Medicare Regulations for Audiologists
Medicare rules for audiologists can be confusing, especially when it comes to enrollment, provider participation, mandatory claims submission, and billing compliance. Can audiologists opt out of Medicare? Do they have to file claims for every covered service? This blog debunks common Medicare myths and clarifies key regulations using official Medicare Benefit Policy Manual references and AI-powered analysis to ensure accuracy. Stay compliant, avoid billing mistakes, and navigate Medicare regulations with confidence.
NPI Structure for Multi-Location Audiology Clinics
NPI Structure for Multi-Location Audiology Clinics By: Kellye St Claire, MHA While you’re here, check out… NPI 101: Everything Audiologists Need to Know October 18, 2024 Read More ul > .bdt-post-block-item; delay: 350;”> Medicare & Audiology Questions Answered October 7, 2024 Skating Too Close May 29, 2024 Oticon Chooses Value Over Volume April 29, 2024 […]
NPI 101: Everything Audiologists Need to Know
An NPI (National Provider Identifier) is essential for audiologists when billing insurance and processing claims. Learn the difference between Type 1 and Type 2 NPIs, how to apply, and why keeping your NPI updated is crucial for smooth operations. Understand how Type 1 NPIs are for individual providers, while Type 2 NPIs are for healthcare organizations. Proper NPI management ensures accurate billing, compliance, and better patient care
Medicare & Audiology Questions Answered
As audiologists navigate Medicare’s complex compliance requirements, understanding key regulations—like mandatory claim submission and limits on opting out—is essential. For those considering selling a practice to a manufacturer, compliance risks only increase, with potential consequences such as financial penalties, loss of licensure, or exclusion from Medicare. This post breaks down crucial Medicare guidelines, highlights the importance of maintaining compliance, and explains why investing in legal consultation can protect both your practice and professional future.
Skating Too Close
Skating too Close May 28, 2024 Author: Kellye St. Claire, MHA In the realm of healthcare, particularly when it involves federal spending, the Stark Law and Anti-Kickback Statute are pivotal in ensuring that patient care decisions are based on medical need and not influenced by improper financial incentives. Let’s explore these regulations and consider their […]
Oticon Chooses Value Over Volume
By choosing value over volume and excluding their new Intent line from managed care formularies, Oticon is setting a new standard. This strategic choice has far-reaching implications. It proves that exclusivity not only enhances the patient experience but also solidifies the financial foundation of private practices.
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Data is Your Greatest Strategic Asset
Author: Kellye St. Claire, MHA February 24, 2024 Are you ready for a challenge? How many questions below can you confidently answer about your hearing aid practice: What’s the average number of visits a patient makes during the manufacturer warranty period? How many first time users did you fit last year? What is your highest […]