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Re: Skype use in SLP

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Hi,

, I'd suggest you call Mark Kander at the ASHA national

office.. You can tell him Sally suggested you call him directly.

There are also postion papers on the ASHA website that address telepractice. I

am a part of a Medicare Admin. Contractor group; we have a monthly

teleconference w people form most states monthly. I will bring this up at next

Tuesday's call.

Sally -McNamara, MCS, CCC-SLP, CCP, CCE

Certified Healthcare Compliance Executive

Consultant

90 Ohio Ave.

, Ohio 45640

Skype use in SLP

Sent from an outpatient Speech-Language Pathologist

Regarding a non-Medicare beneficiary

" I have a patient with severe aphasia who will be visiting family for 10

weeks in California. With this long of a break from therapy, she is

concerned she will not continue to progress in her communication skills.

She asked about having a couple of therapy sessions during this time, using

Skype. Is this covered by insurance? What are your thoughts? "

Thank you in advance for your replies

Kovacek, PT, DPT, MSA

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Guest guest

Hi,

, I'd suggest you call Mark Kander at the ASHA national

office.. You can tell him Sally suggested you call him directly.

There are also postion papers on the ASHA website that address telepractice. I

am a part of a Medicare Admin. Contractor group; we have a monthly

teleconference w people form most states monthly. I will bring this up at next

Tuesday's call.

Sally -McNamara, MCS, CCC-SLP, CCP, CCE

Certified Healthcare Compliance Executive

Consultant

90 Ohio Ave.

, Ohio 45640

Skype use in SLP

Sent from an outpatient Speech-Language Pathologist

Regarding a non-Medicare beneficiary

" I have a patient with severe aphasia who will be visiting family for 10

weeks in California. With this long of a break from therapy, she is

concerned she will not continue to progress in her communication skills.

She asked about having a couple of therapy sessions during this time, using

Skype. Is this covered by insurance? What are your thoughts? "

Thank you in advance for your replies

Kovacek, PT, DPT, MSA

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Guest guest

Hi,

, I'd suggest you call Mark Kander at the ASHA national

office.. You can tell him Sally suggested you call him directly.

There are also postion papers on the ASHA website that address telepractice. I

am a part of a Medicare Admin. Contractor group; we have a monthly

teleconference w people form most states monthly. I will bring this up at next

Tuesday's call.

Sally -McNamara, MCS, CCC-SLP, CCP, CCE

Certified Healthcare Compliance Executive

Consultant

90 Ohio Ave.

, Ohio 45640

Skype use in SLP

Sent from an outpatient Speech-Language Pathologist

Regarding a non-Medicare beneficiary

" I have a patient with severe aphasia who will be visiting family for 10

weeks in California. With this long of a break from therapy, she is

concerned she will not continue to progress in her communication skills.

She asked about having a couple of therapy sessions during this time, using

Skype. Is this covered by insurance? What are your thoughts? "

Thank you in advance for your replies

Kovacek, PT, DPT, MSA

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Guest guest

*

In addition to the information already provided here are additional

comments:

Since this individual prefaced the statement with the fact that it is a

non-Medicare patient, the best answer would be provided by the payer source

for this individual.

If the payer source does not agree or permit CPT charges that are non-face

to face. Perhaps they would consider a carve out statement to their

present contract stating a fee and conditions for how it will be covered.

If not that, do they allow something like an ABN so that the clinician can

negotiate a private pay fee with the patient.

The web link below is a Medicare transmittal from 2005, stating background

and policy of listed Medicare Telehealth Services. Although speech is not

mentioned the guideline document may at least help the clinician decide how

they would like to approach the payer source.

http://www.cms.gov/transmittals/downloads/R43BP.pdf

Transmital 790 from Dec 2005 shows the changes made to the Medicare Claims

processing manual. Again, the practioners listed were not yet Speech

Language professionals.

http://www.cms.gov/Transmittals/Downloads/R790CP.pdf

Hope these are helpful.

*Darlene L. D'Altorio-,PT.,MBA-HCM

Strategist, Rehabilitation Management

CORE Results Group

Join Discussions: www.mediserve.com/blog

Office:

Mobile:

Fax :

djones@...

585 N. Juniper Dr., Suite 100 | Chandler, AZ 85226 | 1. |

On Fri, Apr 1, 2011 at 3:55 PM, Kovacek wrote:

>

>

> Sent from an outpatient Speech-Language Pathologist

> Regarding a non-Medicare beneficiary

>

> " I have a patient with severe aphasia who will be visiting family for 10

> weeks in California. With this long of a break from therapy, she is

> concerned she will not continue to progress in her communication skills.

> She asked about having a couple of therapy sessions during this time, using

> Skype. Is this covered by insurance? What are your thoughts? "

>

> Thank you in advance for your replies

>

> Kovacek, PT, DPT, MSA

>

>

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