2 types of assessments - ANS •Static - usually follows a set protocol
•Dynamic - much more fluid, evolving, in depth
Reasons for assessment - ANS Establish presence or absence of a disorder, plan or determine appropriateness of intervention, determine eligibility for other s...
2 types of assessments - ANS •Static - usually follows a set protocol
•Dynamic - much more fluid, evolving, in depth
Reasons for assessment - ANS Establish presence or absence of a disorder, plan or
determine appropriateness of intervention, determine eligibility for other services, document
progress
Diagnostic coding - ANS coding for reimbursement through Medicare/insurance/etc.
-procedure codes (what are you doing)
CPT codes maintained by AMA
-diagnosis codes (what you get from assessment) DSM (maintained by APA) informs ICD-10
codes (maintained by WHO)
CPT codes - ANS A CPT Code is a coding system that describes how to report procedures
or services. CPT stands for Current Procedural Terminology.
Pros and Cons of Using Classification Systems (DSM or ICD) - ANS Pros: Provides a
common nomenclature for describing behavioral symptoms & helps streamline therapy
planning.
Cons: May rely too heavily on "prescriptions." Person isn't an individual, they're just a diagnosis.
Categorical distinctions may be invalid (reading score cutoffs) and
DSM - ANS Diagnostic and Statistical Manual of Mental Disorders. The American
Psychiatric Association (APA) oversees the DSM. SLPs should be using the fifth edition
(DSM-5).
ICD - ANS International Classification of Diseases. The World Health Organization (WHO)
oversees the ICD. SLPs should be using the 10th revision (ICD-10-CM).
Billing for reimbursement - ANS -ICD codes are required for billing
-Dx categories available for coding/billing do not always coincide with our clinical/research
terminology
SLP scope of competence - ANS practitioner's experiences with preservice education,
practice, mentorship and supervision, and continuing professional development. These
, experiences define one's scope of competence. SLPs should only perform professional that are
within their professional competence.
two broad areas of SLPs scope of practice - ANS Professional domains issues and
service delivery
SLP's scope of practice regarding hearing assessment - ANS we are allowed to do hearing
screenings-- pure tone screening, visual inspection with otoscope, tympanometry.
Also speech, language, communication, and listening skills impacted by hearing loss, deafness
as well as auditory processing.
SLP's scope of practice regarding cognitive assessment. - ANS attention, memory,
problem solving, and executive functioning.
two domains of SLPs' scope of practice that are important for diagnostics - ANS Screening
and assessment (under service delivery)
Pre-assessment checklist - ANS •Referrals, screenings, info from other professionals
•Written case hx (aka, intake form)
•Signed release forms from parent to talk to other professionals
•Oral periph
•Hearing screening
Why do we need info from other professionals in pre-assessment? - ANS •May help
identify
•Hx or etiology (cause) of a disorder
•Associated medical, social, education or familial problems (e.g., ADHD; previous
injuries/infarcts; availability of resources)
•If you live in a community with/without access to healthcare
•Tx (treatment) histories, including the effects of tx
•Can help rule out
•Tx options and alternatives
•ALWAYS be aware of biases (yours and others')
Why collect educational hx? - ANS •Often first time with peers
•Parents often compensate for communication deficits
•Social skills are taxed
Pure tone screening - ANS •It is not within SLPs' scope of practice to find thresholds
•Pass/Fail only
Administer hearing screening prior to every evaluation
Risk Factors for OME (otitis media w effusion) - ANS •Hx of chronic allergies
•OME with or without PE tubes
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