I just spoke to Mr. Kandar. He's going to call you Deborah. He said he'd talk to Palmetto GBA for us. 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: Thursday, May 06, 2010 11:46 AM To: xxxxxx@xxxxxxxxxxxxxxxxxxxx Subject: RE: Medicare Thank you so much everyone for your response to our medicare inquiry. We have been in contact with Mr. Kandar at ASHA and Mr. Golinker. The responsibility for clarification with Medicare and in this case Palmetto has really rested on our shoulders. Any intervention with ASHA support would be very valuable. I do not believe Mr. Kandar or Mr. Golinker have taken any action on our behalf. Deborah Bell, MA/CCC From: xxxxxx@xxxxxxxxxxxxxxxxxxxx [mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx] On Behalf Of lisa Sent: Thursday, May 06, 2010 11:11 AM To: xxxxxx@xxxxxxxxxxxxxxxxxxxx Subject: RE: Medicare Hi everyone, I have not heard of this problem in Ohio (or in our region), so I am wondering if it is a typo in your regional booklet? Jen and Deb are both in CA. Is it a coincidence? I have asked others in this area if they have had or had difficulty with this issue, and so far no one has had an issue. I will keep you informed. Lisa M. Bruening, M.S., CCC-SLP Patient Services Coordinator The ALS Association Northern Ohio Chapter phone: 216-592-2572 toll free: 888-592-2572 fax: 216-592-2575 Check out our webpage: www.alsaohio.org Become an ALSA Advocate! It's easy! Go to our website and follow the tab for Public Policy. Click on Advocacy Action Center and sign up today! Where Patients Matter Most ________________________________ From: xxxxxx@xxxxxxxxxxxxxxxxxxxx [mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx] On Behalf Of AMY S. GOLDMAN Sent: Thursday, May 06, 2010 1:55 PM To: xxxxxx@xxxxxxxxxxxxxxxxxxxx Subject: Re: Medicare in addition, I will raise this issue when the ASHA Division 12 Steering Committee meets at ASHA National Office this weekend! Amy On Thu, May 6, 2010 at 1:52 PM, Coggiola, Jennifer L. <xxxxxx@xxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxx>> wrote: Thanks guys! I know Deborah Bell has already contacted ASHA and Lew, but I will too. I looked up the IOM NCD that was referenced. It only explains that SGDs will be covered. It says nothing of who can charge for the dx and tx. I've got another phone call into Medicare now. 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<mailto:xxxxxx@xxxxxxxxxxxxxx> ________________________________________ From: xxxxxx@xxxxxxxxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx> [xxxxxx@xxxxxxxxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx>] On Behalf Of Alisa Brownlee [xxxxxx@xxxxxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxxxxx>] Sent: Thursday, May 06, 2010 8:56 AM To: xxxxxx@xxxxxxxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx> Subject: RE: Medicare How about contacting Lew Golkinger? Attorney at the Assistive Technology Law Center. Email on link below: http://www.aacfundinghelp.com/contact.html Thanks, Alisa Alisa Brownlee, ATP Clinical Manager, Assistive Technology Services ALS (Lou Gehrig's Disease) Association National Office and Greater Philadelphia Chapter Direct Phone: 215-631-1877 ________________________________ From: xxxxxx@xxxxxxxxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx> on behalf of Coggiola, Jennifer L. Sent: Thu 5/6/2010 11:50 AM To: xxxxxx@xxxxxxxxxxxxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx> Cc: xxxxxx@xxxxxxxxx<mailto:xxxxxx@xxxxxxxxx> Subject: Medicare So, I heard back from Medicare. They are saying that provider specialty 15 (SLP) is not valid for the procedure codes 92607, 92608 and 92609. He said specialty 15 is listed as the only specialty who "can't" bill these codes. My guess is that whoever wrote the manual accidentally typed a can't instead of a can. He told me to look up internet publication 100-03 Chapter 1, part 1, section 10-80.12 and section 50.1 for more information. I'll get started filing an appeal. I really wish ASHA would handle this. Any suggestions other than going through the appeals process? 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<mailto:xxxxxx@xxxxxxxxxxxxxx> -- Amy S. Goldman Associate Director, Institute on Disabilities at Temple University ****Please note our new address**** Student Center - Suite 411 S 1755 N.13th St. Philadelphia, PA 19122 215-204-3862 www.disabilities.temple.edu<http://www.disabilities.temple.edu> xxxxxx@xxxxxxxxxx<mailto:xxxxxx@xxxxxxxxxx>
