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From: Nan
Date: 17 Oct 2009
Time: 17:44:58 -0500
Remote Name: 74.96.73.144
Well, thank Bob too! Re insurance, I don't deal with them as much as most of the SLPs out there, but the few times I have had to deal with coverage issues, I did very well if I could document something numerical (SSI, and now stuff like Bob and Scott's OASES) to put the functional limitation on some sort of measurable scale, and then showed that I could move that number around. Insurance likes numbers. In fact, years ago, I had a nerve compression problem, and I was good for coverage for PT as long as range of motion was limited ALONG with pain, but once it was just pain, the PT noted that insurance has problems with that because there is not agreed-upon validated scale for pain perception. So my coverage "ran out" - thankfully, I was on the mend... But I think it speaks to the nice work we have done to quantify the affective and cognitive impact of stuttering along with behavioral counts, and the newer work (hopefully more will come) on these "Quality of Life" measures that insurance understands. We know we can move some of these numbers around with good therapy and goals that are agreed-upon by the client and SLP. Thanks for writing - it was getting mighty quiet in this part of the conference :-) Nan