Ethically Navigating the Maze of Billing, Documentation, and Reimbursement for Dysphagia Services in Long-Term Care Speech-language pathologists (SLPs) have an obligation to accurately record the services that they provide according to the guidelines from the patient's payer, meeting the expectations in the state's practice act and in keeping with the employer's policies relative to billing practices. Accurate, complete, and timely documentation of dysphagia services is ... Article
Article  |   April 2014
Ethically Navigating the Maze of Billing, Documentation, and Reimbursement for Dysphagia Services in Long-Term Care
Author Affiliations & Notes
  • Mary L. Casper
    HCR ManorCare, Rockville, MD
  • Financial Disclosure: Mary L. Casper is the Corporate Rehab Consultant for Speech-Language Pathology at HCR ManorCare.
    Financial Disclosure: Mary L. Casper is the Corporate Rehab Consultant for Speech-Language Pathology at HCR ManorCare.×
  • Nonfinancial Disclosure: Mary L. Casper has previously published in the subject area.
    Nonfinancial Disclosure: Mary L. Casper has previously published in the subject area.×
  • Copyright © 2014 American Speech-Language-Hearing Association
Article Information
Swallowing, Dysphagia & Feeding Disorders / Practice Management / Articles
Article   |   April 2014
Ethically Navigating the Maze of Billing, Documentation, and Reimbursement for Dysphagia Services in Long-Term Care
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2014, Vol. 23, 58-64. doi:10.1044/sasd23.2.58
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), April 2014, Vol. 23, 58-64. doi:10.1044/sasd23.2.58

Speech-language pathologists (SLPs) have an obligation to accurately record the services that they provide according to the guidelines from the patient's payer, meeting the expectations in the state's practice act and in keeping with the employer's policies relative to billing practices. Accurate, complete, and timely documentation of dysphagia services is a requirement of the ASHA Code of Ethics, as well as an expectation of employers and third-party payers, and is subject to review when determining coverage for claims submitted. Acquiring a familiarity with the myriad of policies, rules, regulations, and expectations can be likened to finding a way through a maze. Clinicians need to balance effective dysphagia service delivery with the demands of the various payers and the regulatory requirements in the SNF to practice in an ethical manner.

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