DON SELF'S FREE DOCUMENTS PAGE, LAST UPDATED August 18, 2010

Before you scroll down to the hundreds of free documents, forms, jokes, offers, etc..., we need to talk about what is happening today in our economy and how that is affecting almost every medical office you know.


This has physicians, managers, CFOs and others worrying about the future. By now - you know some physicians that have closed their business or have retired early because they are scared. Some are doing their best to hang on and looking for answers.


Some are looking for hope - but they don't know where to look. Some are trying their best to just survive, while hoping for the best - but perhaps they are looking for the wrong hope?




When, they should be looking in a different direction!


Perhaps it is time that more of us consider that we have been looking to ourselves for answers,
but we need to be asking someone else for help.

Ok - I'm not going to go into a 62 second rapping sermon here - unless you really want to click on Tamara Lowe's One Minute Rapping Sermon which is really worth watching.

But - I am going to say that you do not have to draw in like a turtle hoping to ride this out - while laying off staff, cutting hours on staff, and pulling money out of your savings to keep the doors open.

So - don't surrender yet -

You can stand up for what you believe in and let the doomsayers know that it doesn't matter what they say, or how many of them there are - you're going to succeed!
and you are going to do a better job today of taking care of your patients than the doctors who are putting their heads in the sand are. You're going to follow the new guidelines and you're going to benefit by knowing WHERE Medicare and the other carriers have moved their money. You're going to get better medical outcomes and INCREASE your income by following the PQRI instead of doing what 95% of the other doctors are doing and just reporting it. While they are looking for the $6.00 a day bonus money from Medicare, you'll be seeing an extra $600 a day by FOLLOWING the guidelines that the others are missing.

So - cheer up - dance a jig and scroll down and see how Don Self & Associates can help you accomplish what others that believe in us are doing too.



DON'S NEW BOOK

called The Unfiltered Guide to Medical Office Management. Click on this link to see the comments received. Thank you to the hundreds of people that have bought the book and told others about it.


Check out his BRAND NEW SSL SECURE SHOP at https://shop.donself.com & tell us what you think. Check out his WEBINARS on the link below.



SPECIAL NOTICE:
It is getting too expensive to send your staff across the city for seminars, so we are now teaching inexpensive WEBINARS, to keep your staff updated. Just as it is important for physicians to get CMEs to stay on top of changes, it is equally so for the staff as well. See the schedule for the following WEBINARS that we're teaching at
Don's Shop
  • E&M Coding & Documentation is Not Brain Surgery
  • How to use PQRI to increase your Primary Care Income by $100,000 per year
  • Don't Be Afraid to REPORT PQRI - as it's really easy to do so
  • Use ERISA to keep carriers honest and to win appeals easily

  • DON'S PAGE HAS BEEN VISITED BY A FEW PEOPLE WHO HAS COME BACK HERE ABOUT
    TIMES.


    305 Senter Avenue, Whitehouse, TX 75791 903 372-7529 - fax 480 247-5650

    IF YOU WAIT UNTIL DON UPDATES THIS WEBSITE, YOU'RE NOT GETTING THE DAILY INFORMATION OR UPDATES AS QUICKLY AS IF YOU WERE SUBSCRIBED TO DON'S FREE LISTSERV. CHECK OUT http://health.groups.yahoo.com/group/Med-Managers/ by clicking on this link & join the hundreds of other people that gets Don's daily updates via email



    Web Design Note: I have had problems getting INTERNET EXPLORER to work properly with my webpage. It works great with FIREFOX & SAFARI, but not with Internet Explorer. I had to change the HTML code so that the buttons on the left shows up twice on Firefox & Safari - or it doesn't show up on Internet Explorer if I do not.

    WHAT IS OUR MESSAGE?

