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Direct Access: The Evolution of Hearing and Balance Health Care in the 21st Century

机译：直接访问：21世纪听力和平衡医疗保健的发展

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摘要

For services performed by the audiologist to be recognized as a covered benefit, Medicare currently requires its beneficiaries to see a physician first to evaluate for medical necessity and obtain physician referral. This creates barriers for many patients who defer hearing and balance health care because they find the process cumbersome. Eliminating the need to see the physician first would remove a hurdle for the Medicare patient. Direct access provides a safe and cost-effective manner for the Medicare beneficiary to access hearing and balance health care.Long-standing successful direct access programs are in place that serve as models for Medicare to follow. Evidence-based data have proven that patients appreciate and benefit from being able to see the audiologist first. Implementation of direct access can be achieved either by legislative or regulatory methods. Patient safety is a priority. Collegial audiology and physician relationships assure positive patient outcomes. Partnering between the audiology and physician communities will facilitate the securing of direct access.KEYWORDS: Direct access, Centers for Medicare and Medicaid Services (CMS), audiologists, legislative initiatives, Medicare reimbursement
机译：为了使听力学家提供的服务被确认为承保范围内的医疗保险，Medicare当前要求其受益人首先去看医生，以评估医疗需求并获得医生推荐。这给许多延迟听力和平衡医疗保健的患者带来了障碍，因为他们发现该过程很麻烦。消除了首先去看医生的需要，将消除Medicare患者的障碍。直接访问为Medicare受益人提供了一种安全且经济高效的方式来获得听力并平衡医疗保健。长期有效的直接访问计划已经到位，可以作为Medicare效仿的典范。基于证据的数据已证明，患者能够先见到听力学家，从而从中受益并受益。可以通过立法或监管方法来实现直接访问。患者安全是重中之重。高校听力学和医师关系可确保患者获得积极的结果。听力学和医师社区之间的合作将促进直接访问的安全。关键字：直接访问，医疗保险和医疗补助服务中心（CMS），听力学家，立法计划，医疗保险报销

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