PUBLICATIONS

This 318 page MEDICAL OFFICE MANAGEMENT book, updated early 2021, helps the medical office from a politically incorrect approach (saying what needs to be said).  Our monthly publication is thought to be a Medicare newsletter, but this book goes far beyond just Medicare.    All 3 publications deal with medical billing and coding as well as:

Topics Include:

Office Policies

Location

Marketing your practice

Column In Local Newspaper:

Local Speaking Engagements:

Medicare Participation Status

Participating:

Non-Participating:

Opted-Out:

Participation With Managed/Mangled Care Plans

Red Flag Laws

Provider Identity Theft

Copying Patient’s Driver License

Copying Military Id Cards Is Legal

Patient Hesitant To Share Social Security Number

Copying Medicare Cards

Prior To The Patient Arriving

When The Patient Arrives

Prescription Refills

No-Show Fee

The Reception Area

Why Patients Leave Clinics

Collecting The Deductible And/Or Co-Insurance

Fees & Discounts

Adjustments:

Self-Pay Agreement

Double Booking – Double Trouble

Divorce Poem To Patient

47 Million Uninsured?

Collecting The Co-Pay Prior To Seeing The Doctor

Office And Insurance Theft/Fraud

The Medical Office Manager

HIPAA – Not HIPPA

Breach of PHI

Patient Sign In Forms

Locking File Cabinets

Calling Patients By Name

E&M DOCUMENTATION PRINCIPLES

Medicare Documentation Pointers

E&M Chief Complaint:

E&M HPI

History Of Present Illness

Review Of Systems (ROS)

ROS – Non Contributory

Symptom Survey

Past, Family, Social History (PFSH)

Exam Body Areas

Exam Elements:

EMR Selection

EMR Incentive Payments

EMR – True Benefit

Mediocre Care Not Acceptable

New & Established Patients

Medicare Advanced Beneficiary Notice (ABN)

Using A Nurse Practitioner Or Physician Assistant

Incident-To Billing

Incident-To Is Not For Physicians

Billing Family Members

Immediate Relative

Members of Patient's Household

Charges for Physician and Physician-Related Services

Charges for Items Furnished by Non-Physician Suppliers

Coding Tips

Consultations Are still billable

Consultation Crosswalk

Medicare Secondary In Hospital

Pre-Op Physicals Are Consultations

Office & Other Outpatient Visit Codes

When Doctor Doesn’t Document Enough

Linking Diagnosis Code To CPT Code

Local Coverage Determinations (LCDs)

Choosing The ICD-9 Code

ICD-10 Facts

When Is A Nurse Visit (99211) Appropriate?

99211 & PT/INR

99211 for Anticoagulation Management “Do’s”

99211 for Anticoagulation Management “Don’ts”

Using Time To Determine Level Of Code

Prolonged Service Coding  (99354 – 99357)

Initial Inpatient Care (Admits)

Modifier AI

Admit From Emergency Room To Inpatient Hospital

Admit To Critical Care From E.R.

Critical Care In Any Place Of Service

Outpatient (24 - 48 Hour) Observation Admits/Visits

Patient Is In Observation For Less Than 8 Hours:

Patient In Observation More than 8 Hours, But Discharged Same Date

Patient In Observation Over More Than One Date

Discharging The Patient From The Hospital

Hospital Discharge & Nursing Home Admit On Same Day

Pronouncing Death – Signing Certificate

Modifiers

Modifier 24

Modifier 25

Modifier 52 Vs Modifier 53

Modifier 59

Progress Note Blunders

Signed, But Not Read

Sports &  School  Physicals

Health Reform and more

Along with their diploma, this book should be given to all medical school graduates.  I only wish we had this type of practical information available when my husband started his practice!

Marvel J Hammer RN CPC CCS-P PCS ACS-PMCHCO   MJH Consulting

 This information is fantastic. It's exactly what office managers and physician's need to read and hear in these troubling economic and litigious times. Proper reimbursement has become the most difficult task for every physician's practice. Way to go Don!" John Bishop, P.A , Tampa, Florida

This book is the fasttrack to moneytown.  You've done what I’ve wanted to write about for years.  

Steve Verno

I think managers and physicians would be hard-pressed to find this amount of information available in one book. The Unfiltered Guide to Medical Office Management is the "bible" of medical office management! What you have successfully developed is a comprehensive guide to just about all aspects of physician billing, coding, collections and compliance in one easy to read (and entertaining) tome! Just implement a few of these tips and you are on your way to a more efficient practice. Don has provided information on increasing revenue and sharpening efficiency...both extremely important in these tough times. ~ Charlene Endre-Burgett, MS, CMA (AAMA), CPM, CPC, CMSCS, - Administrator, North Scottsdale Family Medicine 

"WOW!!! What a book. It took almost a month before I opened your book and then, I could not put it down until the very last page.  If I would have had this 20 years ago, I would have had much less dissatisfaction with the billing system and many more hundreds of thousands of dollars in my pocket. It is an enjoyable easy read and the knowledge will give me the confidence to do both a good job for the patient and to be compensated fairly. Every practicing physician needs to read it and institute it.  Jerry Block M.D.,  Tulsa, OK

"There are not enough good words to describe Don and his books. Don is very professional and knowledgeable and provides good sound advice when needed. Thank You Don for sharing your gifts with us.   Jim Rehnberg

"Don has a way of cutting straight to the issue at hand and explaining it in plain English. He is a resource I use when I have things that come up that are unusual in billing and practice management and I have never had him give incorrect information or guidance. I highly recommend his services to anyone new to billing or anyone with many years of billing experience." Marla Hunt, CPC, CPCO, CPB, RMM at Superior Medical Billing Solutions - Lake Elsinore, CA

"Don Self is the most experienced and knowledgeable consultant in the insurance healthcare field! Thank you Don for all that you do! God bless you!"   Jessica Monge    AMD Global

"His publications and newsletters are spot on; and address the trending issues in time to implement change if needed."   Christine Wheeland   Foothills Family Practice

"This was utterly amazing. You have taught me so much and opened my eyes to many lost charges. "  Lola Foberg