2027 Reimbursement Structure & Rate Changes

In an effort to increase the length of appointments for us Speech-Language Pathologists, The Center for Medicare & Medicaid Services (CMS) has restructured our billing codes. Currently we’re paid a flat rate, regardless of our appointment’s length or treatment targets. This has prompted some clinics to reduce the length of speech & language appointments in …

New Website Badges

I’ve added new badges to my website. The first is to show that I don’t use AI in my work. I’ve tried it, but it takes significantly more time than it does for me to do the work without it. I’m also concerned about the impact of AI on our environment and our labor market. …

10 Years of Business!

I opened Speech & Language A to Z, LLC, 10 years ago today! It’s hard to believe how much has changed in the last decade! I thought a great way to commemorate this achievement would be to compile some photos of my journey. 2016 In my original office I had a tune-in corner, parent area, …

My Social Media Boycott

I’ve been considering boycotting social media ever since a social media site prioritized free speech over my safety back in 2013. As we often do, I shrugged off the incident as an isolated event and personal failing, but since reading The Anxious Generation by Jonathan Haidt I can no longer shake my misgivings about social …

FREE Communication Checklist

I often get parents who are family, friends, and colleagues asking me whether their child needs speech & language treatment. I honestly can’t answer without more information. Usually before a child receives treatment the following steps are made: Rather than just tell concerned parents that I don’t know whether their child could receive speech and …

My Favorite Regulation Tools

I love the Zones of Regulation! The curriculum has taught me so much about regulation and the tools have helped so many of my patients engage in speech and language treatment! I have colleagues who hate the Zones of Regulation because it gets confusing for kids whose teachers use the color-coded behavior charts. to be …