SHAA Reimbursement Committee

October 17, 2003

Present: Judy Mann, Pat Lacoste, John Wright, Marian Krishack

1. Reviewed STAR information
   • To participate in conference calls
2. ASHA Employee Insurance Packet
3. Legislation in the works:

·        Tax credit introduced in the house: Up to $500 per hearing aid for children 18 or younger or adults 65 years or older

·        Hearing Health Accessibility Act introduced in the house and Senate: Direct access for audiology through Medicare

1. Negotiating Private Health Plan Coverage – A Process
   • Reviewed slides from Powerpoint presentation located on STAR
   • Discussed having a conference regarding reimbursement issues (i.e., coding, insurance, etc.)

                                                               i.      Goal would be to network with others

                                                             ii.      Conduct for a nominal fee

1. Federal Employee Health Benefit Plans
   • Reviewed brochures
   • Reviewed employer insurance packet
   • Ideas for promoting this

                                                               i.      Place flyers in doctor’s offices

                                                             ii.      Public service announcements : providing statistics, does your insurance cover SLP and Audiology. Services?

1. Website - AlabamaSHAA.org
   • How can parents locate our website.

                                                               i.      Pat will try to search SLP and Audiology services to see if it comes up? (American Academy of Audiology, AARP, internet search)

                                                             ii.      Does ASHA have a link to state associations – Marian to search

• Chat line
• Informative website

                                                               i.      Marian to develop statements about each one

                                                             ii.      Judy to add Medicaid site

                                                            iii.      Add American Academy of Audiology www.audiology.org

• ICD-9 codes

                                                               i.      Reviewed adult ICD-9 list Marian developed from Mutual of Omaha and BCBS LMRP’s

                                                             ii.      Does BCBS have one for non-Medicare ICD-9’s

                                                            iii.      Create list for children too

• Reviewed 12 ways to generate a denial sheet
• Sources for funding      

                                                               i.      Private insurance

                                                             ii.      Medicare

                                                            iii.      Medicaid

                                                           iv.      Children’s Rehabilitation Services

                                                             v.      Vocational Rehab

                                                           vi.      Alabama Institute of the Deaf and Blind

                                                          vii.      Schwab Fund

                                                        viii.      The Charity League (TCL) Scholarships

                                                           ix.      Public schools

                                                             x.      Early intervention

• Need review number of hits SHAA website is receiving
1. Next meeting
   • Develop goals and timeline the reimbursement conference – summer 2004?
   • Phone bank – discuss insurance

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