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
________________________________________
From: xxxxxx@xxxxxxxxxxxxxxxxxxxx [xxxxxx@xxxxxxxxxxxxxxxxxxxx] On Behalf Of Alisa Brownlee [xxxxxx@xxxxxxxxxxxxxxxxx]
Sent: Thursday, May 06, 2010 8:56 AM
To: 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 on behalf of Coggiola, Jennifer L.
Sent: Thu 5/6/2010 11:50 AM
To: xxxxxx@xxxxxxxxxxxxxxxxxxxx
Cc: wquach88@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