Medicare Billing Update As of July 2009, speech-language pathologists (SLPs) may bill for Medicare services as private practitioners. This article directs SLPs to the rules for enrollment, necessary approvals by physicians and certain physician substitutes, and proper current procedural terminology (CPT) and International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) coding when ... Article
Article  |   March 01, 2010
Medicare Billing Update
Author Affiliations & Notes
  • Mark Kander
    Health Care Regulatory Analysis, American Speech-Language-Hearing Association, Rockville, MD
Article Information
Practice Management / Articles
Article   |   March 01, 2010
Medicare Billing Update
SIG 3 Perspectives on Voice and Voice Disorders, March 2010, Vol. 20, 7-15. doi:10.1044/vvd20.1.7
SIG 3 Perspectives on Voice and Voice Disorders, March 2010, Vol. 20, 7-15. doi:10.1044/vvd20.1.7
Abstract

As of July 2009, speech-language pathologists (SLPs) may bill for Medicare services as private practitioners. This article directs SLPs to the rules for enrollment, necessary approvals by physicians and certain physician substitutes, and proper current procedural terminology (CPT) and International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) coding when submitting claims. Guidance for determination of the exact payment amount for specific geographic areas is covered as well as determination of local Medicare Administrative Contractor (MAC) Web sites and their local coverage policies for speech-language-voice and dysphagia services. Special rules apply to SLPs who are employees or contractors of physician groups, and these SLPs also may function as private practitioners in physician office settings if they follow certain rules that insulate SLPs from kickback accusations. The rules governing these SLPs are summarized in this article. Questions regarding reimbursement should be directed to the Division 3 Reimbursement Committee or to Reimbursement@asha.org.

Become a SIG Affiliate
Pay Per View
Entire SIG 3 Perspectives on Voice and Voice Disorders content & archive
24-hour access
This Issue
24-hour access
This Article
24-hour access
We've Changed Our Publication Model...
The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups.