ISHA BLOG...a blog of current news


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Indiana Speech-Language-Hearing Association.

 

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This area is for members to get the latest up to date information from the ISHA Communications Committee. It will now house the ISHA Newsletters as well as important information for all members. If you are a member sign-up in the subscription area above to receive updates in your email in box. Members will also be able to comment on any of the postings in the blog area.  If you are a Non-Member and have something to say, please email stephanie@centraloffice1.com with your comment, and it will be added to the corresponding blog post.

 

We also want to welcome members and non-members to check out our new ISHA Forum area where member discussions can take place.  In addition, ISHA also has a FaceBook page.  Feel free to comment and ask questions there too!  Non-members can access and post a topic for discussion on the FaceBook page. Click here to access the ISHA FaceBook Page


Please Note:

Non- members may only read the Forum.

If you are a Non-Member and have something to say, please email stephanie@centraloffice1.com with your comment,
and it will be added to the corresponding blog post.

  • 12 Mar 2018 12:46 PM | Anonymous member (Administrator)

    Hello Colleagues!


    The ASHA Speech-Language Pathology and Audiology advisory councils will be on Capital Hill tomorrow advocating for our profession and our patients. Tomorrow is  also virtual advocacy day.  Please take just a few minutes of your time to advocate along with the ASHA advisory councils.

     

    We have included the link to the ASHA website below. There are four topics that ASHA has identified as important.


    • Participants should click on the topic beneath the TAKE ACTION NOW!
    • Then enter your zip code and click "Check Zip Code" to continue. On some occasions you may need to enter your entire address; but it will be clear based upon the instructions.
    • Your congressional legislators and an email for each topic will populate.


    https://takeaction.asha.org/asha/VAD?0


    Thank you for your participation. We are stronger together!!!!


  • 06 Mar 2018 11:49 AM | Anonymous member (Administrator)

    You are invited to participate in a research project, being conducted by graduate students at Saint Mary’s College. The purpose of this research project is to identify the pros and cons of having a caseload vs a workload in the school system, in regards to the guidelines of Indiana’s caseload and Michigan’s workload, thus drawing attention to the benefits of the guidelines implicated by ASHA. The procedure involves filling an anonymous online survey, attached below, which contains only 10 questions. If you have any questions about the research study, please contact Dr. Rhonda Tomeko at rtomenko@saintmarys.edu or Grace Connelly at gconnelly01@saintmarys.edu.


    https://www.surveymonkey.com/r/559SBJV


  • 21 Feb 2018 4:26 PM | Anonymous member (Administrator)


    The Purdue Aphasia Research Laboratory and the M.D. Steer Speech and Language Clinic are inviting persons with aphasia to participate in the 2018 Purdue Aphasia Boot Camp.  The Boot Camp includes: 

    -Three weeks of aphasia therapy (3 times per week, 1.5 hours per day) including both individualized and group therapy sessions.

    -Up to 4 research testing sessions.


    Participation is FREE with a language assessment completed prior to beginning of the program to determine eligibility.


    Tentative schedule:  June 11-29 (Monday, Wednesday, Friday am)

    Location: Purdue University Speech and Language Clinic, Lyles-Porter Hall

    Participants must commute to Purdue Campus (West Lafayette) for the Boot Camp


    If you know persons with aphasia that may be interested, don’t wait! This is first come, first served and spots are limited!


    Please contact: Emily Bauman, Project Coordinator with the Purdue Aphasia Research Laboratory: ebauman@purdue.edu or Michelle Gutmann, Clinical Associate Professor:  mgutmann@purdue.edu


    Thank you for your consideration!


  • 13 Feb 2018 2:07 PM | Anonymous member (Administrator)

    ISHA Convention 2018


    April 5th-7th

    Celebrating Everyday Heroes

    Leading the Way with Evidence-Based Practice!


    Attendees:

    Click here to register online
    click here to download the full registration brochure
    CLICK HERE TO DOWNLOAD OR VIEW THE PROGRAM AT A GLANCE
    CLICK HERE TO DOWNLOAD THE REGISTRATION PAGES

    Exhibitors/Sponsors:

    Click Here to Learn More & Register Now!

    Click Here to Download the Exhibitor Prospectus

     



    LOCATION:

    Sheraton Indianapolis Hotel at Keystone Crossing

    8787 Keystone Crossing ~ Indianapolis, IN 46240

    Click Here for Directions

     


  • 12 Feb 2018 5:03 PM | Anonymous member (Administrator)

    Congress has permanently repealed Medicare Part B therapy caps and permanently extended the Steve Gleason Enduring Voices Act, which authorizes the purchase of speech-generating devices (SGDs).


