32 Miss. Code. R. 1-19.3

Current through December 10, 2024

Section 32-1-19.3 - COMPLETING YOUR ENT REPORT FORM

1.Page one - Background information (should be completed by the Counselor prior to the examination).

2.Page two - Audiogram and pure tones scores.

(O) represents right ear

(X) represents left ear

[ ] represents bone conduction (sound introduced in the temporal lobe).

MDRS uses the pure tone scores at [500hz, 1000hz, 2000 hz], which are referred to as the Speech Range, to determine if the client's loss causes serious limitation in their ability to function or move toward functioning on the home or community.

Pure Tone Averages are determined by adding the scores of these ranges and dividing by three. This is called a three-frequency average. If there is a presence of loss in at least one of the frequencies in the speech range that drops sharply at 4000 hrtz, the Counselor should do a four-frequency average.

Several terms are used in the section:

- Air refers to the result of the test for air conduction using pure one averages.

- Bone refers to the results of the test for bone conduction.

3.Page three

1) Additional test results this is not a part of most routine ENT evaluations. If the physician recommends additional testing, the recommended procedure would be authorized in advance on a separate authorization.

2) Hearing aid specifications This section is also not needed as part of the ENT evaluation. If the ENT group will be the "informed choice" vender, the recommended fitting should be listed in this section. If the ENT group is not the "informed choice" vendor, this section will not be completed.

3) Hearing for speech This section is where the audiologist will score the speech discrimination test. SD scores are stated as percentages (%). The signature of the Audiologist is required at the bottom of this page.

4.Page four - Prognosis and recommendation by the diagnosis Otolaryngologist. Terms used in this section:

*Conduction refers to the outer and middle ear.

*Nerve refers to the inner ear.

*Mixed refers to both the conduction and nerve areas.

*Stable means that the loss has stabilized and might be improved with surgery.

*Progressive means that the loss can be expected to become worse unless corrected by surgery.

*Permanent means that the loss has stabilized, but surgery will not benefit it.

*Diagnosis refers to the physician's medical opinion as to cause of hearing loss.

*Prognosis refers to the physician's medical opinion as to expected outcome of recovery.

If the ENT Physician recommends surgery or hearing aids, the Counselor must still establish eligibility based on hearing loss in the better ear, OSDP is not bound by the ENT physician's recommendation if:

1) The client is not eligible for services.

2) The client does not elect to follow the recommended procedure.

32 Miss. Code. R. 1-19.3