Based on popular demand I created this 26 slide presentation to provide basic information regarding insurance coverage for common outpatient speech language assessment and therapy services. This handout contains important questions parents must ask when speaking to their insurance representatives regarding service coverage. It lists common pediatric diagnostic (ICD-9) and therapeutic (CPT) codes as well as discusses common service exclusions in policies. It also provides some suggestions on how to initiate appeals for denial of services and includes links to helpful resources parents can access to obtain further elaboration on the information provided in this presentation.
Intended Audience:
- Parents
- Caregivers
- Speech Language Pathologists (SLPs)
- New Graduates
- Clinical Fellows
- Private Practitioners
- SLPs may forward this presentation to the parents seeking clarification on reimbursement questions
Disclaimer
- Overview of therapy services provided by the state
- Supplemental speech language services
- Initiating Assessment
- Say NO to Assumptions
- Calling the insurance company
- Therapy Coverage
- What do the major companies pay for?
- Specifying exclusions directly in the contract
- Lack specification and …coverage
- Questions to ask your insurance
- Common Pediatric Speech Language Codes
- Common therapy treatment (CPT) Codes
- Intellectual Disabilities and Syndrome Codes
- Autism Codes
- Speech Language Services and Autism
- States with Mental Health Parity for Autism
- States with no Autism Therapy Coverage
- Speech Language Services and Autism (New Jersey)
- Denials and Appeals
- Helpful Resources
You can find this presentation in my online store by clicking HERE