TABLE OF CONTENTS - MBSS ONLINE



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MARKETING FOLDER

TABLE OF CONTENTS

• SLP Introduction Letter

• Clinicians & Physicians

• Medical Practice Profile

• Nursing Home Contract

• ASHA Consolidated Billing Rules/MassTex Billing Contact

• Facility Information Sheet

• Marketing Handout/Who Are We?

• How to schedule with us Handout

• MBSS Intake /Authorization Form

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1.800.508.MBSS

Dear Speech-Language pathologist and whom it may concern:

I am thrilled to bring you the latest and greatest service in Mobile videofluoroscopy, MassTex Imaging, LLC. MassTex Imaging, LLC our new group medical practice is proud to offer the following:

*Availability in the Massachusetts on a weekly basis

*Audio on all of our video recorded Modified Barium Swallow

Studies (MBSS) along with still photographs of significant events

*Most affordable dysphagia consultations in the Massachusetts area

*Professionally trained staff that works as a TEAM to provide

Optimal care for your patient

*Brand new, state of the art mobile clinic

*A consistent physician to provide better continuum of care

*Detailed 6 page reports completed by Physician and SLP

*Direct resolution to questions or concerns as company is

owned and operated by staff

*Direct phone availability of Physician or SLP if any questions

*Tracking and monthly reporting of each patient’s response to

Recommendations for increased quality assurance and also

helping facilities understand the benefits of MBSS testing

*Continuing education

We are looking forward to providing you with timely, accurate, diligently performed, as well as affordable dysphagia consultations. We are the future in successful dysphagia evaluation and management. Please feel free to visit our website or call and we will have a contract faxed immediately to your facility. We will also be available for marketing, consultation, or in-service.

Sincerely,

Melanie Giles, M.A., CCC-SLP & Joan Kelly Arsenault, M.A., CCC-SLP

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OUR CLINICIANS

Melanie Giles, MA, CCC-SLP has 8 years experience with over 3500 MBSS. Melanie is a Speech-Language Pathologist who is certified by the American Speech and Hearing Association. She is also licensed in MA and NH. She is the clinical director and member of Speech Therapy Group, LLC. Melanie has training, which involves extensive evaluation and treatment of swallowing disorders. Melanie has focused in the area of augmentative communication, with training in the dynavox, voice output computers. Melanie’s other interests include autism and application through Applied Behavior Analysis (ABA), pediatric through geriatric motor speech disorders, social skill training, functional communication, language and cognitive-therapy. Melanie is a Managing Partner of MassTex Imaging.

Joan Kelly Arsenault, MA, CCC-SLP is a Speech Language Pathologist with over 25 years of experience in dysphagia management with infants, children and adults including MBSS. Joan has spoken and presented both nationally and at the state level in the areas of pediatric and adult dysphagia including head and neck cancer, neurological disorders, and infant feeding disorders. She has developed adult and pediatric dysphagia programs in acute care hospitals, rehabilitation hospitals, and outpatient settings. Joan has worked on interdisciplinary pediatric feeding teams, worked closely with ENT and prosthodontists for improved swallowing outcomes for head and neck cancer, and collaborated directly with numerous radiologists and GI physicians to implement and develop MBSS programs. Joan has worked in a variety of settings including acute care settings, NICU, nursing homes, VNA home care, outpatient clinics, and rehabilitation hospitals. She has taught dysphagia courses at the graduate level and is an adjunct professor to several Boston area graduate programs. Joan is an owner-partner and is the Quality Assurance Manager for MassTex Imaging. She provides training to all speech pathologists in MBSS and oversees the quality assurance program as well as performing MBSS throughout the state for both pediatric and adult dysphagic patients.

Amy Litwack, MS CCC-SLP is a Speech-Language Pathologist with 13 years of clinical experience in adult neurogenics, specializing in identifying and treating swallowing disorders. She has worked in acute medical and rehab hospitals, completing over 1500 MBSS. In addition to her clinical work, she is an instructor and clinical supervisor at a local Boston graduate program in speech pathology program.

