As we have entered into the Medicare reform rollout period, which began last October 1, 2011, our lives are now characterized by increased stress due to company requested higher productivity levels, which in many cases will become a red flag to investigative teams seeking out fraud. Medical records of patients are now being copied for the RAC teams, and other investigative teams, and fines are being leveled because “perfection” is the rule of the law. Even we here at the Speech Team are altering our tests to include the patient’s name and date of evaluation on every single test page since RAC team reviewers require “absolute coherency” in every chart. The point being that a patient’s medical chart must read like a novel by non-medical accountants! No more “off or low energy days” for any of us, even though we are human beings.
As I travel and lecture across this country, the question continuously surfacing in each workshop is "What did I spend my money on for my master's?" This question is usually generated by a feeling that somewhere in their graduate studies, the workshop attendees should have had instruction on the workshop topic areas, since these topics have such basic implications on their SLP practices. Quite frankly, as I look at the catalog curriculums of some of our schools, it is difficult to discern curriculum differences since the time when I went to school - twenty years ago.