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Documentation and Reimbursement for Speech-Language Pathologists


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Table of Contents


About the Author

Contributing Authors


Section I              Basics of Documentation

Chapter 1             Basic Rules of Documentation

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 2             Reasons for Documenting

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 3             Forms and Formats

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 4             Coding, Reimbursement, and Documentation

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 5             Focus on Function and Outcomes

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Section II            Documenting Dif­fer­ent Types of Services

Chapter 6             Evaluation Reports

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 7             Treatment Plans/Certifications

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 8             Progress Notes

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 9             Discharge Summaries and Maintenance Programs

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Section III          Documentation and Reimbursement in Adult Health Care Settings

Chapter 10           Acute Care: Adult

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Chapter 11           Inpatient Rehabilitation Facility

                                Lynne C. Brady Wagner, MA, CCC-­SLP; Denise M. Ambrosi, MS, CCC-­SLP;
                                and Daniel Meninger, MSPT

Chapter 12           Skilled Nursing Facility

                                Renee Kinder, MS, CCC-­SLP, RAC-­CT

Chapter 13           Home Health

                               Rebecca Skrine, MS, CCC-­SLP, CHCE, COS-­C

Chapter 14           Outpatient Settings: Adul

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Section IV          Documentation and Reimbursement in Pediatric Settings

Chapter 15           Early Intervention (0 to 3 Years)

                                Karyn Lewis Searcy, MA, CCC-­SLP

Chapter 16           School Settings

                                Barbara J. Moore, EdD, CCC-­SLP, BCS-­CL

Chapter 17           Outpatient Settings: Pediatric

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S

Section V            Professional Writing and Presentations

Chapter 18           Written Communication and Presentations

                                Nancy B. Swigert, MA, CCC-­SLP, BCS-­S



Financial Disclosures


About the Author

Nancy B. Swigert, MA, CCC-SLP, BCS­S, speech­language pathologist, is the former director of Speech­Language Pathology and Respiratory Care at Baptist Health Lexington, an acute care facility in Lexington, Kentucky. Prior to that, her private practice, Swigert & Associates, Inc., provided services to children and adults for 26 years. In 2016-2017 she served as the Pro­cess Excellence Coordinator and a Certified Green Belt in Lean/Six Sigma in the Quality Outcomes Department at Baptist, where she coached teams to use data and Lean/Six Sigma pro­cess improvement methodologies. As president of Swigert & Associates., Inc., now a consulting com­pany, she continues to teach and write in the areas of dysphagia, coding and reimbursement, and documentation.

Her main clinical interests are in the areas of pediatric and adult dysphagia. She has authored seven publications with Pro­Ed (Linguisystems): The Source for Dysphagia (4th Edition), The Source for Dysarthria (2nd Edition), The Source for Pediatric Dysphagia (2nd Edition), The Source for Reading Fluency, The Source for Early Intervention, The Source for ­Children’s Voice Disorders, and Reading Fluency and Comprehension. She lectures extensively in the areas of dysphagia and motor speech disorders. She has authored numerous book chapters and articles focusing on documentation and reimbursement.

She received her master’s degree from the University of Tennessee—Knoxville. She is a former President of the Kentucky Speech­Language­Hearing Association and the Council of State Association Presidents. She was President of the American Speech-Language-Hearing Foundation in 2004-2005. She chaired the American Board of Swallowing and Swallowing Disorders from 2012-2014.

She has served in numerous volunteer capacities for the American Speech­Language-Hearing Association (ASHA). In the mid-1990s, she co-chaired the ASHA Task Force on Treatment Outcomes, which initially developed the National Outcomes Mea­sure­ment System (NOMS). She served on the Health Care Economics Committee for 9 years and chaired it for 6. It was during that tenure that she gained invaluable knowledge about reimbursement and documentation requirements. She served on the ASHA Executive Board for 6 years, 3 as Vice ­President for Governmental and Social Policies and then as President-­Elect, President (1998), and Past President. She is an ASHA Fellow and received the Honors of ASHA in 2015.


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