Business of Audiology Flashcards
What does SOAP stand for?
Subjective
Objective
Assessment
Plan
What does SBAR stand for?
Situation - problem being faced
Background - case details
Assessment - statement of concern (diagnostic findings and the immediate needs)
Recommendation - what you are asking of them
How can SBAR be used?
Verbal communications (phone)
Organizes statements prioritizing actions needed
What is patient centered care?
Active involvement of patients and their families in the design of care models and in decision-making about treatment options
What is fiduciary as it relates to patient centered care treatment plans?
A person places trust, confidence, and reliance on us to exercise discretion or expertise in acting on behave of a patient
What do referring providers expect audiologists to communicate with them?
A plan of care to manage diagnostic outcomes and hearing complaints
Recommendations to slow progression of future hearing difficulties
A plan to improve function hearing/quality of life through audiological care
What are medicare’s physician order requirements?
Physician order is required for audiology services in all settings except diagnostic tests for non-acute hearing conditions
May be directly assessed (without referral) once a year
What services will medicare reimburse?
Evaluation of the cause of disorders of hearing, tinnitus, and balance
Evaluation of suspected change
Determination of the effect of medication, surgery, or other treatment
Reevaluation to follow up regarding changes in hearing, tinnitus or balance that may be caused by established diagnosis that places the patient at probably risk for a change in status
Failure of screening
Diagnostic analysis of CI or brainstem implant and programming
Diagnostic tests before and after implantation
What conditions will medicare not cover the diagnostic assessments for?
When the auditory/balance status is already known
When the reason for hearing assessment is specifically related to hearing aids
What is the use of CPT-4 codes?
Primary diagnostic procedures
What is the use of HCPCS codes?
Services and supplies that are not defines or outlines in the CPT-4 system
What is the use of ICD-10 codes?
Diagnosis and/or symptoms
Are CPT-4 codes usually reimbursed?
Yes
Use these when possible
