From the Coordinator Reimbursement. Maybe that is the “R” word. It is certainly something we don't really like to think about as we provide clinical care. In 2013, we are faced with the effects of The Affordable Care Act, also known as Obamacare, and sequestration cuts. Speech-language pathologists have to navigate through ... Coordinator's Column
Coordinator's Column  |   May 01, 2013
From the Coordinator
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Older Adults & Aging / Coordinator's Column
Coordinator's Column   |   May 01, 2013
From the Coordinator
SIG 15 Perspectives on Gerontology, May 2013, Vol. 18, 41. doi:10.1044/gero18.2.41
SIG 15 Perspectives on Gerontology, May 2013, Vol. 18, 41. doi:10.1044/gero18.2.41
Reimbursement. Maybe that is the “R” word. It is certainly something we don't really like to think about as we provide clinical care. In 2013, we are faced with the effects of The Affordable Care Act, also known as Obamacare, and sequestration cuts. Speech-language pathologists have to navigate through Medicare Part B therapy caps, Manual Medical Review, Multiple Procedure Payment Reduction, and Claims-Based reimbursement with Functional Limitations reporting using non-payable G-codes. Through all of these hurdles, we have to continue to deliver high quality care and document to prove our skills and medical necessity. Yet, I will suggest to you that the challenges we face in achieving great outcomes with our clients while being reimbursed for our services are not all bad. These requirements force us to describe what is unique about our services and how we actually make a difference in clients’ functioning. It is important that we can articulate the elements of our treatment that only we can provide. It is essential that we can describe the reasons why our client needs our services. We need to be able to differentiate our services from those that anyone could deliver. In doing so, we are defining the value we bring to the table. And remember, the ASHA website has a wealth of resources regarding reimbursement – check it out! http://www.asha.org/practice/reimbursement/
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