What Do You Think?
- The CMS-1500 Claim Form. Kander, Mark // ASHA Leader;5/26/2009, Vol. 14 Issue 7, p3
The article presents questions and answers related to the U.S. Centers for Medicare and Medicaid Services (CMS), CMS-1500 claim form required of speech-language pathologists including if there are any circumstances under which electronic submission of CMS-1500 rather than a hard copy is...
- Medicare Clarifies 2013 Payment Changes. // ASHA Leader;4/1/2013, Vol. 18 Issue 4, p8
The article discusses regulations related to therapy caps, manual medical review, and multiple procedure payment reductions clarified by The Centers for Medicare and Medicaid Services.
- Medicare Clarifies Manual Medical Review. Satterfield, Lisa // ASHA Leader;5/1/2013, Vol. 18 Issue 5, p20
The article reports that Medicare has issued clarifications for manual medical review process. It mentions that under newly released rules, speech-language pathology Medicare claims that exceed 3700 dollars for a single beneficiary will undergo prepayment review. The rules include different...
- DECODING MEDICARE. // O&P Almanac;Dec2009, Vol. 58 Issue 12, p30
The article provides several questions and answers related to Medicare coding, billing, and reimbursement including one on a prosthesis for a Medicare patient, one on medical policy governing Medicare coverage of lower-limb prostheses, and one on the recent changes to Medicare's medical policies.
- What Do You Think? // Long-Term Care Survey Alert;May2012, Vol. 14 Issue 5, p39
The article presents questions and answers related to Medicare in the U.S. which include the reimbursement for the Current Procedural Terminology (CPT) code 95992, the CPT code that speech language pathologist (SLP) use for re-evaluation, and the reimbursement for multiple evaluations.
- Gee Wiz Modifiers. Goldsmith, Harry // Podiatry Management;Mar2008, Vol. 27 Issue 3, p137
The article presents several questions and answers related to podiatry practice coding modifiers in the U.S., including an example of a service that needs an advance beneficiary note, using advance beneficiary notice for non-Medicare patients and sending Medicare claims for post-operative shoes.
- under pressure. CUTTER, MATTHEW; POLOVOY, CAROL // ASHA Leader;Jun2014, Vol. 19 Issue 6, p36
The article discusses how the high productivity expectations faced by speech-language pathologists (SLP) working in skilled nursing facilities (SNF) affect patient care and service delivery. Topics explored include the organizational pressures encountered by SLP Rachel Wynn at an SNF during her...
- Audit-Proof Your Documentation. SAMPSON, MONICA; JOHNSON, GENNITH; BROWN, JANET // ASHA Leader;8/1/2013, Vol. 18 Issue 8, p30
The article discusses making an audit-proof Recovery Audit Contractors (RAC) review, which is required by Medicare for clinicians aside from delivering services using skilled decision-making ability as a qualified provider. Rationale for how the activity relates to the goal, objective data...
- No Physician Referral Equals No Medicare Payment. Satterfield, Lisa // ASHA Leader;5/1/2013, Vol. 18 Issue 5, p18
The article reports that Medicare will rejection of any claims that will lack referral from physician as of May 1, 2013. It informs about coverage for the service provided by the audiologists and speech-language pathologists. It also provides information on denial codes, Centers for Medicare and...