SIG 13 Perspectives Vol. 23, No. 2, April 2014
In this issue of Perspectives, Mary Casper leads clinicians through the maze of billing, documentation, and health care reimbursement models for dysphagia services in long-term care. Nancy Swigert directs attention to changes in health care models by presenting the practical need for clinicians to recognize the transition of reimbursement for skilled services moving to reimbursement based upon optimal patient outcomes. Paula Leslie, Nancy Rourke, and Tamara Sacks provide historical and philosophical underpinnings that underscore the role of ethics in medical intervention. And James Coyle touches on ethical considerations in dysphagia and prolonged tracheal intubation.
You will be able to:
- discuss documentation requirements for skilled service and medical necessity when providing dysphagia services in the skilled nursing facility (SNF)
- identify two ethical issues that may impact speech-language pathology service delivery for patients with dysphagia who reside in the SNF
- explain why SLPs have a responsibility to address the issue of futility based on the Code of Ethics and Scope of Practice
- identify and implement alternative approaches to dysphagia rehabilitation that incorporate models of skill training rather than isolated strength training when appropriate for patient care
- discuss the current research available pertaining to the use of noninvasive brain stimulation in swallowing rehabilitation
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