Medicare Supervision Requirements for Audiologic Diagnostic Testing

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Question:  

We would like to maximize the time the audiologist sees patients in the office when the otolaryngologist is in surgery. Is the physician required to be in the office for the supervision of any diagnostic testing when the audiologist is here alone and performing diagnostic hearing tests on Medicare patients?

Answer:

No. Per Medicare supervisions requirements (CMS MM6447), when performed by an audiologist, the direct supervision requirement is not applicable to diagnostic audiology procedures. The audiologist may see any patient, but remember, the physician referral for a medically necessary reason for Medicare beneficiaries is required.