Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 , We have been told by our FI that Vital-stim provided without any other swallowing therapy techniques integrated into the therapy session is non-reimbursable. Vital-stim per Medicare and ASHA is still considered experimental. If Vital stim is being used in conjunction with other swallowing therapy techniques then the 92526 code can be used. Speech can not use Ther-ex, E-stim or Neuro Re-ed. If you need this confirmed I would have your Speech Path contact ASHA or you may contact your FI. Dave M.A. CCC-SLP Salem, Va. vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 One of our FI's has told us, in writing, the vitalstim is not reimbursable through Medicare. They don't care if we provide the services, but they won't reimburse under any code. You might want to check with your own FI. Becca vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 One of our FI's has told us, in writing, the vitalstim is not reimbursable through Medicare. They don't care if we provide the services, but they won't reimburse under any code. You might want to check with your own FI. Becca vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 One of our FI's has told us, in writing, the vitalstim is not reimbursable through Medicare. They don't care if we provide the services, but they won't reimburse under any code. You might want to check with your own FI. Becca vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Becca: What state are you from Jeff Jeffery R. Weiss MS PT/AT,C Director of Rehabilitation Alle-Kiski Medical Center Natrona Heights, PA jweiss1@... Fax >>> rturnerhunt@... 06/10/05 09:29AM >>> One of our FI's has told us, in writing, the vitalstim is not reimbursable through Medicare. They don't care if we provide the services, but they won't reimburse under any code. You might want to check with your own FI. Becca vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Becca: What state are you from Jeff Jeffery R. Weiss MS PT/AT,C Director of Rehabilitation Alle-Kiski Medical Center Natrona Heights, PA jweiss1@... Fax >>> rturnerhunt@... 06/10/05 09:29AM >>> One of our FI's has told us, in writing, the vitalstim is not reimbursable through Medicare. They don't care if we provide the services, but they won't reimburse under any code. You might want to check with your own FI. Becca vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Michigan, and the FI is UGS. Becca vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Additionally, ther ex. is still an accepted along with ther act and neuromuscular re-ed (when used with a 59 modifier) as viable codes for slp treatment. Take a look at the most recent component codes listed under the swallow code in the CMS CCI edits. Having said that, SLPs must document the medical necessity and clearly differentiate the differences when using these codes. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Additionally, ther ex. is still an accepted along with ther act and neuromuscular re-ed (when used with a 59 modifier) as viable codes for slp treatment. Take a look at the most recent component codes listed under the swallow code in the CMS CCI edits. Having said that, SLPs must document the medical necessity and clearly differentiate the differences when using these codes. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Additionally, ther ex. is still an accepted along with ther act and neuromuscular re-ed (when used with a 59 modifier) as viable codes for slp treatment. Take a look at the most recent component codes listed under the swallow code in the CMS CCI edits. Having said that, SLPs must document the medical necessity and clearly differentiate the differences when using these codes. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Just reporting what our FI told us last week - they are not happy with the studies and therefore are interpreting the Medicare regulations in their own way. At the moment they are not paying for it. Becca Hunt Director of Clinical Services Integrity Rehab Services Brighton, Michigan rturnerhunt@... Re: vitalstim charging I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Just reporting what our FI told us last week - they are not happy with the studies and therefore are interpreting the Medicare regulations in their own way. At the moment they are not paying for it. Becca Hunt Director of Clinical Services Integrity Rehab Services Brighton, Michigan rturnerhunt@... Re: vitalstim charging I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Just reporting what our FI told us last week - they are not happy with the studies and therefore are interpreting the Medicare regulations in their own way. At the moment they are not paying for it. Becca Hunt Director of Clinical Services Integrity Rehab Services Brighton, Michigan rturnerhunt@... Re: vitalstim charging I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 " G " , To my knowledge ASHA has not retracted the information that was published a few months ago in the ASHA Leader concerning Vital Stim. It was quite clear from the information provided that ASHA's stand on the issue is that without valid clinical studies Vital Stim is an experimental treatment that requires additional