    Physicians & managers MISTAKENLY believe that we are ABOUT to enter a PAY FOR PERFORMANCE (PFP) payments structure & we're about to go through Health Care Insurance Reform. What most do not realize is that we've ALWAYS had PFP (we were paid for performing a service) except for those foolish enough to let capitation agreements take over your practice. Many may not have realized that health care financing reform has been happening since the Balanced Budgement Amendment (BBA) of 1996. In the last 9 years, Medicare (and other payers) have moved money from procedures & visits into Evidenced Based Medicine (EBM) without telling us what they were doing. They reduced the amounts they pay on many procedures & moved that money into diagnostics, clinical lab & some imaging. Therefore - if we have continued to practice over the past few years as we always have, we noticed that we had to see more patients to make the same amount of money - or we've been seeing a decrease in our monthly deposits. The answer is simple. Practice Evidenced Based Medicine & you'll see your income increase (in an average family or internal practice) by $150,000 to $400,000 per year. The best part is that you'll be practicing BETTER medicine & capturing the problems with your patients earlier while you're increasing your practice income. This is what we are teaching thousands of physicians each year at the state & national conventions where we speak

    Keith & Don are consultants. We will spend time on the phone with you & your physician, for free, asking questions to see if you're in line with the changes mandated by PQRI, AHRQ, EBM & more. This usually results in an average primary care practice increasing their net income by more than $165,000 per year.... per physician.
    Please help yourself to whatever on this page that you want & feel free to donate things to us to share with others, as long as it's not copyrighted.


    Do you feel like the penguin on the left & the insurance carriers are the one on the right?

    DON'S PAGE HAS BEEN VISITED BY
    PEOPLE.





    "It is my opinion that you are one of the best assets we coders and billers have in the medical field. It is such a joy to hear someone actual speak the truth! And it shows that you actual care about what you do. You are greatly appreciated :-) - Valerie Dubsky, Goodman Gastroenterology, Chattanooga, TN

    CODERS & MANAGERS, MAKE YOUR JOB EASIER & QUIT GIVING YOUR DOCTOR AN ULCER OR HIGH BLOOD PRESSURE. E&M Coding is very simple, yet so many only know it to be confusing. Your doctor is trying to do a good job - so make it easier on them by using the E&M Sliderule. I have taught thousands of physicians in the last 9 years using this sliderule & doctors can usually learn all they need to know about E&M documentation within 20 minutes using this tool - & they LIKE it. Click on the image below to go to a page showing how to order it.


    Order them for $12.50 each plus s/h by clicking on the sliderule


    *******************************************************************

    JOIN MORE THAN 450 OTHER BILLERS, CODERS, MANAGERS, PHYSICIANS, NON PHYSICIAN PROVIDERS, ETC... ON DON'S LISTSERV (ALSO CALLED A FORUM) FOR FREE. YOU'RE WELCOME TO JOIN, BUT PLEASE TELL ME WHAT SPECIALTY & HOW YOU HEARD OF IT WHEN APPLYING.
    Subscribe to Med-Managers

    Powered by us.groups.yahoo.com



    HERE ARE THE FORMS, IN ALPHABETICAL ORDER - NOTE THAT 2010 MEDICARE DATA IS LISTED BEFORE THE "A"s..


    If the file is in a that your browser will not read, RIGHT-CLICK your mouse on it & click on "SAVE AS" or "SAVE LINK AS" in order to save it to your computer in order to open it in the appropriate program.

    ***********************************




    CHART QUOTE: "The baby was delivered, the cord clamped & cut & handed to the pediatrician, who breathed & cried immediately".




    I started to skim over Don's book at noon, and could not put this down. It not only is straight-forward, honest, and real life situations, it has such a great sense of humor with it, saying the things we ALL think and want to say but are "filtered" to actually not say. I would recommend this book to physicians, staff, clinicians, coders, billers, administrators, and anyone else in or considering a career in the Medical Field. It was a pleasure to read and I endorse it 100%! I will be encouraging all to buy it once you have it available. - - Terry Fletcher, BS, CPC, CCS-P, CCS, CMSCS, CCC, CEMC, CMC - - CEO/President Terry Fletcher Consulting, Inc.






