Compliance documentation is high-stakes. Insurance denials, due process hearings, and regulatory audits all hinge on precision. LLMs can help structure these documents, but the clinical content must be yours.

Prior Authorization / Medical Necessity

Prompt Template

I am an SLP writing a prior authorization letter to justify continued therapy services (no patient identifiers included). Here is the clinical information: [diagnosis, functional limitations, treatment goals, progress to date, and why continued services are medically necessary]. Help me organize this into a clear, evidence-referenced justification letter using medical necessity language. Include functional impact statements. Do not fabricate clinical details or cite studies I haven't provided.

Ethical Reflection

Sometimes you need to think through a situation more clearly, not get an answer, but sharpen your reasoning.

Prompt Template

I am an SLP working in a school setting. I am dealing with a situation involving [general scenario, no identifying info]. Help me think through: relevant ethical considerations, possible risks, and factors I may be overlooking. Do not give direct instructions or definitive answers. Focus on helping me reflect more clearly.

IEP Compliance Checks

IDEA requires that IEP goals are measurable, address the child’s disability-related needs, and enable progress in the general education curriculum. The model can review goal language against these requirements, but it cannot assess whether the goal is clinically appropriate for the individual child.

Medicaid Billing Documentation

Documentation must support the billing code used. LLMs can help ensure your note structure includes the elements required by your state’s Medicaid program, but the clinical details must be accurate and your own.