Medicare Blog

how to list asha certification on medicare

by Cyrus Beatty Sr. Published 2 years ago Updated 1 year ago
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Verification letters are printed on ASHA letterhead, bear the original signature of the ASHA staff member responsible for issuing the letter, and contain the name of the certificate holder, his or her ASHA account number, the area of certification, the date certification was issued, the valid-through date.

Full Answer

How do I verify my Asha certification?

Verification of ASHA Certification 1 Online Requests. Verification of ASHA certification can now be accomplished online. ... 2 Verification Letter Requests. Letters verifying current certification can be requested to be mailed to employers, state licensure or regulatory agencies, or individual certificate holders. 3 Rush Requests. ...

How do I contact Asha for clinical and reimbursement questions?

For clinical and documentation questions, contact [email protected]. For Medicare and reimbursement questions, contact [email protected]. Need a copy of this information on ASHA letterhead?

How do I become an ordering and certifying provider?

To qualify as an ordering and certifying provider, you must: Contact your Medicare Administrative Contractor (MAC) (PDF) to see if you qualify. You can view enrollment instructions for ordering and certifying providers on the Become a Medicare Provider or Supplier page.

How does ordering and certifying affect Medicare coverage?

When you opt out or enroll as an ordering and certifying provider, Medicare coverage will apply when you order or certify: If you’re currently enrolled as a Medicare Part B provider, you can already order and certify. You do not need to re-enroll in Medicare. To qualify as an ordering and certifying provider, you must:

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When did SLPs direct bill Medicare?

Policy: SLPs in private practice may begin the Medicare enrollment process on June 2, 2009.

What is an ASHA certification?

The American Sailing Association provides standards for progressive sailing certification programs, including: Keelboat Sailing, Small Boat Sailing, and Multihull Sailing. In addition, ASA provides standards for a number of endorsements, which are intended to supplement the main certification series.

Does CPT code 92523 need a modifier?

If a patient is evaluated only for language, with no documentation of an assessment of speech (formal or informal), SLPs should bill 92523 with the -52 modifier, which is used when the services provided are reduced in comparison with the full description of the service.

Does CPT code 92507 need a modifier?

Procedure codes 92507, 92526, 92630, 92633, and 97535 require modifier GN. Speech therapy treatment will be denied when billed by any provider on the same day as a speech therapy evaluation or reevaluation.

How long is ASHA certification good for?

3-yearEvery certificate holder is assigned a 3-year certification maintenance interval. All professional development hours (PDHs) must be completed within this time period. Maintaining certification is an ongoing process and once the interval ends, a new interval is assigned.

What is GN modifier?

Modifiers GN, GO, and GP refer only to services provided under plans of care for physical therapy, occupational therapy and speech-language pathology services. They should never be used with codes that are not on the list of applicable therapy services.

What is procedure code 92523?

Evaluation of speech sound production92523 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (e.g., receptive and expressive language) 92524 Behavioral and qualitative analysis of voice and resonance.

Is 97535 covered by Medicare?

These codes are eligible to physical therapists to furnish and bill under the Medicare Physician Fee Schedule when provided via telehealth: ICPT codes 97161- 97164, 97110, 97112, 97116, 97150, 97530, 97535, 97542, 97750, 97755, 97760, and 97761.

Is 92507 covered by Medicare?

Use 92507 for training and modification of voice prostheses. Medicare won't pay for this code because it is considered bundled with any other speech-language pathology service provided on the same day. SLPs may not separately bill for non-speech-generating device services alone.

How do I bill a CPT 92507?

92507 CPT Code ModifiersModifier GN will be appended with CPT 92507 for SLP (Speech-language Therapy) when billed to medicare Part-B service.Modifier 22 will be attached with the service CPT 92507 when the service is performed longer than generally required for speech therapy.More items...

What can be billed under 92507?

AP treatment should be coded under CPT 92507, the code for speech, language, voice, communication, and/or auditory processing disorder treatment.

What is the phone number for Asha?

E-mail: [email protected]. Phone: Action Center at 800-498-2071, 8:30 a.m. – 5:00 p.m. Eastern time (Monday – Friday) Please note that the National Office cannot provide copies of an individual's documents submitted for certification or information on his or her Praxis examination results used for certification (i.e., ...

How to rush request for ASHA?