    2010 HCPCS - ALPHA-NUMERICAL LISTin PDF. added 12/30/09

    2010 HCPCS DRUGS-TABLEin PDF. added 12/30/09

    2010 HCPCS NUMERICAL LISTin Excel (03). added 12/30/09

    2010 HCPCS NUMERICAL LISTin PDF. added 12/30/09


    Managing a medical practice in the 21st century is perhaps the most complex of all business endeavors. In his new book, “The Unfiltered Guide to Medical Office Management”, Don Self has managed to provide both a tool and a guide for those so inclined to tackle this challenge. Cutting through the maze of confusion, complexity and confounding rules and regulations, Don’s book is a must-read for anyone wanting to assume hero status within their medical practice. -- Frank Cohen, MIT Systems, Inc.


    2010 MEDICARE CARRIER FILE showing the carrier number per state & area - in PDF. File is 45KB

    2010 MEDICARE DIAGNOSTIC PROCEDURE SUPERVISION FILE in Adobe Acrobat (pdf)

    2010 MEDICARE HCPCS/CPT BRIEF CODE DESCRIPTIONS in Excel (2003)

    2010 MEDICARE HCPCS/CPT BRIEF CODE DESCRIPTIONS in PDF

    2010 MEDICARE DIAGNOSTIC PROCEDURE SUPERVISION FILE in 2003 Excel (xls)

    2010 MEDICARE DRUG ASP FILE for first quarter 2010 - in Excel.

    2010 MEDICARE GLOBAL FEE PERIODSin Excel (03). added 12/30/09

    2010 MEDICARE GLOBAL FEE PERIODSin PDF. added 12/30/09

    2010 MEDICARE RVU fILEin Excel (03). added 12/29/09

    RVU fILEexplanation, showing the description of each column of the RVU file in pdf. added 12/29/09 - 236kb

    MEDICARE PQRI - see PQRI below -





    CHART QUOTE: "Patient has two teenage children, but no other abnormalities. "




    99211 PowerPoint Presentation on when it is appropriate & when it is not appropriate to use 99211, by Lori Hoyt - who did an EXCELLENT job on this & donated it to the site



    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


    ACRONYMS Used in FEDERAL REGISTER with the 2005 Medicare Fee Schedules

    ABN - FOR EVERYONE This is required (since Sept 1, 2008) where Medicare payment is expected to be denied for medical necessity reasons. The revised ABN replaces the 2002 ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), & NEMB (Form CMS-20007) - in Adobe (PDF)(47KB).

    ABN Instructions - published by CMS on March 6, 2008 in Adobe (PDF).


    CHART QUOTE: Patient has left his white blood cells at another hospital.






    ACCOUNTS RECEIVABLE SUMMARY in Excel, donated by Barbara Colburn on 12/29/06.



    CHART QUOTE: He had a left-toe amputation one month ago. He also had a left-knee amputation last year.


    ANCILLARY INCOME chart listing services that most practices can & should be performing in their office, with income potential & costs, donated by Miheer Shah, Director Strategic Medical Management, Inc./RapidCare

    APPEALS BOOK - THE ART OF APPEALS in PDF, written by Steve Verno, CMMB, CMMC, NREMTP & released by the BC aDVANTAGE - ADDED on 11/12/09.

    ASSIGNMENT OF BENEFITS & RELEASE OF INFORMATION STATEMENT CAN BE OBTAINED FROM THE ERISACLAIM.COM WEBSITE THROUGH THE ERISA PROGRAM, thanks to Dr. Jin at the ERISACLAIM.COM website


    CHART QUOTE: The patient is tearful & crying constantly. She also appears to be depressed.




    Audit Sheets - 4 in one file - in PDF. 936,161kb

    Audit Tool - Used by Medicare - HGSAin PDF (Acrobat) . 503kb




    Audit Tool - Page 1 - Added 5/1/00 in Excel, donated by ?.

    Audit Tool - Page 2 - Added 5/1/00 in Excel, donated by ?.

    Audit Forms/Instructions
    Excellent chart auditing form in Word, along with instructions, submitted by ?. This form will help on cpt coding as well as medical documentation.

