Free ASHA News | June 01, 2011New Payment Advocacy Information: Document Offers Valuable Information to SLPs, Health Plans Becky Sutherland Cornett, PhD, CHC; Neela Swanson Author Notes Becky Sutherland Cornett, PhD, CHC, is the director of fiscal integrity in finance administration at The Ohio State University Medical Center (Columbus) and a member of the ASHA Health Care Economics Committee. Contact her at becky.cornett@osumc.edu.Becky Sutherland Cornett, PhD, CHC, is the director of fiscal integrity in finance administration at The Ohio State University Medical Center (Columbus) and a member of the ASHA Health Care Economics Committee. Contact her at becky.cornett@osumc.edu.× Neela Swanson, health care financing information coordinator, can be reached at nswanson@asha.orgNeela Swanson, health care financing information coordinator, can be reached at nswanson@asha.org× © 2011 American Speech-Language-Hearing Association Article Information Regulatory, Legislative & Advocacy / ASHA News ASHA News | June 01, 2011 New Payment Advocacy Information: Document Offers Valuable Information to SLPs, Health Plans The ASHA Leader, June 2011, Vol. 16, 1-4. doi:10.1044/leader.AN1.16072011.1 The ASHA Leader, June 2011, Vol. 16, 1-4. doi:10.1044/leader.AN1.16072011.1 View Article Figures Tables Supplemental Data Supplements Multimedia Share Email Twitter Facebook Pinterest Tools Get Citation Citation Cornett, B. S. & Swanson, N. (2011). New Payment Advocacy Information: Document Offers Valuable Information to SLPs, Health Plans. The ASHA Leader, 16(7), 1-4. doi: 10.1044/leader.AN1.16072011.1. 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: New Payment Advocacy Information: Document Offers Valuable Information to SLPs, Health Plans 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. × New guidelines that detail the profession of speech-language pathology and the medical necessity of treatment are now available online. Speech-Language Pathology Medical Review Guidelines is designed for use by two different groups: members advocating for better health plan coverage and policy changes, and health plan officials reviewing claims and developing reimbursement policies. The document is a comprehensive resource containinag information about provider qualifications, services, standard practices, documentation of services, and treatment efficacy. The medical review guidelines are intended for use by health plan medical directors, health plan claims reviewers, and representatives from state insurance commissioner offices, as well as individuals seeking information to justify the validity of claims for reimbursement. ASHA members can use the guidelines to advocate with health plans for improved coverage or policy changes related to speech-language pathology services. Medical review guidelines are documents that describe specific disorders. Private and public health plans (such as state Medicaid agencies) use the information in medical review guidelines to make coverage and payment decisions for health care services, including those provided by speech-language pathologists. The guidelines were created in accordance with a resolution adopted by the Board of Directors in 2008 to address inaccurate medical review guidelines related to speech-language pathology published by other organizations. The Board called for development of speech-language pathology medical review guidelines that include clear and correct information written by experts in the profession. The resulting Ad Hoc Committee on Speech-Language Pathology Medical Review Guidelines, consisting of SLPs Becky Cornett (chair), Diane Ross, Lynne F. Harmon, Gretchen Bebb, and Pat Ford, developed the document in conjunction with Janet McCarty, private health plans advisor, and Neela Swanson, health care financing information coordinator. Thomas J. Hallahan, vice president for government relations and public policy, served as Board liaison and monitoring officer; Steven C. White, director of health care economics and advocacy, served as consultant. 0 Comments Submit a Comment Submit A Comment Name Comment Title Comment Could not validate captcha. Please try again. You have entered an invalid code Submit Cancel Thank you for submitting a comment on this article. Close This feature is available to Subscribers Only Sign In or Create an Account × FROM THIS ISSUE June 2011 Volume 16, Issue 7 ‹ Issue › ADVERTISING DISCLAIMER|ADVERTISE WITH US Related Articles Snapshots of Older African Americans: Implications for Audiologists and Speech-Language Pathologists SIG 15 Perspectives on Gerontology, December 2006, Vol. 11, 9-13. doi:10.1044/gero11.2.9 The American Health Care Act: What’s Next?In a time of uncertainty about health care’s future, ASHA’s seven policy statements guide advocacy. The ASHA Leader, June 2017, Vol. 22, 24-25. doi:10.1044/leader.PA1.22062017.24 Did You Know? 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