    The measures were included in a continuing resolution passed yesterday that funds the federal government for the next two years.


    Medicare Part B Therapy Cap

    The resolution permanently eliminates the hard cap on how much outpatient speech-language, occupational and physical therapy each Medicare beneficiary is allowed per year. Congress has allowed an exceptions process in most of the past 20 years, but this permanent fix repeals the cap and replaces it with a more flexible targeted medical review threshold of $3,000.


    Even with a threshold of $3,000, clinicians must use the KX modifier—which indicates ongoing medical necessity—when a patient’s therapy services exceed $2,010 (the level of the previous cap). If an SLP meets certain billing criteria (yet to be announced), the clinician may be required to submit medical records for some of the claims above the $3,000 threshold for review.


    ASHA anticipates that the targeting criteria and review process will be similar or identical to the most recent therapy caps exceptions process. We will share the details when they become available.


    Steve Gleason Enduring Voices Act

    The resolution also requires Medicare to cover the purchase of SGDs permanently. Most of the people who use SGDs have neurodegenerative diseases such as amyotrophic lateral sclerosis (ALS), Parkinson’s disease and multiple sclerosis. Prior to 2015, people who used SGDs couldn’t take the devices with them to nursing homes, hospices or hospitals because the SGDs were rented, rather than purchased.


    The Steve Gleason Enduring Voices Act lifted this limitation through Sept. 30, 2017; Congress eliminated the rental requirement permanently in this most recent funding legislation, allowed SGD-users to use their devices during facility stays.

    To pay for outpatient therapy and SGC access, Congress made several other Medicare policy changes. ASHA will issue additional guidance and information as needed.


    • The Home Health Prospective Payment System (HHPPS) will move from the current 60-day episode of care to a 30-day episode beginning in 2020. This change could result in reduced reimbursement for home-based speech-language services. Additionally, the annual payment update to HHPPS was restricted to 1.5 percent in 2020.
    • The annual update to the Skilled Nursing Facilities Prospective Payment System was restricted to 2.4 percent in 2019.
    • The annual payment update for the Medicare Physician Fee Schedule was revised from 0.5 percent to 0.25 percent in 2019.


    Other Provisions


    The legislation also:

    • Reauthorizes the Children’s Health Insurance Program (CHIP) through 2027.
    • Gives additional funding to the National Health Service Corps through fiscal year 2019 to support graduate education for health care providers, including audiologists and speech-language pathologists.
    • Permanently repeals the Independent Payment Advisory Board, empowered to implement spending reductions to Medicare with limited congressional oversight.

     

    Jeffrey P. Regan, MA, is ASHA director of government affairs and public policy. jregan@asha.org


    https://blog.asha.org/2018/02/09/congress-repeals-medicare-therapy-caps-and-lifts-limits-on-speech-generating-devices/ 


  • 30 Jan 2018 3:24 PM | Anonymous member (Administrator)

    Dear SIG 15 affiliates,

    Please participate in the Therapy Cap Coalition Thunderclap. Congress has agreed on a bipartisan framework to permanently repeal the therapy cap, but lawmakers need to act. There are many pressing issues before Congress right now, and they need to hear from you that this is a priority. Twenty years of temporary fixes is enough!


    We'd love to have as many people as we can joining this effort. The point of this is to get #StopTheCap and #TherapyCantWait trending. Here's how it works. When you click on the link below, you can sign up to support the Thunderclap via your Facebook or Twitter accounts. Afterwards, at a designated time, everyone who signed up for the Thunderclap will have the same message and hashtag post at the same time on their social media. It's currently scheduled to go live at the end of the month.

    Link to Therapy Cap Coalition Thunderclap -https://www.thunderclap.it/projects/66876-stopthecap-therapycantwait



  • 30 Jan 2018 3:12 PM | Anonymous member (Administrator)

    Implementation Guidance for the 

    2018 Medicare Therapy Cap Without an Exceptions Process

    The Medicare therapy cap exceptions process expired on December 31, 2017, and is replaced with a hard cap, effective January 1, 2018. Although many Medicare beneficiaries will not likely exceed the cap in the first quarter of 2018, speech-language pathologists and their patients face uncertainty regarding how to proceed until Congress acts to repeal the therapy cap or extend the exceptions process. In the interim, consider the following tips on how to navigate the therapy cap without an exceptions process.


    2018 Therapy Cap Amount

    There is one cap of $2,010 for physical therapy and speech-language pathology services combined and a second cap of $2,010 for occupational therapy services. The cap follows a beneficiary throughout the year regardless of diagnosis or practice setting and “resets” annually on January 1.


