[Dysphagia] billing

[scott-dailey at uiowa.edu (Dailey, Scott)]

We use both on the same day if that is what we did.  However, our
billing is slightly different in that we have a limited and extended
version of each billing that is based on time.  This was to get away
from units.  Our limited is 30 minutes or less, while extended is over
30 minutes.  So a patient may be billed for limited speech therapy and
limited swallowing therapy.  The billed amounts for limited is half the
amount for extended. Our notes reflect both swallowing and speech
therapy goals/treatment.


-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Carey, Ann
Sent: Wednesday, May 02, 2007 10:27
To: 'Bob LeJeune'; Janet Brown; msgroislp at optonline.net;
dysphagia at b9.com
Subject: Re: [Dysphagia] billing

Does anyone charge for both speech therapy 92507 and dysphagia therapy
92610
on the same day in the outpatient setting? I haven't found any info
stating
this is fraudulent but it seems to me that it would result in an
excessive
charge especially if the session is just 1/2 hour to 45 minutes long...

-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Bob LeJeune
Sent: Wednesday, May 02, 2007 8:03 AM
To: Janet Brown; msgroislp at optonline.net; dysphagia at b9.com
Subject: Re: [Dysphagia] billing


 
Thanks for the clarification

	-----Original Message----- 
	From: Janet Brown [mailto:JBROWN at asha.org] 
	Sent: Wed 5/2/2007 8:54 AM 
	To: Bob LeJeune; msgroislp at optonline.net; dysphagia at b9.com 
	Cc: 
	Subject: RE: [Dysphagia] billing
	
	

	A bedside eval (92610) and MBS (92611_ can be charged on the
same
day 
	with the use of the modifier -59. Go to 
	
http://www.asha.org/members/issues/reimbursement/coding/CCI_edits_SLP.ht

	m for a list of SLP codes that can and cannot be billed on the
same
day. 

	The 2007 Medicare Fee Schedule for SLPs is also on ASHA's site.
You
can 
	enter the title in the Search box to get there. 

	Janet 

	-----Original Message----- 
	From: dysphagia-bounces at dysphagia.com 
	[mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Bob LeJeune

	Sent: Saturday, April 28, 2007 11:20 AM 
	To: msgroislp at optonline.net; dysphagia at b9.com 
	Subject: Re: [Dysphagia] billing 


	My understanding is the MBS charge to Medicare incudes the
"bedside"

	assessment and you can not bill for both. 

	-----Original Message----- 
	From: dysphagia-bounces at dysphagia.com
<dysphagia-bounces at dysphagia.com> 
	To: dysphagia at b9.com <dysphagia at b9.com> 
	Sent: Fri Apr 27 19:13:17 2007 
	Subject: [Dysphagia] billing 

	Hi all.  

	I have a question re: billing and Medicare.  From what I was
reading
on 
	the ASHA medicare billing list, and 92610 (swallowing
assessment),
they 
	list this a something that is usually billed prior to
videofluoroscopy. 
	At our facility, we bill just for the videofluoroscopy. I always

	wondered why we didn't bill for the initial history, oral
peripheral

	exam and swallow assess, before bringing the patient to
radiology.
It 
	seems that we should be able to bill for this.  I brought this
to my

	supervisor's attention, however, they are not SLP's and I was
hoping

	that I could get help here, as I usually do. 

	Thanks so much for your help again, 

	Maria Sgroi, M.S., CCC-SLP 
	msgroislp at optonline.net 
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