Reimbursement for Stuttering Treatment: Are We Getting It? In recent years, the Special Interest Division on Fluency and Fluency Disorders’ Task Force on Reimbursement and Diagnostic Codes has been involved in a variety of activities on enhancing reimbursement for stuttering treatment. This Perspectives issue focuses on reimbursement and includes several articles that explore the issues and challenges ... Article
Article  |   September 01, 2003
Reimbursement for Stuttering Treatment: Are We Getting It?
Author Notes
  • Jennifer B. WatsonGuest Editor
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Practice Management / Articles
Article   |   September 01, 2003
Reimbursement for Stuttering Treatment: Are We Getting It?
SIG 4 Perspectives on Fluency and Fluency Disorders, September 2003, Vol. 13, 8-9. doi:10.1044/ffd13.1.8
SIG 4 Perspectives on Fluency and Fluency Disorders, September 2003, Vol. 13, 8-9. doi:10.1044/ffd13.1.8
In recent years, the Special Interest Division on Fluency and Fluency Disorders’ Task Force on Reimbursement and Diagnostic Codes has been involved in a variety of activities on enhancing reimbursement for stuttering treatment. This Perspectives issue focuses on reimbursement and includes several articles that explore the issues and challenges associated with reimbursement and successful strategies for enhancing advocacy and payment.
In the first article, Diane Games describes the grassroots efforts of the Cincinnati Insurance Initiative (CII), a group that grew to become the Ohio Insurance Advocacy Initiative and, finally, became the National Insurance Advocacy Initiative. Diane discusses numerous reimbursement issues and how these various groups have met related challenges. Problems discussed include inconsistent, outdated, and/ or inaccurate information to the consumer, delays in pre-certification, treatment authorization, payment, and appeals, inflexible rules related to session number, and lack of ideal benefit language for speech-language pathology. Ideas for addressing these concerns and obtaining reimbursement for speech and language services in general and for the treatment of stuttering, specifically, are presented. The next five articles are written by members of the CII and reflect the group’s experience with reimbursement and benefit advocacy. Katrina Zeit, whose background includes health care administration and speech-language pathology, provides insights about the benefits of collaborative efforts between local, state, and national groups in advocating for coverage and reimbursement. She describes the successful activities of multiple groups at these various levels and discusses recent national efforts, including a summary of the projected outcomes and activities of ASHA’s 2002–2004 Focused Initiative on Health Care Reimbursement.
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