Professional Practice Up to this point, Medicare has reimbursed at “reasonable costs” for facilities offering speech-language pathology services. However, “reasonable cost” reimbursement to speech-language pathologists (and audiologists) providing contracted services in facilities and home health agencies soon will be replaced by hourly payment caps (Medicare salary equivalency). Speech-language pathologists currently are ... Article
Article  |   November 01, 1997
Professional Practice
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Swallowing, Dysphagia & Feeding Disorders / Professional Practice
Article   |   November 01, 1997
Professional Practice
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), November 1997, Vol. 6, 6-7. doi:10.1044/sasd6.3.6
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), November 1997, Vol. 6, 6-7. doi:10.1044/sasd6.3.6
Up to this point, Medicare has reimbursed at “reasonable costs” for facilities offering speech-language pathology services. However, “reasonable cost” reimbursement to speech-language pathologists (and audiologists) providing contracted services in facilities and home health agencies soon will be replaced by hourly payment caps (Medicare salary equivalency). Speech-language pathologists currently are waiting for information about these payment caps which many fear will be below current reimbursement levels. If reimbursement is reduced, how will this impact the delivery of dysphagia services by facilities? Will service delivery be disrupted by rates that are too low? Will a speech-language pathologist working in a rural market be able to compete with clinicians providing services in a metropolitan area as rates are adjusted by geographical area? These are some of the concerns currently being voiced as we await receipt of forthcoming payment rates and conditions for payment by the Health Care Financing Administration (HCFA).
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