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Seminars in Hearing

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https://read.qxmd.com/read/31413444/audiology-private-practice-what-students-should-consider
#1
REVIEW
Mary Kassa
Students who have graduated from a Doctor of Audiology program are qualified to practice as audiologists as determined by university standards, national examination, and state licensure; however, being qualified to practice audiology does not necessarily mean a person is ready to open a private practice. Students may have had a few business or clinic management courses and may have had the opportunity to rotate through private practices; however, these few experiences would not sufficiently prepare them for the realities of owning and operating a business...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413443/digital-marketing-for-private-practice-how-to-attract-new-patients
#2
REVIEW
Kevin D StClergy
Digital marketing in the hearing profession can be confusing, difficult, and make any private practice owner or manager frustrated with the results they are or are not getting. This article provides a digital marketing plan for getting new patients to contact your office for hearing healthcare services. Patients are confused when researching hearing aids, audiologists, and hearing tests. Some Web sites advertise bypassing licensed professionals, recommending only an online hearing test or an audiogram faxed into their office for the purpose of fitting hearing aids or other technology...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413442/often-posed-questions-and-answers-regarding-medicare-contracting-and-non-hearing-aid-services
#3
REVIEW
Debra Abel
Medicare Part B provider participation is often met with grumbling and disdain by most health care providers, including audiologists. Other pain points for audiologists likely include insurance contracts, third-party administrators, and the unknown of the future. The dynamic landscape that will include technology and delivery systems was, until recently, mere thoughts on paper and in conference rooms. With the moderate amount of misunderstanding about Medicare and contracting rules among the members of the profession, it is this article's intent to dispel these Medicare myths as they pertain to hearing and balance services provided by Medicare Part B-enrolled audiologists, to offer considerations in a practice's decision whether to accept commercial insurance and third-party payer contracts, and to offer the tools to position a practice to provide non-hearing aid-related services based on today's current information...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413441/gaining-greater-adherence-from-patients-for-amplification
#4
REVIEW
Gyl A Kasewurm
Every audiology curriculum features coursework and clinical practicum experiences on the knowledge and skills necessary to complete a basic audiological evaluation, diagnose the source of any abnormalities, and a plan for intervention. More advanced coursework typically includes information on balance disorders, newborn infant hearing screening, hearing conservation, amplification, and other electrophysiological tests. In addition, most programs include at least one course on the basic management principles on how to start and maintain a private practice in audiology...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413440/resale-product-and-accessory-opportunities-for-audiology-practices
#5
REVIEW
A U Bankaitis Smith
Patients need and/or want access to any number of products, including consumables and durable goods, and accessories as part of their audiology care. Audiologists have an opportunity to offer products and accessories for resale from their clinical office. Several methods for reselling items to established patients including an overview of an ecommerce approach successfully implemented by several individual audiology private practices will be reviewed. Upon completion, readers will be familiar with the general steps for incorporating an e-shop within an existing business Web site...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413439/making-a-good-hire
#6
REVIEW
Laurel Gregory, Deborah Clark
Hiring the right employee is paramount to the success of any business. In 2019, with unemployment rates low and job openings high, hiring anyone might sound good. However, taking the time to find the right employee far outweighs the cost of replacing a bad or desperate hire. This article discusses the interviewing and onboarding process to shift the odds positively in the direction of making a lasting, good hire.
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413438/what-gets-measured-gets-done-calculating-the-value-of-professional-service
#7
REVIEW
Dave Fabry
In many practices, the role of professional service in the hearing aid delivery process has been obfuscated by the use of bundled pricing models. Emerging direct-to-consumer and third-party administrator hearing aid distribution channels will further challenge practitioners to examine how, and if, they choose to participate with new strategies to increase hearing aid adoption rates. This article focuses on providing a straightforward method for calculating revenue per clinical hour required to maintain quality, professionally driven, and profitable care in the hearing aid diagnostic, selection, fitting, and follow-up process...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413437/third-party-payers%C3%A2-the-silver-bullet
#8
REVIEW
Amit Gosalia
Healthcare reform brought about many changes in the healthcare industry including the hearing aid delivery model. Third-party payers (TPPs) became a growing trend with health insurance companies. The traditional hearing aid delivery model changed from provider and patient to provider, TPP, and patient. Due to the insertion of this middle man, profit can be diminished from the hearing aid sale, along with processes. Based on this decrease in revenue, decisions need to be made if using a TPP is profitable or even affordable for a clinic...
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31413436/tools-for-success-in-private-practice
#9
Gyl Kasewurm
No abstract text is available yet for this article.
