Dollars & Documentation Recently, a member requested clarification of Medicare guidelines regarding the participation of speech-language pathologists during videofluoroscopic studies of swallowing. Question: Is there a Medicare regulation that requires the participation of a speech-language pathologist during a videofluoroscopic swallow study? Is it acceptable for a radiologist to complete the study independently? ... Article
Article  |   March 01, 2005
Dollars & Documentation
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  • Dee Adams NikjehColumn Editor
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Swallowing, Dysphagia & Feeding Disorders / Dollars and Documentation
Article   |   March 01, 2005
Dollars & Documentation
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 26. doi:10.1044/sasd14.1.26
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 26. doi:10.1044/sasd14.1.26
Recently, a member requested clarification of Medicare guidelines regarding the participation of speech-language pathologists during videofluoroscopic studies of swallowing.
Question: Is there a Medicare regulation that requires the participation of a speech-language pathologist during a videofluoroscopic swallow study? Is it acceptable for a radiologist to complete the study independently?
Response: The following response was provided by Mark Kander, ASHA’s Director of Health Care Regulatory Analysis. The following discussion supports the conclusion that it is inappropriate for a radiologist to conduct an MBS without participation by the patient’s physician or a practitioner with sufficient education and training in swallowing disorders. Many Medicare intermediaries have issued dysphagia coverage policies that would allow denial of payment for videofluoroscopic studies completed by a radiologist alone.
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