6pm - 8:00pm Central Time
$45.00
speech IRL’s Dine & Development courses are designed to provide a learning experience in a collaborative, intimate, interactive environment. These courses feature 1-2 speakers presenting on a specific clinical topic, with active discussion, question, and contribution from audience members throughout.
This course is designed to help speech-language pathologists understand insurance coverage so that you can "think like an insurance company" when working with claims. Participants will learn about the basic types of speech therapy coverage, common types of coverage and exclusions, and how to interpret insurance language as it applies to individual clients and their clinical profiles. Real-world examples will be used, and participants will collaboratively practice problem-solving through various steps: verifying coverage, submitting claims, and appealing denials. Insurance companies often have arbitrary rules that don't make clinical sense, and this course will teach you how to work with these arbitrary rules in a way that is clinically accurate, ethical, and supportive of clients' needs. [Note: this course will ONLY cover principles and practices of private insurance reimbursement, not Medicare/Medicaid.]
Participants will be able to describe core billing principles for HMO, PPO, in-network, and out-of-network private insurance plans.
Participants will demonstrate the ability to provide a hypothetical client with a breakdown of their anticipated out-of-pocket therapy costs, given a set of plan coverage data.
Participants will explain the difference between clinical and legal (contractual) arguments when crafting an appeal letter, and demonstrate the ability to select appropriate supporting arguments given the language of a specific denial.
5 minutes- Introductions and Disclosures
20 minutes- Types of speech therapy coverage policies
20 minutes- How to determine coverage based on policy language
20 minutes- How to problem-solve clinically-based issues, with examples
20 minutes- How to problem-solve contractually-oriented (non-clinical) issues, with examples
15 minutes- Closing Statements and Questions
Katie Gore, MA, CCC-SLP is the founder and president of speech IRL. She is the author of Navigating Insurance For People Who Stutter And Their Providers, a step-by-step workbook published by the National Stuttering Association. She has been an invited speaker at ASHA and Stuttering Foundation events on the topic of insurance reimbursement. She co-authored an article for the ASHA Leader titled "How To Clear Four Common Roadblocks to Coverage of Stuttering Treatment" in 2017. In 2021, she successfully advocated Blue Cross Blue Shield of Illinois to prevent rate cuts to speech therapy.
Financial: Katie is the owner-employer of speech IRL and receives salaries and distributions from speech IRL.
Non-financial: Katie is the author of Navigating Insurance For People Who Stutter And Their Providers (published by the National Stuttering Association).
Contact [email protected] for any special needs requests.
This course is offered for 0.15 ASHA CEUs (Intermediate level, Professional area).
You must attend this course in its entirety and complete the course evaluation for satisfactory course completion.
In the event a program is canceled or rescheduled, you will receive a full refund.
A purchased online course can be refunded by contacting [email protected] within 30 days of purchase. The course materials must not have been viewed or downloaded. If you are not 100% satisfied with speech IRL’s continuing education services, please contact organizer Asma Ahmad at [email protected] for a full refund.
