Sharing ASHA Resources As the executive director of the Artz Center for Developmental Health & Audiology, a nonprofit clinic, I’ve experienced the need for clinicians to adapt quickly to new trends in reimbursement as a result of health care reform and recent economic conditions. The article “Coverage for Pediatric Services” in the June ... Inbox
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Inbox  |   October 01, 2010
Sharing ASHA Resources
Author Notes
  • Allyson Goodwyn-Craine, Portland, Ore.
    Allyson Goodwyn-Craine, Portland, Ore.×
Article Information
ASHA News & Member Stories / Inbox
Inbox   |   October 01, 2010
Sharing ASHA Resources
The ASHA Leader, October 2010, Vol. 15, 2. doi:10.1044/leader.IN1.15122010.2
The ASHA Leader, October 2010, Vol. 15, 2. doi:10.1044/leader.IN1.15122010.2
As the executive director of the Artz Center for Developmental Health & Audiology, a nonprofit clinic, I’ve experienced the need for clinicians to adapt quickly to new trends in reimbursement as a result of health care reform and recent economic conditions. The article “Coverage for Pediatric Services” in the June 8, 2010, issue of The ASHA Leader provided timely information and a helpful perspective regarding these reimbursement challenges.
Pediatric speech-language pathologists frequently must educate insurance carriers about the medical relevance of our services. Providers nationwide experience a high percentage of reversals when they appeal health claim denials. “Medical necessity” is easily supported by research on evidence-based clinical practices, but newer trends in contract restrictions—many of which specifically affect children’s coverage—require clinicians to redefine our advocacy role.
Consumer choice and “ownership” of their health care dollars are hallmarks of current health care trends. ASHA provides helpful tools, including the Employer Insurance Packet, to help parents, human resource professionals, and insurance brokers to distinguish which insurance products provide adequate coverage for children who need speech-language or audiology services.
However, these tools are of no value unless we share them with our current and prospective clients. We have an important role to play in sharing these timely and helpful resources.
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FROM THIS ISSUE
October 2010
Volume 15, Issue 12