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23 Cards in this Set

  • Front
  • Back
Medicare covers who?
people age 65 and over, receiving social security disability payment for more than 2 years, end stage renal disease
Medicare Part A
home health services, approximately 100 days of inpatient hospital and skilled nursing facility care, hospice care
Medicare Part B
ancillary services after first 100 days of Part A has been exhausted, outpatient services
Medicare covers dysphagia for?
motivated and moderately alert patients
Give ex. of Medicare fraud charges
bill for services not provided
bill for services not covered
waiving of a co-payment
midcoding
soliciting, offering, or receiving a kickback
Medicaid
joint federal/state reimbursement program that offers health care to low income families
HIPAA (Health Insurance Portability and Accountability Act of 1996)
addresses privacy of patient data, enacted to streamline and standardize administration of health care insurance, full access to their medical records, more control over how their personal information is used and disclosed, and provide a clear avenue of recourse if their medical privacy is compromised.
ASHA purpose
To protect the public by maintaining high standards for members, certificate holders, accredited professional services programs, & accredited graduate education, program, to promote investigation and prevention of disorders of comm.
Scope of practice
areas of service are speech, voice, language, communication, swallowing, assistive technology

educates healthcare, education and others regarding treatment, services, and supports provided by SLP
What does an SLP need for scope of practice?
hold a masters or doctorate, CCC and other required credentials(state licensure, teaching certificate etc.), work with other professionals, to prevent communication problems, screen assess, diagnose, refer
Licensure
it is state based, not voluntary, protects the consumer from incompetent practice and that services are provided in manner that meets professional standards
Certification
granted to an individual who has successfully fulfilled certain requirements, use a particular professional title, ASHA grants certification to indiv. who meet requirements relating to academic degree, type
Certificate of Clinical Competence
master's or doctoral degree
Education completed in accredited program
400 clock hrs of supervised observation and practicum
Passing of Praxis
completion of full time supervised professional experience
Clinical Fellowship
supervised professional experience after completion of required course work
provide direct patient contact 80% of work week
verify current certification status of supervisor
no less than 36 weeks of full time professional employment
1973 Section 504 of Rehabilitation Act PL 93-112
eliminates discrimination against individuals with disabilities by agencies receiving federal financial assistance
1975 Education for All Handicapped Children Act of 1975 (EHA) PL 94-142
mandates free, appropriate education for all handicapped students between 3 and 21. Provides for IEP, due process, protection in evaluation procedures, and education in the least-restrictive environment
1986 Education for All Handicapped Children Act (Part H/Part C) PL 99-457
extends protection of the EHA to infants and toddlers (birth through age 2). Important to remember includes an IFSP
1990 Individuals with Disabilities Education Act PL 101-476
Expands the discretionary programs, includes the additional categories of autism & TBI as separate disability categories. Includes language relative to assistive technology. Expands transition requirements.
IDEA 97
Services must be comprehensive, multidisciplinary, culturally unbiased, family directed, community based
Must have IFSP
Must recognize role of parents/family
IEP must include
referral, informed consent for evaluation, formation of multidisciplinary eval team
Comprehensive assessment
report with recommendations
IEP meeting
Parental consent for placement
Implementation- Annual Review-3yr eval
Supervision
should assist in clinical/professional tasks including:formation of goals/objectives, clinical management skills, writing, professional conduct
Minimum suggested supervision
25% of therapy
50% of each diagnostic
36 supervisory visits during CFY
Hours requirements do's and dont's
meeting with supervisors are not clinical hours
Preparation hours are not counted as clinical hours
25 hours must be in the area of observation
Discussion of dx recommendations can be included as dx hours