Bigger Reimbursements for 92626

Medical billing in the speech, language, and hearing community is looking a little more lucrative. A transmittal released by the Centers for Medicare and Medicaid Services announced a dramatic increase for reimbursement for the Current procedural terminology code 92626. Medical billing reimbursement will be nearly four times the old amount for this code.

The current procedural terminology code 92626 (Evaluation of auditory rehabilitation status; first hour) was reimbursable at $22.07. This has changed. Medical billing now allows this code to be valued at $81.76. The relative value unit (RVU) used to calculate this medical billing reimbursement was 2.20. Originally the RVU was 0.55.

The American Speech Language Hearing Association (ASHA) was the reason the RVU was changed at the last minute. They encouraged the Centers for Medicare and Medicaid Services to change the medical billing RVU because there was an earlier error that calculated the first release.

Another medical billing change for Auditory rehab deals with CPT 92627 (each additional 15 minutes). The rate for this medical billing code has been lowered from $22.07 to $20.62. This is the result of a decrease in malpractice costs.

Medical billing policies and reimbursement rates change constantly. To keep up with the changes, hiring a medical billing firm may be the smartest thing your practice can do in these times of change. These companies keep up to date on all medical billing changes and in turn help you get maximum reimbursement on your medical billing claims.

View all Articles by: Melissa Clark, CCS-P