    Audit Worksheet - Emergency Room
    This is a very useful (48KB) worksheet (WORD) to use, donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP

    Audit Worksheet - Establised Patient
    (68KB) worksheet (WORD), donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP

    Audit Worksheet - New Patient
    (66KB) worksheet (WORD), donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP

    Audit Worksheet For Neuro & Ortho
    ( worksheet (PDF), donated by Bonnie Ribble, CPC

    BELL CURVE (Utilization) DATA FROM MEDICARE from 2005 for all specialties on this one link for all E&M codes CMS calls it utilization data. It is the data that shows by specialty, the E&M codes & volumes of services allowed by Medicare. Use it to compare your own physicians billing profiles with the national data that CMS is using.




    BELL CURVE (Utilization) DATA FROM MEDICARE from 2007 for SOME specialties for all E&M codes in Excel file - per specialty:

  • Specialty 01 - General Practice 78kb

  • Specialty 02 - General Surgery 78kb

  • Specialty 06 - Cardiology 71kb

  • Specialty 08 - Family Practice 128kb

  • Specialty 11 - Internal Medicine 87kb

  • Specialty 16 - OB/GYN 57kb

  • Specialty 37 - Pediatrics 57kb

  • Specialty 46 - Endocrinology 78kb

  • Specialty 50 & 97 - Nurse Practitioners & Physician Assistants 112kb

    BC/BS LETTER
    Letters sent by Georgia State Board of Ins. & BC/BS about the automatic downcoding they did. This is the same one that was being faxed by Anne Robinson. It is in PDF


    Appeal Solutions Advertisement










    "The Unfiltered Guide To Medical Office Management" written by Don Self will keep you interested, give you knowledge and make you laugh at the same time. I have read many practice management books over the past 9 years and this book is a keeper. I would advise any practice manager to make this small investment for their career. -- Desiree R. Baylin, CMOM, CPM-HRS, Executive Director, Physician Office Managers Association of America (POMAA)



    Billing Compliance Manual
    in pdf, donated by Steven M. Verno


    Billing Productivity Log , donated to this page by ?


    Body Mass Index Table in PDF, with cross-index, donated to this page by Joey Hilario


    Cardiac Questionnaire for patients to complete. Best used when placed on back side of Symptoms Survey form (also found on this page) by Jason Green.

    Cardiology EP Ticket in Excel

    Cardiology New patient Form in Excel by Jean Stoner.


    CHART QUOTE: On the second day the knee was better & on the third day it had completely disappeared.


  • Cardiology Est patient Form in Excel, also from Jean Stoner Jean did a great job on these forms! (35KB)


    American Medical Billing Association Advertisement The AMBA also help doctors in the following areas: medical coding information, cpt code usage, claim processing data, tips on electronic medical billing, links to billing services, hipaa compliance & HIPAA compliance, denial by carriers, executive healthcare information & more


    CARE PLAN OVERSIGHT FORM used by the physician to record care plan oversight services rendered each month in RTF.


    CHART QUOTE: She is numb from her toes down.


    CARE PLAN OVERSIGHT FORM
    used by the physician to record total care plan oversight services rendered each month , which is necessary for medical reimbursement & proper cpt coding.

    CHARITY POLICY & APPLICATION used by a Radiology practice in Washington that not only explains what the law is about charity write-offs, but also gives the application & criteria for poverty levels - submitted by Michelle Juette



    CLAIM FORM INSTRUCTIONS FOR NEW CMS 1500 - previously called HCFA 1500 claim form in HTML, for the new claim form.

    CLIA WAIVED LAB TESTS From CMS, effective for 2009 in PDF.

    CMS REGIONAL OFFICE Listing

    Code Of Conduct and example being used by some offices to show compliance with OSHA, HIPAA, privacy laws, etc. from Joyce Kyle (Indiana)in WORD.
    Code Of Conduct For Employees in Wordfrom Daryl Ewing in Houston.

