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Services
Cognitive-Linguistic Therapy
Cognitive-linguistic therapy or speech-language therapy involves the treatment of a diagnosable medical impairment. Speech-language impairments, or communication disorders, adversely affect an individual’s ability to perform acts of daily living. These may include language impairment, speech-articulation impairment, stuttering, or a voice impairment, among many other. Regarding children, The Individuals with Disabilities Education Act (IDEA) defines speech and language impairments as a communication disorder such as stuttering, impaired articulation, a language impairment, or a voice impairment that adversely affects a child's educational performance.
Academic Support Services
Academic support services (“tutoring”) involve intervention to target academic deficits that exist separately from a speech and/or language impairment. Although some academic skills may be affected by a speech-language impairment, intervention in this area is not strictly addressed by a speech-language pathologist and may be addressed via tutoring in reading and math.
Diagnostic Evaluations
Evaluations are assessed at the same hourly rate as therapy, plus the time required to analyze the data and compose a diagnostic report. Typically, every 1 hour of assessment requires 1 hour of writing. For example, if a client requires 2 hours of diagnostic assessment, the estimated amount of time to interpret the results and compile a medical report would likely be 2 hours. This would result in a total of 4 billable hours. Prior to any evaluation, an estimate can be provided upon written request.
Consultation
CBS Speech and Literacy LLC and Collins B. Scott, MS, CCC-SLP are available for consultation services and advocacy. These may include documentation for legal claims, expert witness support, and more. Consultation services begin at $50 per hour. Charges are to be assessed for the duration of the event itself. You will never be charged for pre-planning and/or post-event discussions, whether over the phone or in person.
LET'S TALK!
Virtual vs. In-Person
I get it. This is your baby we are talking about here. You want what is best for them. I have worked virtually for over three years now, both in groups and with individuals, so I have basically seen it all. Let me assure you that 1-to-1 is NOT the same as 1-to-25!
Yes, your child may have not had the best online school experience before. There are so many distractions, background noises from the other students, and the teacher can’t address everything at one time.
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Yes, it may seem obvious, but I've had a lot of parents tell me that their child didn't do well working online with their teacher or working in groups with others. Here are some of the biggest differences:
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Your child didn't have me - a veteran with 15+ years experience working with children, trained at the graduate level, a former teacher, and person who also grew up with a learning disability. Basically, I'm not your average teacher.
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Because school is an all-day affair, virtual school had to mirror normal class. Classes were excessively long and painful - our sessions simply won't be that long.
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Virtual school requires your child to try harder and pay more attention to something they already were having a hard time with. The curriculum is very rigorous. There are too many writing assignments for children who have syntax disorders. Our sessions are designed to be at the level of instruction for your child to learn, i.e., they are going to be engaged because they know what's happening.
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I keep our sessions flexible. If things aren't going well, then we take a break and play a game (one designed to target the same goals simultaneously and surreptitiously we're working on, and most kids don't even notice, or they don't care because it's fun). Teachers don't have that luxury. If your child doesn’t appear awake when we meet first thing in the morning, I will find a fun game to wake them up and get them going.
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No distracting distractions! I am well aware that so many online children do NOT like to turn their cameras or mics on. The most some will participate in groups is via chat. I truly believe this is because of fear of being judged by their peers. With a one-on-one setting, I won't have to tell Johnny to turn his camera on. I won't have to tell Rosie to stop playing around. I won't have to tell anyone anything because there won't be anyone else. Less time lost makes for more engaged students.
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I'm fun. Period. Nine times out of ten, (I'm proud to say) kids are asking when they're going to see me again. Way more often than not, several parents have requested that I remain their child's therapist throughout the years.
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Digital Perks. I saved the best for last. Virtual services are not the same as in-person. In some ways, they're better. Think about all the tools I have at my disposal, not least of which is good-old screen-sharing (that's where I choose a window on my computer to share with you to see on your screen). How does this help?
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Take, for example, someone at the early stages of reading, when letter-size really matters. In real life, I can only encourage them to look more closely at the page (pretty weak) or find large print books. On the computer, I can zoom in 1000x to help them see the part I want them to see. For some kids, noticing the difference between "d" and "b" isn't going to happen unless it's as big as a billboard right in front of their eyes. I can drag a pointer or make a thick, red line run under the part of the word I want to show them. Not to mention, I can type/delete/copy/paste much faster on my computer than I can write on a hand-held whiteboard. This is only the start! I'm happy to give more examples. Just ask!