    Settings Where the Therapy Cap Applies

    • Private practices
    • Offices of physicians and certain nonphysician practitioners
    • Part B skilled nursing facilities
    • Home health agencies (visits provided on an outpatient basis)
    • Rehabilitation agencies (also known as outpatient rehabilitation facilities)
    • Comprehensive outpatient rehabilitation facilities
    • Critical access hospitals


    Exemption for Outpatient Hospital Departments

    Please note outpatient hospital departments are exempt from the therapy cap at this time, as they had been prior to the exceptions process. With an exceptions process in place for nearly 10 years, the previous exemption for outpatient hospitals was no longer considered necessary. As such, Congress applied the cap to this setting as long as an exceptions process was in place. Absent the exceptions process, the exemption from outpatient hospital departments was reinstated.


    Additional details regarding the outpatient hospital department exemption is available on the Centers for Medicare and Medicaid Services (CMS) website.


    Manual Medical Review of Therapy Services

    Manual medical review (MMR) of therapy services was tied to the exceptions process. When Congress failed to extend the exceptions process, they also failed to extend MMR. It is possible that legislation for the cap could include some version of MMR in the future.


    Options if a Patient Exceeds the Therapy Cap

    If a patient exceeds the therapy cap, they may continue treatment at an outpatient hospital department (as this setting is currently exempt from the caps) or continue treatment and pay out of pocket. If a patient elects to pay out of pocket, ASHA strongly recommends that the clinician provide the patient with an advanced beneficiary notice (ABN) [PDF] to inform the beneficiary of potential financial liability if Congress fails to act. Following the provision of an ABN, the provider is allowed to charge the beneficiary if CMS does not pay the claim.


    Unfortunately, clinicians may find that Medicare beneficiaries may not be able to afford to pay out of pocket and may prematurely end treatment despite a continued need.


    CMS Announces it will Hold Claims

    On January 18, 2018, CMS posted the following announcement regarding the expiration of the exceptions process to its website:

    "...CMS is taking steps to limit the impact on Medicare beneficiaries by holding claims affected by the therapy caps exceptions process expiration for a short period of time beginning on January 1, 2018. Only therapy claims containing the KX modifier are being held; claims submitted with the KX modifier indicate that the cap has been met but the service meets the exception criteria for payment consideration. Currently if claims are submitted without the KX modifier and the beneficiary has exceeded the cap the claim will be denied.”


    ASHA believes CMS intends to hold claims with the KX modifier and the KX modifier should only be used if the patient has exceeded the cap. It would not be appropriate for clinicians to use the KX modifier for all therapy claims. Holding claims for therapy services that have exceeded the cap and contain the KX modifiers will allow CMS to process those claims once Congress addresses the cap and prevents therapists from having to resubmit claims that would have otherwise been denied. It is not clear how long CMS will hold this group of claims. Additional details will be posted here as they become available.


    Congressional Action Retroactive to January 1

    Although it is hopeful that any legislative fix to the therapy cap will be retroactive to January 1, these details have not been confirmed at this time.


    ASHA Resources

    Take Action!

    It is imperative that every ASHA member contact their members of Congress today and request that Congress pass a bipartisan and bicameral policy agreement to repeal the therapy caps once and for all.


    Stay Informed

    Please continue to monitor the ASHA website and sign up for ASHA Headlines to get the most recent news available.


    For additional legislative questions contact Ingrida Lusis, ASHA's director of federal & political advocacy, at ilusis@asha.org.


    For additional regulatory implementation questions contact Sarah Warren, ASHA's director of health care regulatory policy, at swarren@asha.org.


    Source Link: http://www.asha.org/content.aspx?id=8589977145 

  • 26 Jan 2018 11:23 AM | Anonymous member (Administrator)




    ISHA LEGISLATIVE DAY 2018


    LEGISLATIVE DAY LUNCHEON AT THE STATE CAPITOL

    WEDNESDAY, JANUARY 31, 2018 - 8:00 am -1:30 pm

    ADVOCACY TRAINING: 8:00 am - 11:00 am

    LEGISLATIVE LUNCHEON: 11:30 am - 1:30 pm


    WHAT:   Indiana Speech-Language-Hearing Association

                  Legislative Day

    WHEN:  Wednesday, January 31st 2018

                  8:00-11:00 Preparation/training for students or any interested participants

                  11:30-1:30 Legislative luncheon

    WHERE:         Indiana State Capitol

    200 W Washington St, Indianapolis, IN 46204

    (317)233-5293

    Training: Supreme Court Chambers- North end of the third floor

    Luncheon: South Atrium - second floor

    Directional information within the Capitol;

    The second floor is considered the main floor. The rotunda is in the middle, the north atrium is the north side of the building that faces Ohio Street. The Supreme Court is on the 3rd floor north end. This is where we will meet in the morning.  Our lunch will be in the South Atrium of the 2nd floor.


