing
https://www.asha.org/practice/reimbursement/medicare/aud_services/
Medicare Definition of Audiologist. The Social Security Act (Section 1861) defines a qualified audiologist as an individual who. holds a master's or doctoral degree in audiology; in states that license audiologists, holds a valid license as an audiologist; in states that do not license audiologists, has.
Medicaid Toolkit: Qualified Provider
https://www.asha.org/Practice/reimbursement/medicaid/Medicaid-Toolkit-Qualified-Provider/
Has completed the academic program and is acquiring supervised work experience to qualify for the certificate (c) (3) A "qualified audiologist" means an individual with a master's or doctoral degree in audiology that maintains documentation to demonstrate that he or she meets one of the following conditions:
Medicare Coverage of Students: Audiology
https://prep.asha.org/practice/reimbursement/medicare/student_participation/
A Doctor of Audiology (AuD) 4th-year student with a provisional state license does not meet the definition of a qualified audiologist and therefore requires supervision, unless he or she also holds a master's or doctoral degree in audiology. According to Medicare rules, when a Medicare beneficiary is being evaluated by a student, they must be 100% supervised by the qualified …
LCD - Vestibular Function Testing (L34537) - CMS
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34537
An individual with a master's or doctoral degree in audiology and is licensed as such by the relevant State is considered to be a qualified audiologist. In addition to required licensure, audiologists are encouraged to obtain a Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA).
Glossary - Centers for Medicare & Medicaid Services
https://www.cms.gov/apps/glossary/default.asp?Letter=ALL
The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) permitted the Centers for Medicare & Medicaid Services (CMS) to consolidate the Fiscal Intermediary (Part A) and Contractor (Part B) systems into a new system administered by Medicare Administrative Contractors (MACs), covering both Part A and Part B claims in one ...
Glossary - Centers for Medicare & Medicaid Services
https://www.cms.gov/apps/glossary/default.asp?Letter=A&Language=English
Term Definition; A "TIER" is a specific list of drugs. Your plan may have several tiers,and your copayment amount depends on which tier your drug is listed.Plans can choose their own tiers, so members should refer to their benefit booklet or contact the plan for more information.
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