ASHA, AAO-HNS Request Videostroboscopy Change ASHA and the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) joined forces to urge federal officials to change Medicare regulations that require “personal” (in-the-room) supervision by a physician when a speech-language pathologist performs videostroboscopy or nasopharyngoscopy (The ASHA Leader, Feb. 15, 2011). At a March meeting with officials from ... ASHA News
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ASHA News  |   June 01, 2011
ASHA, AAO-HNS Request Videostroboscopy Change
Author Notes
  • Mark Kander, director of health care regulatory analysis, can be reached at mkander@asha.org.
    Mark Kander, director of health care regulatory analysis, can be reached at mkander@asha.org.×
    Kate Romanow, JD, director of health care regulatory advocacy, can be reached at kromanow@asha.org.
    Kate Romanow, JD, director of health care regulatory advocacy, can be reached at kromanow@asha.org.×
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / ASHA News & Member Stories / ASHA News
ASHA News   |   June 01, 2011
ASHA, AAO-HNS Request Videostroboscopy Change
The ASHA Leader, June 2011, Vol. 16, 3. doi:10.1044/leader.AN2.16062011.3
The ASHA Leader, June 2011, Vol. 16, 3. doi:10.1044/leader.AN2.16062011.3
ASHA and the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) joined forces to urge federal officials to change Medicare regulations that require “personal” (in-the-room) supervision by a physician when a speech-language pathologist performs videostroboscopy or nasopharyngoscopy (The ASHA Leader, Feb. 15, 2011).
At a March meeting with officials from the Centers for Medicare and Medicaid Services (CMS), ASHA and AAO-HNS strongly advocated for a change in the supervision requirement to “direct” supervision (the physician must be “immediately available” in the office suite but not necessarily in the room while the procedure is being performed).
At the meeting, CMS officials cited a lack of a formal certification process to ensure that SLPs are properly trained to perform endoscopic procedures. ASHA emphasized that SLPs have done so successfully since the mid-1980s with no evidence of a negative outcome. Moreover, SLPs are bound by the ASHA Code of Ethics to have education, training, and experience consistent with those outlined in ASHA practice documents on vocal tract visualization and imaging.
Because the two professions—speech-language pathology and otolaryngology—agree on this issue, it is hoped that the two organizations’ recommendation will receive a favorable response from CMS. A decision, however, will take at least three months; until a change is made, SLPs must continue to abide by the personal supervision requirement for Medicare beneficiaries. If CMS does not revise the requirement, ASHA will appeal.
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June 2011
Volume 16, Issue 6