    There are two public entrances. The Capitol Ave. entrance leads you directly on to the main floor; people will turn right from the rotunda. If you use the Senate Ave. door, which is the first floor (basement), people should turn left when they get through security, take another left, and take elevator to 2nd floor. It opens to the north atrium.

    Visit website to get driving directions from your location:

    http://www.visitindy.com/indianapolis-indiana-state-house

    WHY: Every year there is legislation that impacts our profession and those we serve. ISHA is fortunate to be well-represented by our lobbyist, Mark Scherer; but it is the personal stories that only we can share that leave a lasting impression on our legislators. It is imperative that our legislators understand 1) the multifaceted roles of speech pathologists and audiologists 2) who/what ISHA is and what our organization does for our profession and our consumers and 3) current legislation impacting our profession and our patients/clients/consumers. Each year has been better than the last. Let’s make this the BEST. WE CAN DO MORE!

    Once your plans to attend are confirmed:

    Please take that extra moment to send a personal invitation to your state legislators. When contacting legislators, contact both State Senator and State Representative but NOT Congressional legislators. Be sure to let them know that you will be attending and look forward to meeting with them. ISHA has sent an invitation to all of the state legislators but a personal invitation from a constituent is always more effective in getting legislators to attend.



    Want to ensure you meet the legislators from your district?


    Information for contacting Legislators:

    General Assembly information -  http://iga.in.gov/


    Finding your legislator

    https://iga.in.gov/ From here, click on ‘Find Your Legislator’.

    This link https://iga.in.gov/legislative/find-legislators/ should take you directly there.

    Fill in your street address, city, and zip code in the space provided.
    The site will identify your legislative district, and state and congressional legislators.

    Click on the legislator’s name and this will take you to their site where you will find their phone numbers, how to email, and information regarding bills they have sponsored etc.


    Mail:
    Indiana State House
    200 W. Washington St
    Indianapolis, IN 46204-2786

    Letters may be addressed to the individual legislator with c/o Indiana House of Representatives or the Indiana Senate.


    Phone:

    Representatives

    Senators

    The TDD Telephone Numbers

    (317) 232-9600

    (317) 232-9400

    TDD (317) 232-0404

    (800) 382-9842

    (800) 382-9467

    TDD (800) 548-9517



    Information you need to know:


    We cannot enter the building before 7:30.

    All visitors are screened using metal detectors.

    All bags and packages are screened using x-ray equipment.


    Parking:

    Closer but more expensive parking garages:

    Embassy Suites (entrances off Capitol and Washington streets)

    Hyatt (entrance off Capitol)

    Westin (entrance off Washington)

    Marriott (entrance off Washington)

    Hilton (entrance off Market)

    Less expensive but not as close parking garages:

    Circle Center Mall Indianapolis has 3 parking garages around the location:

    • World of Wonders Garage: 24-hour access (Entrances on Illinois and Maryland)
    • Sun Garage: Mon. - Sat.: 8:00 a.m. - 2:00 a.m., Sun.: 10:00 a.m. - Midnight (Entrances on Washington and Maryland)
    • Moon Garage: Mon. - Sat.: 8:00 a.m. - Midnight, Sun.: 10:00 a.m. - 9:00 p.m(Entrance on Georgia)

    Parking Hours & Rates:

    Before 5:00pm Mon. - Fri.

    0 - 3 hours     $2
    3 - 4 hours     $4


  • 19 Dec 2017 4:33 PM | Anonymous member (Administrator)

    ISHA Convention 2018


    April 5th-7th

    Celebrating Everyday Heroes

    Leading the Way with Evidence-Based Practice!


    Attendees:

    Save the Date!

    Exhibitors/Sponsors:

    Click Here to Learn More & Register Now!