To place a rush request, please provide the ASHA account number of the certificate holder and the address or fax number to which the letter should be sent. Requests may be made by contacting the Action Center at 800-498-2071, 8:30 a.m. – 5:00 p.m. Eastern time (Monday – Friday).

How long does it take to get a verification letter from the IRS?

the date certification was issued, the valid-through date. There is no charge for verification letters, mailed within 3 to 5 days of receipt of the request, or for letters, faxed within 48 hours of receipt of the request.

Can you use ASHA certification verification?

Employers, state licensure or regulatory agencies, and consumers can also use the ASHA Certification Verification system to search ASHA's list of certificate holders and verify the certification of a third party. If needed, a letter can then be printed to confirm the results of the search.

Can I get ASHA certification online?

Verification of ASHA certification can now be accomplished online. The online ASHA Certification Verification system is free, and ASHA certificate holders can use it to quickly and easily download and print an official ASHA verification letter for their employers or relevant regulatory agencies.

Can I fax a verification letter?

If requesting a rush fax , keep in mind that most licensure boards may not accept faxed verification letters. Please contact your state licensure board to confirm that a faxed letter is acceptable. Letters sent by overnight delivery cannot be sent to a post office box, so a street address must be provided.

What to do if only a small percentage of patients are Medicare beneficiaries?

If you plan to see a high proportion of Medicare beneficiaries, you can proceed and review the requirements of establishing provider status.

What is HCFA form 855)?

Before a survey is undertaken, the rehabilitation agency must submit a provider enrollment form (HCFA Form 855) to the state. States vary in the length of time they take to review the application and subsequently submit it to the Medicare fiscal intermediary.

Can speech language pathologists bill Medicare?

However, please note that effective July 1, 2009, speech-language pathologists in private practice may directly bill the Medicare program and no longer need to establish a Medicare-Certified Rehabilitation agency to do so. For more information go to Medicare & Speech-Language Pathologists in Private Practice. ...

Clinical Fellowship (CF)

The CF is a mentored professional experience following the completion of SLP academic course work and clinical practicum. New supervision requirements are in effect for individuals acting as CF mentors.

Assistants Certification Program

Assistants certification is now available! Follow these step-by-step guides to become a certified audiology assistant or SLP assistant.

State Licensure Information

Find information on your state related to licensure, regulations, and important contacts. View model bills and policy resources and see the latest trends in state licensure.

Clinical Specialty Certification

Demonstrate your advanced training and experience by becoming a Board Certified Specialist. Establish a new specialty area of practice.

Summary

In general, Medicare requires that therapy services are of appropriate type, frequency, intensity, and duration for the individual needs of the patient. Documentation should:

Evaluation

The initial evaluation, or the plan of care including an evaluation, should document the necessity for a course of therapy through objective findings.

Progress Reports

The progress report provides justification for the medical necessity of treatment. A clinician must complete a progress report at least once every 10 treatment days or at least once during each certification interval, whichever is less.

Treatment Notes

The purpose of the treatment note is not to document medical necessity, but to create a record of all encounters and skilled intervention. Documentation is required for every treatment day, every therapy service, and must include the following information:

Discharge Note

The Discharge Note is required and shall be a progress report written by a clinician and shall cover the reporting period from the last progress report to the date of discharge. The discharge note shall include all treatment provided since the last progress report and indicate that the therapist reviewed the notes and agrees to the discharge.

Examples of Information to be Included In Documentation of Skilled Services

To document skilled services, the clinician applies the tips listed below.

Questions?

For clinical and documentation questions, contact [email protected].

Additional Resources

Need a copy of this information on ASHA letterhead? Contact [email protected].

Why is certification important?

Whereas licensure is important to legally perform the work of a profession, certification is important for internal professional recognition and external accountability.

What is the role of certification in speech pathology?

Licensure ensures basic consumer protection and provides a mechanism by which incompetent and/or unethical practitioners may be removed from practice.

What is the CCC requirement?

The requirements for the CCC are equivalent to or higher than any state requirements for initial licensure. Thus, an individual who attains the CCC can be assured that they will meet the requirements for licensure in every state.

How many hours do you need to be a CCC?

Every individual who holds the CCC has: Completed a minimum of 350 clock-hours of clinical practicum under a certified supervisor, Passed a national examination.

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