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Wiki Voice Prosthesis billing

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MnTwins29

MnTwins29

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Rensselaer, NY
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This question is for anyone who does speech therapy coding/billing. Medicare changed the rules in 2010 so that now the provider has to purchase and insert this prosthesis instead of having the patient bring it in for insertion by the provider. However, this has raised questions from our speech therapy manager as to whether this should be the manner of billing across the board, since not all payers reimburse for this procedure in this manner. If anyone bills for this service, how do you do it for private payers? Is it determined by contract? Follow MCR rules? Something else?

Thank you.
 
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