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Presenter(s): Michelle S. Bourgeois, PhD, CCC-SLP; Tammy Hopper, PhD, CCC-SLP; Renee Kinder, MS, CCC-SLP; Michelle Tristani, MS, CCC-SLP
Credit(s): PDHs: 5.5, ASHA CEUs*: 0.55
Summary: This course includes five recorded sessions from the 2016 online conference “Maximizing Functional Outcomes for Patients With Dementia.” These sessions focus on key components of functional assessment and treatment of dementia within the constraints of current service delivery models. The conference included a total of 13 sessions, with the broad goal of describing a range of evidence-based clinical care techniques to get to the heart of patient-centered dementia care.
Presenter(s): Meghan Ryan, MSL, Health Policy and Law; Neela Swanson, BA
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session discusses the nuances of cash pay and insurance reimbursement, basics of coding for billing, and how to evaluate an insurance denial. Do you have questions about rate setting for cash pay and the differences in insurance reimbursement? Have you struggled with insurance denials and understanding how to resubmit or appeal? While policies are variable across insurance carriers, this session can help you navigate the common processes involved in billing and payment.
Presenter(s): Sarah Warren, MA
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Medicare beneficiaries are an important patient population to consider when developing a business model, and SLPs in private practice need to know how to enroll in and bill Medicare to ensure they are compliant with federal law. This course walks through the basics of Medicare credentialing, coding and billing, and documentation to ensure successful processing of claims and medical records that will stand up to scrutiny if audited.
Presenter(s): Tim Nanof, MSW
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session discusses the changes to reimbursement and coverage stemming from the COVID-19 pandemic and related public health emergency (PHE). The speaker addresses ASHA advocacy initiatives and changes in policy related to telehealth as well as other key aspects of coverage, reimbursement, and policy requirements during the PHE. The session discusses payer-specific advocacy, policy developments, and outcomes as well as next steps and what to expect in the future.
Presenter(s): Dee Adams Nikjeh, PhD, CCC-SLP; Shannon Butkus, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Coverage of and payment for SLP services for patients with complex medical conditions requires SLPs to navigate provider guidelines and payment systems related to multiple sites of service and multiple episodes of care. SLPs must also exhibit professional mastery of the principles of clinical decision-making pertaining to a continuum of care from intensive skilled treatment to maintenance intervention and termination of SLP care. This session presents critical information to support accurate payment for SLP services provided to patients with complex medical conditions. The speakers share a pediatric and an adult case scenario and provide useful resources.