August 2019: Seminars in Hearing
https://read.qxmd.com/read/31036996/mechanisms-of-cisplatin-induced-ototoxicity-and-prevention
#10
REVIEW
Leonard P Rybak, Debashree Mukherjea, Vickram Ramkumar
Cisplatin is a highly effective antineoplastic agent used to treat solid tumors. Unfortunately, the administration of this drug leads to significant side effects, including ototoxicity, nephrotoxicity, and neurotoxicity. This review addresses the mechanisms of cisplatin-induced ototoxicity and various strategies tested to prevent this distressing adverse effect. The molecular pathways underlying cisplatin ototoxicity are still being investigated. Cisplatin enters targeted cells in the cochlea through the action of several transporters...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036995/coding-and-reimbursement-for-cochleotoxicity-and-vestibulotoxicity-services
#11
REVIEW
Debra Abel
Because of the ICD-10 disease coding system transition that occurred in the United States in 2015, coding and billing for services on behalf of patients who experience cochlear and/or vestibular toxicity may be daunting and misunderstood. Coding and billing for any audiology procedure can be compelling; choosing the appropriate codes for these specific patients is critical not only for payment for services rendered but also for the national and global implications, given their utilization is tracked for mortality and morbidity statistics and potential policies...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036994/ototoxicity-visualized-in-concept-maps
#12
REVIEW
Kelly L Watts
Ototoxicity refers to the damage to structures and function of the auditory-vestibular system caused by exogenous agents such as pharmaceuticals, chemicals, and ionizing radiation. There are many potentially ototoxic substances. For example, depending on how ototoxicity is defined, there are 200 to 600 medications that can cause damage to hearing and/or balance. Ototoxicity encompasses cochleotoxicity, vestibulotoxicity, and neurotoxicity. A variety of professional disciplines are involved in determining causation, prevention, and management of ototoxic effects...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036993/otoprotectants-from-research-to-clinical-application
#13
REVIEW
Colleen G Le Prell
There is an urgent need for otoprotective drug agents. Prevention of noise-induced hearing loss continues to be a major challenge for military personnel and workers in a variety of industries despite the requirements that at-risk individuals use hearing protection devices such as ear plugs or ear muffs. Drug-induced hearing loss is also a major quality-of-life issue with many patients experiencing clinically significant hearing loss as a side effect of treatment with life-saving drug agents such as cisplatin and aminoglycoside antibiotics...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036992/pediatric-ototoxicity-current-trends-and-management
#14
REVIEW
Brian J Fligor
Medical interventions to combat serious infection or malignancies carry significant morbidities, including ototoxicity. While these lifesaving drugs are often necessary to preserve life, the impact on quality of life for survivors is increasingly concerning for families and healthcare providers. Of primary importance for medical prescribers are appropriately sensitive ototoxicity grading scales and audiological monitoring protocols for surveillance for hearing loss. The intent of grading scales is to help communicate complicated audiological information to non-audiologist healthcare providers (such as oncologists) to help them make good decisions with regards to chemotherapy dosing...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036991/vestibular-toxicity-causes-evaluation-protocols-intervention-and-management
#15
REVIEW
Richard E Gans, Grant Rauterkus
The loss of vestibular function, typically bilateral, due to chemical solvents and pharmacological agents is not rare and has been investigated and reported for many years. The successful treatment of bacterial infections and sepsis with IV antibiotics and cancer-fighting drugs like cisplatin makes the decision to use these life-saving drugs less of a debate, despite their potential deleterious effect on balance and equilibrium. The purpose of this article is to provide the reader with an overview of the more common substances found in industry and medicine which may decrease or permanently destroy peripheral and/or central vestibular function...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036990/monitoring-protocols-for-cochlear-toxicity
#16
REVIEW
Sherman G Lord
The need for monitoring hearing and auditory function during drug therapy and other treatments that have the potential to cause hearing loss is well documented. Besides the main purpose of ototoxic monitoring, which is to provide feedback to the attending physician about the effects the treatment is having on the auditory system, it is also helpful in setting expectations for the patient and his/her family about the communication issues that may result from the drug therapy. This article will review tests available to an audiologist, both subjective and objective, that can be used to effectively monitor hearing levels and auditory function during treatment...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036989/a-review-of-cisplatin-associated-ototoxicity
#17
REVIEW
Jessica Paken, Cyril D Govender, Mershen Pillay, Vikash Sewram
Cisplatin, an effective antineoplastic drug used in the treatment of many cancers, has ototoxic potential, thus placing cancer patients, receiving this treatment, at risk of hearing loss. It is therefore important for health care professionals managing these patients to be aware of cisplatin's ototoxic properties and its clinical signs to identify patients at risk of developing a hearing impairment. Eighty-five English peer-reviewed articles and two books, from January 1975 to July 2015, were identified from PubMed, ScienceDirect, and EBSCOhost...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036988/common-aminoglycosides-and-platinum-based-ototoxic-drugs-cochlear-vestibular-side-effects-and-incidence
#18
REVIEW
Robert M DiSogra
This is a reference chart that identifies 16 aminoglycoside antibiotics and platinum based drugs that could be cochleotoxic, vestibulotoxic or both. Using the most currently available data from published research from the National Library of Medicine's PubMed data base, incidence figures and risk factors are included in the chart along with the potential of permanence of reversibility of the impairment.
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036987/the-impact-of-pharmaceutical-side-effects-on-audiological-and-vestibular-measurements
#19
REVIEW
Robert M DiSogra
There are over 2,000 drugs with a combined total of over 400 side effects that could result in obtaining inaccurate case history information or inaccurate test results that may lead to misdiagnosing the patient's hearing or vestibular problem. The recommendations that are made could be inappropriate and thus can lead to management errors. A review of the auditory, vestibular, and cognitive side effects of many of the drugs patients take regularly (including drugs that can cause tinnitus) is provided. This article offers suggestions to obtain a more accurate case history...
May 2019: Seminars in Hearing
https://read.qxmd.com/read/31036986/pharmacology-for-the-audiologist
#20
REVIEW
Tracy Offerdahl, Vallabhi Mishra
The purpose of this article is to provide a brief introduction and review regarding basic principles of pharmacology, including terminology and colloquialisms, as well as pharmacokinetic and pharmacodynamic principles of ototoxic agents. As an audiology practitioner, it is more important than ever to have a working knowledge regarding the known and proposed mechanisms of action for drugs and chemicals with known ototoxicity potential. Additionally, this article provides a discussion regarding the biochemistry behind distribution, which is a major step in determining ototoxic potential of known and potential ototoxins...
May 2019: Seminars in Hearing
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