Search Search
Advanced Search

Otolaryngology Coding Alert

Reader Questions:

Check With Payer for AuD Credentialing

Published on Thu May 10, 2007

Question: The February 2007 Otolaryngology Coding Alert article on billing audiological diagnostic tests states that audiologists should have a Medicare provider number and bill the diagnostics codes. Does this apply to only Medicare? Do private payers now credential audiologists?

Iowa Subscriber Answer: Unlike the Medicare program in which audiologists (AuD) have independent provider status, private-sector third-party payer policies vary based on plan and state. So not all plans credential audiologists -- some do and some do not. For instance, Blue Cross and Blue Shield of Minnesota doesn't credential audiologists.

Best bet: To find out for certain, inquire directly with the respective plan.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Otolaryngology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.