investigation and research. This has been repeated to me by my FI. My FI has instructed me as I stated earlier on how to be reimbursed for swallowing therapy incorporating Vital Stim. I'm not perpetuating any myth. I'm just stating the information that I know to be factual from my FI. " G " If you will go to the ASHA web-site and download the 2005 SLP Medicare Fee schedule on page 6 it clearly explains that despite arguments presented by ASHA, CMS continues to prohibit SLP's from reporting PM & R codes 97110 Ther Ex and 97112 Neuro Re-ed. If you want to use a 59 modifier and get paid for them go ahead. If you've been instructed by your FI to bill that way great... but I'm going to follow the instructions I've been given directly by my FI. Also FI's don't deny treatments they deny payment. As far as Vital Stim goes I think its one of the best modalities that has been developed for Dysphagia patients in decades. My staff has had great results with most patients. But until opinions on its efficacy change I'll be billing according to my FI. Dave M.A. CCC-SLP Salem, Va. Re: vitalstim charging I have had recent discussions with Mark Kander at ASHA. ASHA does not say that Vital Stim is experimental althugh there are a number of efficacy studies going on. Has anyone looked at the outcomes and efficacy of thermal stim? Give me a break and do not perpetuate this misinformation. The only thing to understand about Vital Stim re payment is that it cannot be coded using an e-stim CPT. It is totally appropriate to code it under the general swallowing treatment code and therapists should continue to advocate with any FI who denies treatment. " G " vitalstim charging > > > Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Which FI has told you this? I would like to see what they sent in writing! " G " vitalstim charging > > Does anyone have any info/experience on the appropriate charges for speech > therapists to use for typical vitalstim treatments. Is anyone experiencing > denials on specific charges. I am getting mixed feedback on the use of > e-stim as a charge and understand ther-ex is not a cpt available to ST. Any > documentation or info you have on billing this procedure would be much > appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended > solely for the use of the addressee(s) named above. If you are not the > intended recipient, any review, use, or distribution of this e-mail message > and any attached files is strictly prohibited. This communication may > contain material protected by Federal privacy regulations, attorney-client > work product, or other privileges. If you have received this confidential > communication in error, please notify the sender immediately by reply e-mail > message and permanently delete the original message. To reply to our email > administrator directly, send an email to: postmaster@... .. > If this e-mail message concerns a contract matter, be advised that no > employee or agent is authorized to conclude any binding agreement on behalf > of Orlando Regional Healthcare by e-mail without express written > confirmation by an officer of the corporation. Any views or opinions > presented in this e-mail are solely those of the author and do not > necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Which FI has told you this? I would like to see what they sent in writing! " G " vitalstim charging > > Does anyone have any info/experience on the appropriate charges for speech > therapists to use for typical vitalstim treatments. Is anyone experiencing > denials on specific charges. I am getting mixed feedback on the use of > e-stim as a charge and understand ther-ex is not a cpt available to ST. Any > documentation or info you have on billing this procedure would be much > appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended > solely for the use of the addressee(s) named above. If you are not the > intended recipient, any review, use, or distribution of this e-mail message > and any attached files is strictly prohibited. This communication may > contain material protected by Federal privacy regulations, attorney-client > work product, or other privileges. If you have received this confidential > communication in error, please notify the sender immediately by reply e-mail > message and permanently delete the original message. To reply to our email > administrator directly, send an email to: postmaster@... .. > If this e-mail message concerns a contract matter, be advised that no > employee or agent is authorized to conclude any binding agreement on behalf > of Orlando Regional Healthcare by e-mail without express written > confirmation by an officer of the corporation. Any views or opinions > presented in this e-mail are solely those of the author and do not > necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Which FI has told you this? I would like to see what they sent in writing! " G " vitalstim charging > > Does anyone have any info/experience on the appropriate charges for speech > therapists to use for typical vitalstim treatments. Is anyone experiencing > denials on specific charges. I am getting mixed feedback on the use of > e-stim as a charge and understand ther-ex is not a cpt available to ST. Any > documentation or info you have on billing this procedure would be much > appreciated. > > Thanks, > > > This e-mail message and any attached files are confidential and are intended > solely for the use of the addressee(s) named above. If you are not the > intended recipient, any review, use, or distribution of this e-mail message > and any attached files is strictly prohibited. This communication may > contain material protected by Federal privacy regulations, attorney-client > work product, or other privileges. If you have received this confidential > communication in error, please notify the sender immediately by reply e-mail > message and permanently delete the original message. To reply to our email > administrator directly, send an email to: postmaster@... .. > If this e-mail message concerns a contract matter, be advised that no > employee or agent is authorized to conclude any binding agreement on behalf > of Orlando Regional Healthcare by e-mail without express written > confirmation by an officer of the corporation. Any views or opinions > presented in this e-mail are solely those of the author and do not > necessarily represent those of Orlando Regional Healthcare. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2005 Report Share Posted June 10, 2005 Becca, UGS reimburses for 92526 whether VitalStim is provided as a component of the normal dysphagia treatment or not. They will not reimburse for G0283 on the same day as 92526 as there is a CCI edit that prevents this. If you would like to see this in writing, please e-mail. They will be posting this soon to their website under PCOM FAQ's. Rick Gawenda, PT Director PM & R Detroit Receiving Hospital MPTA Insurance Relations Committee --- Becca -Hunt wrote: > Michigan, and the FI is UGS. > > Becca > > vitalstim charging > > Does anyone have any info/experience on the > appropriate charges for speech > therapists to use for typical vitalstim treatments. > Is anyone experiencing > denials on specific charges. I am getting mixed > feedback on the use of > e-stim as a charge and understand ther-ex is not a > cpt available to ST. Any > documentation or info you have on billing this > procedure would be much > appreciated. > > Thanks, > > > This e-mail message and any attached files are > confidential and are intended > solely for the use of the addressee(s) named above. > If you are not the > intended recipient, any review, use, or distribution > of this e-mail message > and any attached files is strictly prohibited. This > communication may > contain material protected by Federal privacy > regulations, attorney-client > work product, or other privileges. If you have > received this confidential > communication in error, please notify the sender > immediately by reply e-mail > message and permanently delete the original message. > To reply to our email > administrator directly, send an email to: > postmaster@... . > If this e-mail message concerns a contract matter, > be advised that no > employee or agent is authorized to conclude any > binding agreement on behalf > of Orlando Regional Healthcare by e-mail without > express written > confirmation by an officer of the corporation. Any > views or opinions > presented in this e-mail are solely those of the > author and do not > necessarily represent those of Orlando Regional > Healthcare. > > [Non-text portions of this message have been > removed] > > > > > > Looking to start your own Practice? > Visit www.InHomeRehab.com. > Bring PTManager to your organization or State > Association with a > professional workshop or course - call us at 313 > 884-8920 to arrange > PTManager encourages participation in your > professional association. Join > and participate now! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2005 Report Share Posted June 11, 2005 Thanks for your clarification. Which FI? " G " vitalstim charging > > > > > > Does anyone have any info/experience on the appropriate charges for speech > therapists to use for typical vitalstim treatments. Is anyone experiencing > denials on specific charges. I am getting mixed feedback on the use of > e-stim as a charge and understand ther-ex is not a cpt available to ST. Any > documentation or info you have on billing this procedure would be much > appreciated. > > > > Thanks, > > > > > > This e-mail message and any attached files are confidential and are > intended solely for the use of the addressee(s) named above. If you are not > the intended recipient, any review, use, or distribution of this e-mail > message and any attached files is strictly prohibited. This communication > may contain material protected by Federal privacy regulations, > attorney-client work product, or other privileges. If you have received this > confidential communication in error, please notify the sender immediately by > reply e-mail message and permanently delete the original message. To reply > to our email administrator directly, send an email to: > postmaster@... . If this e-mail message concerns a contract > matter, be advised that no employee or agent is authorized to conclude any > binding agreement on behalf of Orlando Regional Healthcare by e-mail without > express written confirmation by an officer of the corporation. Any views or > opinions presented in this e-mail are solely those of the author and do not > necessarily represent those of Orlando Regional Healthcare. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2005 Report Share Posted June 11, 2005 Thanks for your clarification. Which FI? " G " vitalstim charging > > > > > > Does anyone have any info/experience on the appropriate charges for speech > therapists to use for typical vitalstim treatments. Is anyone experiencing > denials on specific charges. I am getting mixed feedback on the use of > e-stim as a charge and understand ther-ex is not a cpt available to ST. Any > documentation or info you have on billing this procedure would be much > appreciated. > > > > Thanks, > > > > > > This e-mail message and any attached files are confidential and are > intended solely for the use of the addressee(s) named above. If you are not > the intended recipient, any review, use, or distribution of this e-mail > message and any attached files is strictly prohibited. This communication > may contain material protected by Federal privacy regulations, > attorney-client work product, or other privileges. If you have received this > confidential communication in error, please notify the sender immediately by > reply e-mail message and permanently delete the original message. To reply > to our email administrator directly, send an email to: > postmaster@... . If this e-mail message concerns a contract > matter, be advised that no employee or agent is authorized to conclude any > binding agreement on behalf of Orlando Regional Healthcare by e-mail without > express written confirmation by an officer of the corporation. Any views or > opinions presented in this e-mail are solely those of the author and do not > necessarily represent those of Orlando Regional Healthcare. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2005 Report Share Posted June 11, 2005 Thanks for your clarification. Which FI? " G " vitalstim charging > > > > > > Does anyone have any info/experience on the appropriate charges for speech > therapists to use for typical vitalstim treatments. Is anyone experiencing > denials on specific charges. I am getting mixed feedback on the use of > e-stim as a charge and understand ther-ex is not a cpt available to ST. Any > documentation or info you have on billing this procedure would be much > appreciated. > > > > Thanks, > > > > > > This e-mail message and any attached files are confidential and are > intended solely for the use of the addressee(s) named above. If you are not > the intended recipient, any review, use, or distribution of this e-mail > message and any attached files is strictly prohibited. This communication > may contain material protected by Federal privacy regulations, > attorney-client work product, or other privileges. If you have received this > confidential communication in error, please notify the sender immediately by > reply e-mail message and permanently delete the original message. To reply > to our email administrator directly, send an email to: > postmaster@... . If this e-mail message concerns a contract > matter, be advised that no employee or agent is authorized to conclude any > binding agreement on behalf of Orlando Regional Healthcare by e-mail without > express written confirmation by an officer of the corporation. Any views or > opinions presented in this e-mail are solely those of the author and do not > necessarily represent those of Orlando Regional Healthcare. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2005 Report Share Posted June 15, 2005 We do not bill for e-stim or therapeutic activity. We incorporate VitalStim into our swallowing treatment sessions and bill for traditional swallowing (dysphagia) therapy only (CPT 92526). vitalstim charging Does anyone have any info/experience on the appropriate charges for speech therapists to use for typical vitalstim treatments. Is anyone experiencing denials on specific charges. I am getting mixed feedback on the use of e-stim as a charge and understand ther-ex is not a cpt available to ST. Any documentation or info you have on billing this procedure would be much appreciated. Thanks, This e-mail message and any attached files are confidential and are intended solely for the use of the addressee(s) named above. If you are not the intended recipient, any review, use, or distribution of this e-mail message and any attached files is strictly prohibited. This communication may contain material protected by Federal privacy regulations, attorney-client work product, or other privileges. If you have received this confidential communication in error, please notify the sender immediately by reply e-mail message and permanently delete the original message. To reply to our email administrator directly, send an email to: postmaster@... . If this e-mail message concerns a contract matter, be advised that no employee or agent is authorized to conclude any binding agreement on behalf of Orlando Regional Healthcare by e-mail without express written confirmation by an officer of the corporation. Any views or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Orlando Regional Healthcare. Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.