Title: 'Guidance for Hearing Re-Screening in the Medical Home '
Track: 4-Medical Home
Keyword(s): Rescreening; medical home; billing; reimbursement
Learning Objectives: 1. Understand the role of the medical home in re-screening 2. Identify the key steps a medical home should be taking when conducting an in-office rescreen 3. Identify related billing/reimbursement codes


Rescreening a child that failed the initial hospital hearing screening is becoming more common in medical office settings. Medical home providers are beginning to conduct the re-screen in their office using OAEs. As this is a fairly new practice and becoming more prevalent, there is no guidance on best practices to ensure providers and/or office staff is properly trained to conduct the screening, read the results, report results to the state, and/or arrange a full audiological evaluation for those children that are identified as having a potential hearing loss. The AAP loss to follow-up/documentation (LTF/D) Workgroup -a subcommittee of the AAP Task Force on Improving the Effectiveness of Hearing Screening, Diagnosis, and Intervention (EHDI Task Force) - has developed a set of guidelines for medical home providers to ensure that screens are conducted accurately and results are reported to the state. This information will be extremely useful to providers already rescreening in the office and those that may be considering it. We will also briefly address billing and reimbursement practices related to same.
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Jack Levine - Kew Gardens Hills Pediatrics
     Credentials: MD, FAAP
     Other Affiliations: Assistant Clinical Professor of Pediatrics, Hofstra University School of Medicine
      Dr. Levine is a community based general pediatrician in Queens, NY who has subspecialty certification in Developmental-Behavioral Pediatrics. He was the recipient of a 2008 American Academy of Pediatrics CATCH (Community Access to Child Health) grant and 2012 Healthy People 2020 grant. Dr. Levine is the director of the Center for Autism at Nassau University Medical Center. He is an Assistant Clinical Professor of Pediatrics at Hofstra University School of Medicine and a frequent speaker to both families and professionals. Dr. Levine is a member of the AAP Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis and Intervention.
Bradley Golner - American Academy of Pediatrics
     Credentials: MD
      Dr Golner has a Medical Degree from the University Of Arizona College Of Medicine. He has been in general pediatrics for 13 years in Phoenix, AZ with Phoenix Pediatrics. He serves as the AAP EHDI Chapter Champion for the Arizona Chapter and is a member of the AAP Task Force on Improving the Effectiveness of Newborn Hearing Screening, Diagnosis, and Intervention. Dr Golner is also the medical home representative member for Arizona's Newborn Screening Partners and faculty with EQIPP-newborn screening.