The Superbill form includes:
- Speech and language
- Augmentative and alternative communication
- Other procedures
- Speech therapy provider NPI number
- Speech pathology tax ID number
- Speech-Language Pathologist license information
While the ASHA Model Superbill is not the "end all be all" of speech therapy private practice billing, it provides and excellent example which can be modified.
Most often, the clinician fills out the form and gives it to the patient for them to submit to THEIR health insurance company.
Click on link OR image below to access --> ASHA Model Superbill
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Jena H. Casbon, MS CCC-SLP is a private practice consultant who helps SLPs, OTs and PTs start their own private practices. She is the author of two books: The Guide to Private Patients and The Guide to Creating a Web Presence For Your Private Practice and an online course, Grow Your Private Practice.