Virtual vs. In-Person (Adults)
ADULTS - ​You already know some of the perks:
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​​​Cost savings. You won't have to drive anywhere, spend money on gas and time in the car, traveling back-and-forth. And, you probably won't be late.​
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Fewer cancelations. Minor illnesses, inclement weather, public health events, can't get in the way of therapy.​
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Learning opportunities. Your family can view and learn from sessions, which is great, especially if there's something they can be doing to help.​
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Flexibility. Working virtually allows me to be nimble. Got a birthday party? Staying late at work? We can easily reschedule our session for another day and time when we're working online.​ One thing a lenient college professor once told me that I will never forget is, “I know that things happen!”
How Do Virtual Sessions Work?
Easier than you think​​. Here's everything you'll need: -
a computer, tablet, or phone
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the internet
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an open mind (this one's optional)​
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​Here's how it works:
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I make an event on Google Calendar.
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You get an invite sent to your email.
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On the day of the session, you click on the link in your email; it automatically opens a browser window, and you click to join.​
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​If you have Gmail and/or Google Calendar, it'll automatically go to your calendar. You can bookmark the link as a shortcut if you want. GoogleMeet does work best with Chrome as your browser but it's not required.
​​Still not sold on the idea? Check out this article written by an SLP who reviewed some of the research. CLICK HERE.
What About Insurance?
CBS Speech and Literacy LLC does not accept insurance. Directly contracting with insurance companies would prevent us from offering discounted rates which are often lower than insurance deductibles and/or companies.
Certain therapies may be eligible for reimbursement from your insurance plan. A superbill is an itemized form used by healthcare providers that reflects services rendered. A superbill is the main data source for the creation of a healthcare claim, which you can submit to payers (the insurance company, funds, programs) for possible reimbursement.
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More About Insurance
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If you have a health insurance plan with a deductible, there's a good chance you'll be paying out-of-pocket before the insurance even kicks in.
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I learned from my time working in private practices, most insurance companies greatly limit the number of sessions you can have within a certain period. For example, you could get limited to only 12 sessions a year (that's only 3 months if you meet once a week)
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Some insurance companies cap how much they'll payout for a particular service. In other words, you could get cut-off before the therapy is complete.
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In some instances, insurance companies say they'll reimburse you for the service, but later inform the SLP that services won't be covered because the insurance carrier has deteremine the services are not "medically necessary." This leaves it to the SLP to present you with a large, and unexpected, bill.
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​*I recommend you do your own research to find out if using your insurance plan is best for you and your personal situation. Keep in mind, all insurace polices are different!
*The information above reflects my personal opinion and should not be construed as financial advice or a medical recommendation.
For any health insurance questions or needs, we recommend:
Brian “Mr. B” Smith
321-621-4300
www.HelpMeMrB.com
Mr.B@HelpMeMrB.com
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No Surprises Act & Good Faith Estimates
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Beginning January 1, 2022, if you’re uninsured or if you opt for self-pay (i.e., not going through your health insurance), health care providers like me must provide you with an estimate of the expected charges before you get an item or service. This is called a good faith estimate (GFE).
Providers and facilities (like mine) must provide you with a GFE if you request one, or after you’ve scheduled a service. It should include the expected charges for all items or services that are provided as part of the same scheduled experience. The provider must provide a list of all items and services associated with your care.
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For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at www.cms.gov/nosurprises.
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A Note on Privacy
Nothing is more important than your privacy, especially when we're working online. That's why CBS Speech and Literacy LLC follows the strictest of guidelines. In order to be HIPAA compliant, CBS Speech and Literacy LLC and Google have jointly signed a Business Associate Agreement (BAA). This bars Google from data mining emails, files, and GoogleMeet video conferencing. Your private information is as secure as it can be.
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CBS Speech and Literacy is a licensed provider of speech-therapy in Florida, Arkansas, and Oklahoma.
Non-licensed services, such as public advocacy, academic support, tutoring, and accent modification, may be provided in all other locations.
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© 2023 by CBS Speech and Literacy LLC All Rights Reserved
Collins B. Scott, MS, CCC-SLP