    YOUR DOCTOR IS CONFUSED ABOUT THE CODING DOCUMENTATION REQUIREMENTS - DOWNLOAD SOME OF THE FOLLOWING E&M CODING ASSISTS & THEN CHECK OUT THE OFFER WE HAVE AT THE TOP OF THE PAGE ON E&M DOCUMENTATION SLIDERULES. YCALL MSI (MEDICAL SOURCE, INC) WHO SPECIALIZES IN ASSISTING IN MEDICAL CODING REVIEW, CPT CODING, CPT CODE USAGE, CLAIM PROCESSING DATA, ELECTRONIC MEDICAL BILLING, HIPAA COMPLIANCE & MORE


    CODE (E&M) AUDITING FORM - CALLED CODEBUILDER This Word document donated by Michelle Green is excellent & easy to use.

    Coding Correction Card
    A coding correction card in PDF, donated by Laura Caperton

    RiteCode

    CODING, DOCUMENTATION & Healthcare Reimbursement & Committee Proposal regarding CPT CODING in RTF, submitted by Stephen Myers, M.D.

    Please consider ordering DON'S BOOK

    called The Unfiltered Guide to Medical Office Management as that helps support the funds he spends for this website he offers to you for free. Click on this link to see the comments received. Thank you to the hundreds of people that have bought the book and told others about it.


    CODING FLOWCHART FOR CPT CODING SIMPLIFIED, comparing AAPC & AHIMA coding certifications, submitted by Jeff Rustucio



    CHART QUOTE: Both breasts are equal & reactive to light & accommodation.

    CODING, DOCUMENTATION & REIMBURSEMENT & Committee Proposal, submitted by Stephen Myers, M.D.



    McVey Seminar Advertisement








    COMPLIANCE OFFICER DESCRIPTION This Word document has 4 different descriptions used & submitted by Cindy Wilkins for all to use & enjoy


    COLLECTION LETTERS



    Collection Letter - Balance Due & in RTF- donated by Gwen Ousley (5 kb)

    Collections - Collection Agency Check List &- donated by Gwen Ousley (23kb)



    “Complete practice management, authoritative and experienced writings are difficult to come by. Don’s book is one that qualifies. All in healthcare management should read it.” Terry McVey, President, McVey Associates, Inc.

    Collection Letter - Collection Agency Warning Letter & in RTF- donated by Gwen Ousley (5 kb)

    Collection Letter - Collection Process &- donated by Gwen Ousley (27 kb)

    Collection Letter - No Response From Insurance & in RTF- donated by Gwen Ousley (5 kb)

    Collection Letter - Payment Arrangment Letter & in RTF- donated by Gwen Ousley (4 kb)

    Collections - Physician Notification Form & in RTF- donated by Gwen Ousley (8 kb)


    Collections - Patient Account Flow Chart & in Powerpoint- donated by Gwen Ousley (37 kb)

    Compliance Plan for CPT Coding & This text file is a good coding compliance plan by Leslie J

    Compliance Plan & This 32K text file is a product of Sheila, Susan & Todd. Will it keep the HCFA Gestapo from nailing you in an audit? Who knows - but since they put so much work into it - I added it to the page

    Compliance Plan For Medical Billing Services

    CO-PAY, DEDUCTIBLE ∓ WAIVER INSTRUCTIONS & FORM This is an excellent guide, reference & waiver to use on charity cases, submitted by Sherry Straub,(31K). See also - Charity form above for a different guide to waiving co-pay and deductibles


    CHART QUOTE: "When she fainted, her eyes rolled around the room."


    CONSENT FORM FOR TREATMENT used by the physician to record the patient's consent for treatment in Word.

    CONSENT FORM (This one is a spoof created by Don).

    CONSENT FORM for TREATMENT OF MINORS(donated by Charlene Burgett).

    CONSULTATION REQUEST FORM TO SUPPORT CPT CODING CONSULTS.

