Coverage of and payment for SLP services for patients with complex medical conditions requires SLPs to navigate provider guidelines and payment systems related to multiple sites of service and multiple episodes of care. SLPs must also exhibit professional mastery of the principles of clinical decision-making pertaining to a continuum of care from intensive skilled treatment to maintenance intervention and termination of SLP care. This session presents critical information to support accurate payment for SLP services provided to patients with complex medical conditions. The speakers share a pediatric and an adult case scenario and provide useful resources.

This course is a recorded session from the 2021 online conference “Maximizing Outcomes for Medically Complex Patients of All Ages.”

Learning Outcomes
You will be able to:

• define payment systems (e.g., prospective, fee-for-service), practice settings (e.g., acute care, outpatient), and payer sources related to the continuum of care for patients with complex medical conditions
• articulate differences between skilled and maintenance intervention compared to unskilled services
• describe episodes of care and discharge criteria

What is Included?

You'll get online access to all the course content, including the full video, handouts, and references so you can access it from anywhere!

Assessment Type

Self-assessment—Think about what you learned and report on the Completion Form how you will use your new knowledge.