Rachel Ballering, MA,CCC-SLP is a Speech-Language Pathologist with 7 years of experience and over 1500 MBSS procedures completed. Rachel has recently moved to MassTex Imaging from our sister practice, Professional Imaging in the state of Texas.

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Our Physicians

Joan E. Baumer, MD/ President

James A. Cheverie, MD/Medical Director

Jerold Lamhut, MD

Jack Jaffe, MD, PhD

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Consultants in Dysphagia Diagnosis and Management

Phone: 800-508-MBSS · Fax: 978-232-0330

133 G Building 100 Cummings Center  

Beverly, MA 01915

Profile

Overview

MassTex Imaging, LLC is recognized by Medicare as a group medical practice. A group medical practice must have a physician in a direct ownership position; therefore, it is held to the highest standards by the Massachusetts Board of Registration in Medicine, Massachusetts Bureau of Radiation Control, the Community Standard of Practice, Medicare Guidelines, and the Hippocratic Oath that professes, “…to do no harm and to act in the best interest of the patient.” Other non-physician owned practices such as an Independent testing facility (IDTF) are able to provide similar services, however they are not held to the same high standards of a medical practice

Our practice performs thorough consultations in dysphagia evaluation and management when requested by the primary care physician through an order for a Dysphagia Consultation to include a Modified Barium swallow study (MBSS). In the same manner a consult is requested for any other licensed physician, MassTex Imaging, LLC documents all evaluations through a detailed report, audio/videotape, still photographs of significant pathologic events, provides follow-up on each patient, and is phone available 7 days a week, even after hours.

All MassTex Imaging testing facilities are staffed with a licensed physician, a certified speech language pathologist, and a driver/technician whom aids in transportation of patients to and from facilities. The physician compiles a complete medical history of each patient by performing extensive chart review, interview of family, staff, or patient as appropriate. Once a patient’s case history is completed the doctor then performs a physical exam of the patient along with the radiographic MBSS in conjunction with the speech language pathologist. Upon completion of the consultation, recommendations are made to the primary care physician, facility SLP, and facility nursing staff. MassTex Imaging maintains a professional doctor/patient relationship.

MassTex Imaging Philosophy

Through use of state of the art videofluoroscopy equipment and certified, licensed, and proficient staff, MassTex Imaging, LLC commits to providing cost effective, timely, and ethical dysphagia consultations including a Modified Barium Swallow Study. Not only will we provide efficient delivery of high quality services, but we will also be dedicated to treating each and every patient with dignity and respect. Monthly quality assurance meetings and feedback from satisfaction surveys completed by your facility will ensure that we continually strive to be the leader in service providers of specialized dysphagia evaluations.

Insurance Policies

MassTex Imaging’s current insurance portfolio boasts malpractice insurance, general liability insurance, individual medical liability coverage, and auto insurance. This diverse insurance portfolio totals in excess of 10 million dollars. These cumulative and necessary policies provide liability coverage beginning with transport of the patient from your facility and ending upon safe return of the patient to your facility. We even have liability coverage up to 2 years in case any alleged malpractice events occur. The one million dollar policy MassTex Imaging LLC has to cover medical malpractice is in addition to individual medical malpractice held by each licensed and certified professional. This policy covers the doctor-patient relationship and any incidents that might arise from this specific relationship. It is our commitment to keep all policies current. Documentation will be provided upon request.

Sincerely,

Melanie Giles, M.A, CCC-SLP, Owner-Managing-Partner

Joan Kelly Arsenault. M.A., CCC-SLP, Owner-Managing-Partner

Joan E. Baumer, M.D., Owner-Partner

Facility Information Sheet

Please fill out completely and attach to signed agreement to be returned to MASSTEXIMAGING, LLC

Facility Name: ________________________________________________

Address (including zip code): ____________________________________

County:

Corporate Affiliation: ______________________________________________

Billing Address: _________________________________________________

Phone Number: ____________________ Fax Number: ______________

Rehab Company:

Tax ID Number: ____________________ Profit ________ Non-Profit

(Non-profit organizations must include copy of exempt certificate)

Skilled Nursing Unit ___Yes _____No

Medicaid Beds: ___________________

Administrator: ____________________________________________________

Director of Nursing: ______________________________________________

Bookkeeper/Billing: _____________________________________________________

Membership: THCA ________________ TASHA_______________

Purchasing Group _________________________________

Participate in HMO/MCO Yes___ No ___

If yes, list ________________________________________

Do you participate in an Organized Health Care Arrangement (OHCA)? __Yes __No

We appreciate you taking the time to complete this form. This allows MASSTEXIMAGING, LLC to service you more efficiently!

