Dollars $$ Sense Centers for Medicare and Medicaid Services (CMS) Decision on Videostroboscopy and Nasopharyngoscopy Supervision Dollars $$ Sense
Dollars $$ Sense  |   November 01, 2011
Dollars $$ Sense
Author Affiliations & Notes
  • Dee Adams Nikjeh
    ASHA Health Care Economics Committee Co-Chair, Special Interest Group 3 Reimbursement Work Group
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Professional Issues & Training / Regulatory, Legislative & Advocacy / Dollars $$ Sense
Dollars $$ Sense   |   November 01, 2011
Dollars $$ Sense
SIG 3 Perspectives on Voice and Voice Disorders, November 2011, Vol. 21, 85-88. doi:10.1044/vvd21.3.85
SIG 3 Perspectives on Voice and Voice Disorders, November 2011, Vol. 21, 85-88. doi:10.1044/vvd21.3.85
In the previous two Dollars $$ Sense columns, I provided information on the latest news about Medicare's required changes for physician supervision of speech-language pathologists (SLPs) performing videostroboscopy and nasopharyngoscopy. By the time you read this, it will be old news, but it is good news that bears repeating! Here's a quick recap just in case you somehow missed it.
Without notice, consultation, or prior warning to affected health care professionals (i.e., SLPs and otolaryngologists), the Centers for Medicare and Medicaid Services (CMS) instituted a change in the Medicare supervision indicator for CPT codes 31579 (Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy, known as laryngeal videostroboscopy) and 92511 (Nasopharyngoscopy with endoscope). Effective January 1, 2011, these diagnostic services that are provided by an SLP required personal supervision by a physician. The American Speech-Language-Hearing Association (ASHA), in close collaboration with the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS), provided written and oral rationale to CMS acknowledging that services performed by SLPs such as videostroboscopy and nasopharyngoscopy are subject to the physician supervision requirements under 42 CFR 410.32 and suggesting that until such time as a detailed analysis could be completed, the appropriate supervision standard for these services when performed by SLPs should be direct rather than personal.
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