Ok, so all of my claims using 92607, 92608 and 92609 were denied for the same reason, "Provider specialty not allowed to bill procedure code".  I called Palmetto GBA (North CA Medicare intermediary) and started an investigation.  A customer service specialist will contact claims to determine if our specialty should be able to bill these codes.   The customer service representative had 2 places to check the "rules", one said SLPs could bill the codes and the other said we couldn't.  I should have a response in 10 days.  They gave me a reference number to call if I don't hear back.

Jen Coggiola, MA, CCC/SLP
Speech Pathologist
ALS Center at UCSF
400 Parnassus Ave., 8th Floor
San Francisco, CA 94143
(415) 353-2122 clinic phone
(415) 353-2524 clinic fax
(925) 323-0175 cell phone
xxxxxx@xxxxxxxxxxxxxx
________________________________
From: xxxxxx@xxxxxxxxxxxxxxxxxxxx [xxxxxx@xxxxxxxxxxxxxxxxxxxx] On Behalf Of Deborah Bell [xxxxxx@xxxxxxxxxx]
Sent: Wednesday, April 28, 2010 5:37 PM
To: xxxxxx@xxxxxxxxxxxxxxxxxxxx
Subject: medicare

Hi there,
As a private practioner, I am now able to bill Medicare for AAC evals allegedly. In California, the devices are being approved for purchase but I am not getting paid for my evals. Denials say that I am not the correct type of provider, licensed, asha certified SLP. If I am not, then who is? Has anyone else experienced denials, appeals and outcome for private billing of Medicare?
Deborah Bell, MA/CCC
Santa Cruz, CA