    Click Here to Download the Exhibitor Prospectus

     



    LOCATION:

    Sheraton Indianapolis Hotel at Keystone Crossing

    8787 Keystone Crossing ~ Indianapolis, IN 46240


    Click Here for Directions

     


  • 13 Dec 2017 4:30 PM | Anonymous member (Administrator)




    ISHA LEGISLATIVE DAY 2018


    LEGISLATIVE DAY LUNCHEON AT THE STATE CAPITOL

    WEDNESDAY, JANUARY 31, 2018 - 8:00 am -1:30 pm

    ADVOCACY TRAINING: 8:00 am - 11:00 am

    LEGISLATIVE LUNCHEON: 11:30 am - 1:30 pm


    WHAT:   Indiana Speech-Language-Hearing Association

                  Legislative Day

    WHEN:  Wednesday, January 31st 2018

                  8:00-11:00 Preparation/training for students or any interested participants

                  11:30-1:30 Legislative luncheon

    WHERE:         Indiana State Capitol

    200 W Washington St, Indianapolis, IN 46204

    (317)233-5293

    Training: Supreme Court Chambers- North end of the third floor

    Luncheon: South Atrium - second floor

    Directional information within the Capitol;

    The second floor is considered the main floor. The rotunda is in the middle, the north atrium is the north side of the building that faces Ohio Street. The Supreme Court is on the 3rd floor north end. This is where we will meet in the morning.  Our lunch will be in the South Atrium of the 2nd floor.


    There are two public entrances. The Capitol Ave. entrance leads you directly on to the main floor; people will turn right from the rotunda. If you use the Senate Ave. door, which is the first floor (basement), people should turn left when they get through security, take another left, and take elevator to 2nd floor. It opens to the north atrium.

    Visit website to get driving directions from your location:

    http://www.visitindy.com/indianapolis-indiana-state-house

    WHY: Every year there is legislation that impacts our profession and those we serve. ISHA is fortunate to be well-represented by our lobbyist, Mark Scherer; but it is the personal stories that only we can share that leave a lasting impression on our legislators. It is imperative that our legislators understand 1) the multifaceted roles of speech pathologists and audiologists 2) who/what ISHA is and what our organization does for our profession and our consumers and 3) current legislation impacting our profession and our patients/clients/consumers. Each year has been better than the last. Let’s make this the BEST. WE CAN DO MORE!

    Once your plans to attend are confirmed:

    Please take that extra moment to send a personal invitation to your state legislators. When contacting legislators, contact both State Senator and State Representative but NOT Congressional legislators. Be sure to let them know that you will be attending and look forward to meeting with them. ISHA has sent an invitation to all of the state legislators but a personal invitation from a constituent is always more effective in getting legislators to attend.



    Want to ensure you meet the legislators from your district?


    Information for contacting Legislators:

    General Assembly information -  http://iga.in.gov/


    Finding your legislator

    https://iga.in.gov/ From here, click on ‘Find Your Legislator’.

    This link https://iga.in.gov/legislative/find-legislators/ should take you directly there.

    Fill in your street address, city, and zip code in the space provided.
    The site will identify your legislative district, and state and congressional legislators.

    Click on the legislator’s name and this will take you to their site where you will find their phone numbers, how to email, and information regarding bills they have sponsored etc.


    Mail:
    Indiana State House
    200 W. Washington St
    Indianapolis, IN 46204-2786

    Letters may be addressed to the individual legislator with c/o Indiana House of Representatives or the Indiana Senate.


    Phone:

    Representatives

    Senators

    The TDD Telephone Numbers

    (317) 232-9600

    (317) 232-9400

    TDD (317) 232-0404

    (800) 382-9842

    (800) 382-9467

    TDD (800) 548-9517



    Information you need to know:


    We cannot enter the building before 7:30.

    All visitors are screened using metal detectors.

    All bags and packages are screened using x-ray equipment.


    Parking:

    Closer but more expensive parking garages:

    Embassy Suites (entrances off Capitol and Washington streets)

    Hyatt (entrance off Capitol)

    Westin (entrance off Washington)

    Marriott (entrance off Washington)

    Hilton (entrance off Market)

    Less expensive but not as close parking garages:

    Circle Center Mall Indianapolis has 3 parking garages around the location:

    • World of Wonders Garage: 24-hour access (Entrances on Illinois and Maryland)
    • Sun Garage: Mon. - Sat.: 8:00 a.m. - 2:00 a.m., Sun.: 10:00 a.m. - Midnight (Entrances on Washington and Maryland)
    • Moon Garage: Mon. - Sat.: 8:00 a.m. - Midnight, Sun.: 10:00 a.m. - 9:00 p.m(Entrance on Georgia)

    Parking Hours & Rates:

    Before 5:00pm Mon. - Fri.

    0 - 3 hours     $2
    3 - 4 hours     $4


To support and empower members to provide the highest quality, life changing communication,
swallowing and hearing services to the people of the State of Indiana.

 
ISHA CENTRAL OFFICE ~ 2346 S. Lynhurst Drive, Suite D101 ~ INDIANAPOLIS, IN 46241
PHONE: 317-916-4146 ~ FAX: 317-481-1825

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