Table 2. Additional Factors for Service Matrix When Patient Is an Established Patient.

	Assessment of Hearing Status and Hearing Handicap: Evaluating, Assessing, Diagnosing	Audiologic Decision-Making: Interpreting, Reviewing	Counseling and Treatment: Assisting, Instructing, Counseling
Established patient—straightforward	Assessment of limited amount of data related to original complaint or a change in complaint	Perform basic reprogramming of hearing aid(s)	Basic counseling/instructions on adjustments made to hearing aids
	Review of hearing recheck results	Perform listening checks
	Assess the patient with new/changed psychological, educational, emotional, social and/or vocational impact of original complaints/change in complaints	Perform routine laboratory troubleshooting procedures such as retubing, replacing microphone covers, cleaning, etc.
Established patient—complex	Assessment of extensive amount of new complaints/change in complaints	Perform extensive reprogramming of devices	Extensive counseling/instruction on adjustments made to hearing aids and/or additional assistive devices
	Review hearing recheck test results and/or evaluate with secondary procedure to measure extent of new complaints/change in complaints, such as tinnitus evaluation, speech-in-noise testing, ultrahigh frequencies, etc.	Perform hearing instrument test box measures and/or measurements
	Evaluation using objective measures to assess change in hearing handicap and lifestyle complaints	Add additional assistive devices, such as streamers, remote products, etc.