I am trying to write a report to justify services to insurance for oral motor therapy. The client I am working with has Down syndrome, he has had difficulty with chewing recently and his speech has become more slurred according to family. I purchased the CD "OPT Goals & Objectives for IEPs and Insurance Reimbursement" but am having much difficulty writing a report. Do you have any sample evaluation reports available?
We unfortunately do not have examples of reports to offer but we do have sample evaluations and program plans in Sara Rosenfeld-Johnson's new book A Therapist's Guide to Rehabilitative Feeding and Speech Techniques for Teens and Adults and her book Assessment and Treatment of the Jaw. The first book mentioned focuses on adults but includes diagnostic codes and treatment codes for each example patient. They are not ICD-10 codes but they can be converted on the ASHA website. The second book has children examples (an infant with Down Syndrome) but no codes. I am not sure which book would fit your needs best but I wanted to give you options. I hope this helps. Please let me know if you have any other questions.
Elizabeth Smithson, MSP, CCC-SLP is a Speech-Language Pathologist who has over 10 years of professional experience working with infants, children, adolescents and adults. She earned her Master of Speech Pathology at the University of South Carolina. Liz is also a Level 5 TalkTools® Trained Therapist. She has received specialized training in Oral Placement Therapy, Speech, Feeding, Apraxia, Sensory Processing Disorders, and PROMPT©. Liz works with clients with a wide range of disabilities including Cerebral Palsy, Down Syndrome, and Spinal Muscular Atrophy. She works through her own private practice Elizabeth Smithson Therapy, LLC in the home setting and in the TalkTools® office in Charleston, SC.