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Medicare Checklist
Speech-Language Pathologist Role
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When recommending an SGD, SGD software and/or accessories, the SLP's role on behalf of a Medicare beneficiary consists of the following tasks, which can be checked off when completed:
| 1. Has SGD assessment been completed pursuant to the DMERC RMRP outline? |
Yes
No
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| 2. Have appropriate device or SGD software to meet the individual's daily functional
communication needs been identified and specified? |
Yes
No
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| 3. Have necessary SGD accessories been identified and specified? |
Yes
No
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| 4. Are recommended device and accessories covered by Medicare? |
Yes
No
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| 5. Does manufacturer/supplier of the recommended device and accessories accept Medicare
assignment? |
Yes
No
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| 6. Has clinician discussed equipment costs, co-payment obligations, and possible sources of additional funding with client and/or family? (Particularly
important if the device is not covered, or no assignment will be taken.) |
Yes
No
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| 7. Has an alternative device been identified if the recommended device is not
affordable? |
Yes
No
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8. Has the written report been completed pursuant to the DMERC RMRP outline that:
a) supports recommendation of the SGD, SGD software, and each AAC accessory;
b) identifies the SLP who will provide setup and training services (if different from SLP conducting assessment); and
c) describes treatment plan for training and services needed to achieve listed functional goals: |
Yes
No
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| 9. Has the written report been forwarded to individual's
treating doctor for review so physician can prescribe all recommended items? |
Yes
No
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| 10. Has the beneficiary and family been informed how to contact manufacturer/supplier
of the SGD to obtain the device and process the Medicare claim? |
Yes
No
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| 11. Has the beneficiary and family been informed to contact SLP who will provide set up
and training services after delivery of SGD, SGD software and/or accessories? |
Yes
No
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