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Consultants in Dysphagia Diagnosis and Management

Phone: 800-508-MBSS · Fax: 978-232-0330

Who are we? Medicare approved dysphagia consultation including Modified Barium Swallow Studies. Melanie Giles M.A., CCC-SLP has 8 years experience, having completed over 3500 in the Massachusetts and New Hampshire area, and is the Managing Partner in this medical practice. Joan Kelly Arsenault, M.A., CCC-SLP, has performed MBSS procedures for over 25 years, is the Manager of Quality Assurance and partner. Dr. Joan E. Baumer is the Texas partner and president of MassTex Imaging.

What makes us better than the others?

1. On board, full time, supervising M.D. with MBSS experience. Each Physician has individual medical malpractice coverage.

2. Local MBSS team for every MBSS.

3. Weekly response time/service 5 days a week. Locally based company to serve you Monday through Friday. How long does it take you to get your MBS schedule with others?

4. Mobile MBSS program monitored and controlled by quality assurance on a monthly basis. We follow up on each and every patient we evaluate within 7-14 days.

5. Mobile MBSS Program managed, created and owned by Speech Pathologists and Physicians.

6. Educational MBSS audio/videotape for all MassTex Imaging customers.

7. We are available for Dysphagia in-service for your facility at your request

8. We will be competitive with any rate for an MBSS

9. NO EXCLUSIVE AGREEMENTS! You should have freedom of choice

10. Satisfaction Surveys

11. Quarterly CEU conferences at reduced rates for all facilities using MassTex Imaging, LLC.

12. Exceptionally detailed typed Speech Pathologist and Physician evaluation report completed on site the day of MBSS and you receive the original copy with an audio/videotape. Treatment recommendations can be customized for E-Stim treatment. With MassTex Imaging, LLC you get a Dysphagia consultation not just an MBSS

13. Full time Massachusetts based Speech Pathologist, Melanie Giles, with over 4 years of experience and training in Modified Barium Swallow Studies.

Do not sacrifice quality! Give us 1 try! You will see the difference, guaranteed!

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FAX #: 978-232-0330

Call us at: 1-800-508-6277

The following information is needed for an MBSS:

1. MBSS Intake/Authorization form: Information can be given over phone or faxed.

2. Copy of face sheet and verbal order (faxed prior to study or copy available at time of test).

Please write your verbal order for the swallow study like this:

“ Dysphagia consultation including MBSS because of ______________” (fill in the reason, i.e. coughing, choking, pneumonia, holding food, pocketing, weightless, difficulty swallowing, wet gurgly vocal quality, suspected aspiration, etc.) ****Medicare changed the guidelines for how orders were written in January, 2006****

3. Preauthorization number for any Private insurance/HMO before scheduling the day and time. MassTex Imaging, LLC is not responsible for obtaining preauthorization numbers, as we do not have access to the patient’s medical records and they are not under the care of MassTex Imaging, LLC..

We will provide you with a date and approximate time (2 hr. window). Day of test we will confirm and mobile unit will call 20 minutes before arrival.

Upon arrival please have current vitals for patient.

****Face sheet and intake form if not faxed to office prior to study please have copy available at time of test.

We have a responsibility to keeping complete medical records!

Thank you for your assistance. The above items will help expedite the service and get your request scheduled as soon as possible. We look forward to working with you in providing the best dysphagia care possible. If you have any questions about any of the above information please call us:

1-800-508-6277

Or visit us at:

If you have any further billing questions please call our office and we will be happy to assist you.

Ben Baumer, Billing Specialist 877-293-1573

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