Vice President for Clinical Services
Heather Lazarides, MS, CCC-SLP
The following areas are some of the areas addressed by the Clinical Services/Affairs section of MSHA:
- Reimbursement Issues with Medicare, Medicaid, and Private Insurance
- Minority Student Leadership Program
- Member Education
- Clarification of CPT Codes and Billing
- Licensure Issues
- Assistance with interaction with other professionals about the services we provide and our Scope of Practice
- STAR Representative to ASHA
- Consumer Advocacy
- Health Insurance Advocacy
Update February 12, 2020
MSHA knows that there have been concerns raised around Centers for Medicare & Medicaid Services’ (CMS) 2020 edit that did not allow same-day billing of 92611 (modified barium swallow study) and 74230 (radiologist charge). Due to strong advocacy, CMS recently published that they changed the same-day billing restriction, retroactive to January 1, 2020.
For more information, please refer to the ASHA release: https://www.asha.org/News/2020/Medicare-Reverses-Incorrect-Edit-Allows-Same-Day-Billing-VFSS-SLPs-Radiologists/.
MSHA will continue to monitor issues that matter to you.
Pat Jones, MS, CCC-SLP
Heather Lazarides, MS, CCC-SLP, BCS-S
MSHA Vice President for Clinical Services
Update November 7, 2019
As you may know, Medicare changed the way it paid for services provided in skilled nursing facilities on October 1, 2019. MSHA realizes that this has raised a lot of questions about what Medicare expects and pays for.
Our partners at ASHA have developed a resource center to help members better understand the requirements and prepare for this transition. For more information, please visit the ASHA website: https://www.asha.org/practice/reimbursement/medicare/medicare-patient-driven-payment-model/.
In addition, the director of health care policy at ASHA has offered to speak directly with MSHA members who have specific questions:
Sarah Warren, MA
Director, Health Care Policy, Medicare
American Speech-Language-Hearing Association (ASHA)
2200 Research Boulevard, Rockville, MD 20850
Pat Jones, MA, CCC-SLP, MSHA President
Heather Lazarides, MS, CCC-SLP, BCS-S, Vice President for Clinical Services
ASHA’s State Advocates for Reimbursement (STARs) are appointed by State Speech-Language-Hearing Associations to act as advocates for improved health care coverage and reasonable reimbursement. The Missouri STAR is Heather Lazarides, MS, CCC-SLP, firstname.lastname@example.org.
ASHA’s State Advocates for Medicare Policy (StAMP) Network are appointed by State Speech-Language-Hearing Associations to act as advocates for Medicare coverage and reimbursement of audiology and speech-language pathology services in the states. The mission of the StAMP network is to enhance and perpetuate the advocacy, leadership and communication of ASHA members at the state level to influence administrative and public policy decisions that impact Medicare coverage and reimbursement of services. The Missouri StAMP is Heather Lazarides, MS, CCC-SLP, email@example.com.