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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.