    CONSULTATION REQUEST FOR PAIN OR NEURO FORM, donated by Carol E. on 6/7/05

    CONTRACT NEGOTIATION EXCEL SPREADSHEET FORM for ANESTHESIA in Excel, donated by Michele Howell


    CHART QUOTE: Whilst in Casualty she was examined, X-rated & sent home.

    CO-PAY-LETTER to send to insurance carriers notifying them that the policyholder has not paid the co-pay or co-insurance, donated by Laura Bassett, RMM .





    C.P.O. (CARE PLAN OVERSIGHT) FORM used by the physician to record care plan oversight services rendered each month, in RTF. This form is necessary if bill for G0181 but not for G0179 or G0180

    C.P.O. (CARE PLAN OVERSIGHT) FORM used by the physician to record total care plan oversight services rendered each month,.



    Critical Care Template - CICU FORM used submitted by Diane Brooks.

    Critical Care Template - MICU FORM used submitted by Diane Brooks, which is needed for CPT code 99291.

    CLICK HERE TO SEE HOW DON HAS A BETTER THAN 86% SUCCESS RATE, WITH HUNDREDS OF PHYSICIANS IN GETTING RID OF MIGRAINE HEADACHES WHEN PATIENTS HAVE AT LEAST ONE A WEEK

    DEATH PRONOUNCEMENT and whether you can bill for it or not (In WORD) thanks to Gregory L. Schnitzer, RN, CPC, CPC-H, CCS-P, RCC.

    DIAGNOSIS POINTER (block 24E) instructions from Medicare, (pdf) thanks to Karen Hurley



    Great info and in a very easy read format. Along with their diploma, Don's book, the Unfiltered Guide to Medical Office Management, 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-PM CHCO MJH Consulting Denver, CO

    DIAGNOSTIC TEST INTERPRETATION rules of Medicare
    for ERs - telling Medicare to pay for the interp actually used in the treatment & not just an interp used as quality control. Radiologists will not like this rule that most people are not aware of. In PDF- from CMS MCM 15023.

    DIAGNOSTIC PROCEDURE SUPERVISION FILE for 2010 Medicare in Adobe Acrobat (pdf)

    DIAGNOSTIC PROCEDURE SUPERVISION FILE for 2010 Medicare in 2003 Excel (xls)

    DISCHARGE FROM NURSING HOME LETTER from HCFA (In PDF)

    DIVORCE LETTER FOR PATIENTS in Word- from Don

    DIVORCE POEM FOR PATIENTS in Word- from Don


    CHART QUOTE: "The patient states there is a burning pain in his penis which goes to his feet."

    Drug Codes (HCPCS) - Table of Drugs in Microsoft Word- - Added 5/17/02 (213 kb)

    Drug Dispensing Guidelines for California in Microsoft Word- - Added 3/10/03 - by George Ward

    Drug Pricing by NDC in Microsoft Excelin a zipped file. This Excel file is 3.5 megs when unzipped & 957kb when zipped. It was donated to the site by Jacqueline C. Langlois, RN, MSN, CRNI with Mass Med Legal. - - Added 3/24/02

    E & M DOCUMENT TABLE This nifty table was submitted by Deb Martinez on 10/7/99 & many will find this easy to use.





    E & M AUDIT SHEET This form submitted by Mary Thomas.


    CHART QUOTE: "Patient was released to outpatient department without dressing."

    E & M HISTORY This form submitted by Stephanie L. Fiedler, CPC, ASC-EM & it is.




    E & M WORKSHOP HANDOUT - - - This is the 34 page seminar workbook Don drafted up (garnering info from everyone I could)(135kb) (106KB).



    E&M Utilization files - see UTILIZATION PER SPECIALTY for the link to a special page.

    Emergency Medicine Documentation Guide for Office 95by Martin Gottlieb called 1998doc.doc. (141kb)

    Emergency Room Acuity worksheet in Excel, donated by Mimi Tytko (19kb)
    Emergency ROOM Acuity worksheet, also donated by Mimi Tytko (63kb)

    Emergency ROOM Code Utilization listed by State on ERCODER.COM website run by Todd Thomas, whom I trust more than any other for ER coding answers, added 10/6/06.



    political statement! -

    EMPLOYEE Evaluation Form for hourly employees - in pdf, donated by PAHCS.

