Policies are often limited to services for patients diagnosed with specific medical conditions-such as stroke or traumatic brain injury (TBI)-and may also exclude cognitive services for specific conditions such as mild TBI, developmental disorders, or neurodegenerative diseases.Īlways verify payer coverage policies before providing cognitive evaluation and therapy services. It is important for SLPs to understand that there is significant variability in coverage for services for patients with cognitive impairments. It is critical for speech-language pathologists (SLPs) to understand coverage policies for the payers they commonly bill, to verify coverage for each patient prior to initiating services, and to be familiar with appropriate diagnosis and procedure coding for accurate claims submission.
Payment and coverage of speech-language pathology services related to the evaluation and treatment of cognitive impairments varies widely based on factors such as the patient’s medical condition, the payer, and the patient’s specific health insurance plan. Considerations for Speech-Language Pathologists
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