Nice Speech Lady has created a reference document for private practice or related companies. This word-document could be used in the process of investigating a business’ pursuit of an individualized form, and liability of processes being established.
Please see this reference form, which could be used in the process of setting-up payor verification systems:
Note: if an individual or private practice is utilizing this form, and a desired outcome is not desired in terms of reimbursement, etc., Nice Speech Lady LLC is not responsible or liable for any payments or non-payments. The intention of the author is for businesses to utilize this form for education purposes only, and to create practice-specific guides.
Nice Speech Lady LLC hopes this resource is helpful to your efforts.
Wilson Nice is the owner of Nice Speech Lady, a medical SLP platform for functional, practical and evidence-based SLP clinical resources. Nice has been publishing complimentary tools for SLPs through Nice Speech Lady since February of 2018; she also has been providing SLP services to adults, adolescents and children in Socorro, New Mexico via her hybrid outpatient clinic since January of 2022. Virtual options for treatment are available through Nice Speech Lady, if patients are eligible, throughout the states of New Mexico and North Carolina.
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