    EMPLOYEE Evaluation Form for hourly employees, so, change it however - also donated by PAHCS.

    EMPLOYEE QUIZ - A quiz (in WORD) to give to prospective employees or to use to test your existing employees donated to the list by Deb Lief in Fort Worth. Be careful though that some lane brane prospective employee with an IQ equal to their shoe size doesn't hire a liberal ACLU certified attorney (looking to save the world for people that refuse to accept personal responsibility) to sue if they fail the test

    EMPLOYEE QUIZ - The same quiz described above in TEXT

    EMPLOYEE REPRIMAND FORM - This form can be used when warning an employee about improper behavior or when you're not satisfied with their job performance

    Employment & Pre-Employment Medical Billing Test - This is a good pre-employment test designed by & copyrighted by Steve Verno, who shares it in it's originalfor whomever wishes to use it.

    ENCOUNTER FORM - An EXCELLENT encounter form to use for documentation that prompts the doctor to document all healthcare reimbursement elements needed for the E&M encountercalled encountr.doc by Sandy Turpin.

    Encounter Form Maker Link Encounter Form Maker is one of the easiest programs we have seen for helping offices prepare, update & design superbills & encounter forms. I've created hundreds of different superbills in my earlier career as a Superbill salesman with Controlo-o-fax, & I only wish I had this program back then.

    ENCOUNTER FORM 2 - Another EXCELLENT encounter form to use for documentation that prompts the doctor to document all elements needed for the E&M encounterdonated by Deborah Hill in Georgia.

    ER ACUITY WORKSHEET submitted by Jennie,. (63k)

    ER Audit Worksheet
    This is a very useful (48KB) worksheet (WORD) to use, donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP

    ER INTERPRETATION rules of Medicare
    for diagnostic tests - telling Medicare to pay for the interp actually used in the treatment & not just an interp used as quality control. Radiologists will not like this rule that most people are not aware of.- from CMS MCM 15023.


    CHART NOTE: "The patient has no past history of suicides."


    ER VISIT FORM , in Excel. (19k)

    ERISA - HOW TO APPEAL YOUR CLAIM & MAKE THE CARRIERS PAY YOUR CLAIM IN FULL (NOT JUST ALLOWED OR UCR) USING THE 1974 LAWS IN PLACE THAT THEY HAVE TO OBEY. CLICK ON THE IMAGE BELOW, & BE SURPRISED. YOU'LL PROBABLY WIN ON AT LEAST 80% OF YOUR APPEALS - REGARDLESS OF THE REASON FOR DENIAL OR REASON THEY REDUCED THE PAYMENT.
    BE HAPPY




    ERISA WEBINAR , handout in pdf, created by Dr. Jin Zhou in mid January, 2010. Dr. Jin is an expert at ERISA

    EVALUATION FORM FOR EMPLOYEES - A tongue-in-cheek employee evaluation formby Don - feel free to add to, modify or alter this form. It's not copyrighted.



    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.

    FAMILY MEMBERS WHO MEDICARE DOESN'T ALLOW BILLING FOR

    < FLUOROSCOPY CODE APPEAL in WORD, donated by Linda at Desert Pain Institute (with names changed by Don)

    GENERAL, MUSCULAR, NEUROLOG. & URINARY 4 separate EXCEL files designed with General , Muscular, Nuerological & Urology in mind by Maureen McGee.
    General Exam - (36kb)
    Muscular Exam - (38kb)
    Neurological Exam - (35kb)
    Urological Exam - (36kb)


    CHART QUOTE: "Patient was becoming more demented with urinary frequency."

    2010 MEDICARE GLOBAL FEE PERIODSin Excel (03). added 12/30/09

    2010 MEDICARE GLOBAL FEE PERIODSin PDF. added 12/30/09



    HARDSHIP LETTER & APPLICATION Formby Linda Sauls

    Hardship Waiver form for Medicare patients in Word. (21kb) added 4/23/02

    HCFA 855 Reassignment of Benefits Form in PDF (Acrobat).

