Ask The Experts
Q&A from the most trusted names in audiology.
High Tech Hearing Instrument Shells - 'LasR™
February 24, 2003
Please discuss ''LasR™'' hearing instrument shells, the technology, and please explain what benefits we should expect from this technology? Read More
Hearing Aids - Adults Earmolds and Ear Impressions
Tympanograms After Myringoplasty
February 17, 2003
Is there any evidence to suggest that tympanograms should not be undertaken after myringoplasty? Read More
Medical and Surgical Hearing Evaluation - Children Pediatrics
ABR and ENG Reimbursement
February 17, 2003
I have gotten numerous answers to this question... can an independent audiologist bill insurance for the entire ABR and ENG? I do the test, and I interpret the test and then I send the results to the... Read More
Practice Management and Professional Issues Vestibular Issues and Balance Disorders Electrophysiology
Rotary Nystagmus in Posterior Canal BPPV
February 10, 2003
Why is the nystagmus in a BPPV patient rotary? What is the underlying explanation for the rotational characteristic? Read More
Vestibular Issues and Balance Disorders
Physician Referral
February 10, 2003
Very often, a physician will refer a patient to our private practice audiology clinic for an ''Audiologic Evaluation and ENG'' with a diagnosis of ''Vertigo''. In the best interest of the patient, his... Read More
Practice Management and Professional Issues
Palatal Myoclonus
February 3, 2003
I have heard little about palatal myoclonus and its associated objective tinnitus. Please elaborate on this subject. I have attempted to document the ''pulsatile'' contractions responsible for the tin... Read More
Tinnitus and Hyperacusis
CPT Coding for Speech Delay
February 3, 2003
We have children referred to us by their primary care physician for delayed speech, asking for a hearing test to be done to make sure they have normal hearing. What diagnosis code do you use for these... Read More
Practice Management and Professional Issues Hearing Evaluation - Children Pediatrics
Gap Detection
January 27, 2003
What are the factors for gap detection (related to parameters of procedures, stimuli, etc.)? Read More
Central Auditory Processing Disorder (CAPD)
Does Counseling Matter?
January 27, 2003
How important and effective is one-on-one counseling? Does it really matter, and is it really worth the time? Do handouts help educate the patient or are they seen as sales tools, rather than as sourc... Read More
Aural Rehabilitation and Counseling - Adults
West Nile Virus and Cholesteatoma
January 20, 2003
I have a patient who is a survivor of West Nile Virus. She lost mobility on her right side. Ever since she had the virus she noticed a decrease in right ear hearing. I sent her to her ENT and she had... Read More
Medical and Surgical
Evaluating Digital Hearing Aids
January 20, 2003
Can speech noise be used to evaluate digital hearing aids? If so, should the noise reduction circuits be turned off before the measurements are made? In the case of basic digital hearing instruments,... Read More
Hearing Aids - Adults
Fitting Young Children with Directional Technology
January 13, 2003
Do you recommend fitting children under 5 yrs. old with directional mics? We have been faced with several new referrals of young kids that we are fitting with Widex Divas, Phonak Claros, etc. and are... Read More
Hearing Aids - Children Pediatrics
Binaural Balance
January 13, 2003
In practice we sometimes bump into the binaural Hearing Aid fitting with the instruments of different technologies. I mean the situation when patient is fitted with analog (classic) instrument on one... Read More
Hearing Aids - Adults
Reimbursement Issues
January 6, 2003
What are the reimbursement options for hospital audiology program administrators? How are flat-fee outpatient clinic rates, often incorporating an array of specialty services for Medicaid recipients b... Read More
Practice Management and Professional Issues
MRI and Cochlear Implants
January 6, 2003
I am case managing a 12 yo child with a history of brain tumor, which was removed at age 3, followed by radiation, chemo. He has had several CVA's post radiation and developed bilateral sensorineu... Read More
Cochlear Implants
Prescription Hearing Aids
December 23, 2002
Can you use any hearing aid available (for instance, borrow someone else's) or do hearing aids need to be prescribed and made particularly for each individual? Can using the wrong hearing aids cause m... Read More
Hearing Aids - Adults
Billing for Cerumen Removal
December 23, 2002
Can Audiologists bill Medicare for cerumen removal? What is the code? Read More
Practice Management and Professional Issues
Great Ear Impressions
December 16, 2002
An excellent impression is critical for a well fitting hearing instrument. The following tips will help insure a good fit, either for a new custom instrument or a remake. Read More
Earmolds and Ear Impressions
Converting dBnHL to dBHL
December 16, 2002
1. What is the highest intensity level in dBnHL which can be used in ABR hearing threshold for deaf and normal patients.2. How to convert dBnHL to dBHL. Read More
Electrophysiology Hearing Evaluation - Adults
AMA Guidelines
December 9, 2002
What is the new criteria for calculating impairment based on AMA Guidelines 5th Ed? Can 5% be added if there is a diagnosis of tinnitus? Read More
Hearing and Hearing Loss
