Audit Proofing Your Skilled Therapy Documentation
Practicing Speech Therapy in a skilled nursing environment presents certain unique documentation challenges for therapists of every skill level. In our current system, patients receive only part of their rehabilitation in an inpatient setting before being discharged to a skilled nursing facility for the completion of their recovery.
This changing environment requires speech therapists to be skilled in a variety of conditions and situations while maintaining their drive to provide patients the ability to lead healthy and active lifestyles.
It also means that speech therapy professionals need to be on their toes when documenting every step of their patient’s recovery.
Unfortunately, even the best of skilled therapy may be denied reimbursement without accurate coding and the requisite skilled documentation. The increasing complexity of the coding and documentation rules has led to many misconceptions, requiring careful planning to assure success in reimbursement and to avoid denials or penalty fines secondary to any actual audit.
Improper and inadequate documentation can also leave the impression that a skilled service is lacking in experience and proper education. It is easy to avoid denials by showing why and how your speech therapy services are skilled. Simply understanding how to differentiate between covered and non-covered therapy services found in the skilled nursing setting, per Medicare Guidelines, greatly increases the chances that you won’t be faced with denials and a mountain of extra work.
Speech Therapy University offers a multitude of courses designed to arm SLPs with the proper skill set to handle a wide range of documentation challenges. Speech therapy professionals completing these courses will gain a new level of confidence and capability when faced with the challenges of accurate skilled therapy documentation.