Who Dat?
The name of our Medicaid trainer today
Who is Anthony?
This type of signature is required on all referral forms
What is a physical (handwritten) signature? (Not digital)
True or False, a group service with only one student in attendance is totally billable and should be entered in the RS Log.
What is FALSE! Group sessions with only one student in attendance are not billable.
To be eligible for SSHSP reimbursement, a student must be Medicaid eligible, have a disability determination, and have this specific document in place.
What is an Individualized Education Program (IEP)?
This person is the BOE appointed Medicaid Compliance Officer
Who is Beth Caruana?
The date on the referral form should always be this.
What is the actual date the referral is written (not backdated)?
Session notes must be entered into the related service log within this time frame after the date of service.
What is within 10 calendar days?
Both of these five-digit CPT codes are used for the treatment of speech, language, and communication disorders; the distinction between the two lies in the number of individuals receiving the service simultaneously. Code 92507 is for this type of session, while 92508 is for a session with two or more patients.
What are individual and group sessions?
92507 - Individual
TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/ OR AUDITORY PROCESSING DISORDER; INDIVIDUAL 1 per session $83.63
92508 - Group
TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/OR AUDITORY PROCESSINGDISORDER; GROUP, 2 OR MORE INDIVIDUALS 1 per session $24.43
Medicaid referrals and questions related to Medicaid billing should be addressed to this person.
Who is Jocelynn Stone?
A new referral is required if any of these aspects of service change after a CSE meeting or IEP amendment.
What are service frequency, duration, ratio, or location?
Only sessions meeting this minimum length should be logged in the related service log.
What is 30 minutes?
This service generates the most revenue for Sachem.
What is Speech Therapy?
This person assists the OSS with communication between Sachem and our billing vendor
Who is Kelly Hatton?
Before starting an initial speech evaluation or any testing, this must be written.
What is the referral form?
These two items are the key components that comprise a complete session note.
What is the activity worked on during the session and a brief description of the student’s progress made by receiving the service during the session.
Sachem billed approximately this much last school year.
What is $637,000
This person was disappointed there were no games or prizes at last year's annual Medicaid Compliance training
Who is Kaitlyn Trepiccione?
The CPT code should be listed in this section of the evaluation report for consistency.
What is the beginning portion of the evaluation, with demographic information?
Medicaid's favorite word for timely.
What is Contemporaneous?
“Contemporaneous” records means documentation of the services that have been provided as close to the conclusion of the session as practicable.
Of the $637,000 billed, this is the amount returned to the district in revenue.
What is 50% ($318,500)