A future where every journey is a safe one

Audiology Guidelines

As an audiologist, you play an important role in helping our clients with hearing and balance issues resulting from their transport accident injuries.

We have approved and can pay the reasonable costs of your patient’s audiology services immediately after a transport accident, when they are required as a result of a transport accident injury. We will review our client’s audiology services to ensure they're reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it. After a review we’ll let you and our client know the decision regarding further treatment.

Audiology assessments and reviews, audiograms, air conduction, impedance audiograms and the provision of equipment are included, with some restrictions.

For patients with a severe injury, the discussion, referral and approval of services may form part of the independence planning process.  If your patient's accident was prior to 14th February 2018 they may need to meet the medical excess before you can invoice the TAC for treatment.

Click on the tabs above for full details on our requirements and what we can and cannot pay for.

For more information on working with us, see: Audiologist page and General guidelines.

This guideline should be read in conjunction with the general provider guideline: What do I need to know about working with the TAC?

Who can provide audiology services?

You can provide services if:

  • You are an audiologist who is clinically certified by Audiology Australia.

What we can pay for

We have approved and can pay the reasonable costs of your patient’s audiology services when they are required as a result of a transport accident injury.

We will review our client’s treatment to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it.

Reviews help us understand our client’s injuries, treatment needs and goals and how to best support them to get their life back on track. After a review we’ll let you and our client know the decision regarding further treatment.

We can pay for:

We require written approval for:

Other things to note

For accidents that occurred prior to 14 February 2018 a medical excess may apply. Visit the medical excess page to see if it applies to your patient.  If the medical excess applies you will need to invoice the client directly.

If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the patient's treating team and our TAC coordinator.

If your patient already has an individualised funding package, audiology services may be included as part of that.

Gap in treatment

If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment. Ask our client for a copy of their approval if you haven’t seen them in 6 months.

How much we can pay

We can pay for services in line with our Audiology Services Fee Schedule.

What we cannot pay for

We cannot pay for:

  • Services provided by an audiometrist.
  • Services where CMBS items are used and there is no supervising medical practitioner.

This Guideline relates to the following client policies


Audiology Services

Effective 1 July 2019

For Audiology services provided on or after 1 July 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate
Audiogram, Air Conduction AU0005 $39.98
Impedance Audiogram not associated with other tests AU0020 $49.97

Initial Hearing Assessment & After 12 Months.

Assessment includes:

  • Audiogram, air and bone conduction or air conduction and speech discrimination,
  • Audiogram, air and bone conduction and speech discrimination,
  • Audiogram, air and bone conduction and speech with other cochlear tests and
  • Impedance audiogram associated with other tests.
AU0050 $151.99
Review and or maintenance consultation after 12 months AU0055 $151.99
For Audiology services provided between 1 July 2018 and 30 June 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate
Audiogram, Air Conduction AU0005 $39.18
Impedance Audiogram not associated with other tests AU0020 $48.96

Initial Hearing Assessment & After 12 Months.

Assessment includes:

  • Audiogram, air and bone conduction or air conduction and speech discrimination,
  • Audiogram, air and bone conduction and speech discrimination,
  • Audiogram, air and bone conduction and speech with other cochlear tests and
  • Impedance audiogram associated with other tests.
AU0050 $148.94
Review and or maintenance consultation after 12 months AU0055 $148.94

View Audiology - Hearing assessment and device request form

Audiology - Hearing assessment and device request form

Summary:

This form is to be completed when requesting hearing devices for our clients. You need to include clinical notes and the hearing assessment information with the form.