Article | March 01, 2010Medicare Billing Update Mark Kander Author Affiliations & Notes Mark Kander Health Care Regulatory Analysis, American Speech-Language-Hearing Association, Rockville, MD © 2010 American Speech-Language-Hearing Association 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 View Article Figures Tables PDF PDF Supplemental Data Supplements Multimedia Share Email Twitter Facebook Pinterest Tools Get Citation Citation Kander, M. (2010). Medicare Billing Update. Perspect Voice Voice Dis, 20(1), 7-15. doi: 10.1044/vvd20.1.7. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © 2018 American Speech-Language-Hearing Association × Alerts User Alerts You are adding an alert for: Medicare Billing Update You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account The alert will be sent to: Confirm × Sign In or Create a free account to receive alerts. × 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. Subscribe to view more For full access to this article, log in to an existing user account, become a SIG affiliate, or purchase a short-term subscription. Become a SIG Affiliate Join a SIG Pay Per View Entire SIG 3 Perspectives on Voice and Voice Disorders content & archive 24-hour access $25.00 Buy Now This Issue 24-hour access $17.00 Buy Now This Article 24-hour access $10.00 Buy Now Sign In or Create an Account Please sign in using your ASHA.org login. If you do not have an ASHA login, you may register with us for free by creating a new account. Sign In or Create an Account 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. Learn more > Related Articles Dollars $$ Sense SIG 3 Perspectives on Voice and Voice Disorders, March 2009, Vol. 19, 5-7. doi:10.1044/vvd19.1.5 Dollars $$ Sense SIG 3 Perspectives on Voice and Voice Disorders, July 2007, Vol. 17, 2-3. doi:10.1044/vvd17.2.2 Dollars $$ Sense SIG 3 Perspectives on Voice and Voice Disorders, June 2008, Vol. 18, 54-55. doi:10.1044/vvd18.2.54 Business: Making Cents of Coding Systems: Billing for Professional Services SIG 11 Perspectives on Administration and Supervision, March 2010, Vol. 20, 3-8. doi:10.1044/aas20.1.3 Dollars & Documentation SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 26. doi:10.1044/sasd14.1.26 Related Topics Practice Management