[Dysphagia] Off topic - recent ASHA Leader

[pressmah at sjhmc.org (pressmah@sjhmc.org)]

we are not alone.  Physicians do this all the time.

-----Original Message-----
From: Ralph and Patti [mailto:chcky619@bellsouth.net]
Sent: Saturday, March 05, 2005 2:35 PM
To: dysphagia@b9.com
Subject: [Dysphagia] Off topic - recent ASHA Leader


This is off topic, but I need to vent somewhere and I know this list serve
is savvy.  I just received my new ASHA Leader and now BCBS is denying claims
for cognitive/linguistic deficits and MEDPAC is placing a barrier for
services.  This coupled with the intermediary denials of claims for
dysphagia unless a VFSS confirms a deficit sets us back to the stone age.
My question is why do I bother to practice when the powers that be seem to
have so much more knowledge about intervention than I do.  Did I fall asleep
in school and miss a lesson of the world???ASHA is certainly advocating, but
in the meantime, where am I as a clinician.  When I see powerful functional
outcomes, I cannot deny the interventions.  Is anyone else tired of
defending their profession or is it just me?  Patti
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