    HCFA Medicare Par Agreement Form in PDF (Acrobat).

    HCFA Specialty Code Listing in PDF (Acrobat).

    HCFA Medicare Request For Review (Appeal) Form in PDF (Acrobat).

    HCFA Memo re. E&M documentation from Dr. Kanoff submitted by Linda Howrey. If prefered - get it in TEXT HCFA'S memo format. I have to say - in all of the time I've seen stuff from Linda - I've never seen it incorrect - she's one of the brightest bulbs on the Christmas tree





    HCFA's 2002 E&M PROPOSALS submitted by Charlene Allen. (88k)

    HCPCS - ALPHA-NUMERICAL LIST - 2010in PDF. added 12/30/09

    HCPCS DRUGS-TABLE - 2010in PDF. added 12/30/09

    HCPCS NUMERICAL LIST - 2010in Excel (03). added 12/30/09

    HCPCS NUMERICAL LIST- 2010in PDF. added 12/30/09

    HIPAA BUSINESS ASSOCIATE AGREEMENT (BAA-2008) in WORD, donated by Robin at Physicians Choice Medical Billing

    HIPAA COMPLIANCE 101 FOR PROVIDERS FROM CMS in pdf. This is supposed to be posted on CMS' website soon, but CMS sent it to us early.

    HIPAA COMPLIANCE BUSINESS ASSOCIATE AGREEMENT (BAA) in WORD

    HIPAA COMPLIANCE B.A.A. (Business Associate Agreement) 4 PAGE, donated by Dr. Herbert Schwarz - He does HIPAA consulting with HIPAA TODAY. This file was added March 13, 2003

    HIPAA CONFIDENTIALITY AGREEMENT (CA) & NON DISCLOSURE AGREEMENT, (2 PAGE) donated by Dr. Herbert Schwarz - This file was added March 11, 2003

    HIPAA FAX COVER SHEET in WORD, created by Don as humor.

    HIPAA FAX COVER SHEET in WORD.

    HIPAA NPP (NOTICE OF PRIVACY PRACTICE ACKNOWLEDGEMENT form for the patient to sign in WORD, donated by Terri Ristem - added Dec 3, 2008

    HIPAA NPP (NOTICE OF PRIVACY PRACTICES , also donated by Terri Ristem December 3, 2008

    HIPAA NPP (NOTICE OF PRIVACY PRACTICE 2 PAGE final, donated by Jennifer Humbert - added March 10, 2003, & required if practices intend to be HIPAA COMPLIANT.

    HIPAA NPP (NOTICE OF PRIVACY PRACTICE) 2 PAGE, donated by Kathy Pfaff, R.N., B.S.N., M.B.A. - added March 11, 2003

    HIPAA NPP 2 PAGE - GEORGIA DEPT OF COMMUNITY HEALTH, donated by Ruth Carr - added March 13, 2003

    HIPAA NPP 2 PAGE - GEORGIA SHBP, donated by Ruth Carr - added March 13, 2003


    CHART QUOTE: "The patient's past medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days."


    HIPAA NPP 2 PAGE - GEORGIA PEACHCARE FOR KIDS, donated by Ruth Carr - added March 13, 2003

    HIPAA NPP ANOTHER 2 PAGE - for PHYSICIAN OFFICE, donated by Merry Schiff - added March 12, 2003

    HIPAA NPP 2 PAGE - WOMEN'S HEALTH CLINIC, donated by John Carrico, CMC - added March 12, 2003

    HIPAA NPP 2 PAGE - 3 Column, - donated by Melissa Cornwell - added March 11, 2003

    HIPAA NPP 4 PAGE, donated by Malinda Butson - added March 11, 2003

    HIPAA NPP 6 PAGE, geared towards Oncology, donated by Eileen Peterson. - added March 11, 2003

    HIPAA NPP 7 PAGE, donated by Dr. Herbert Schwarz - He does HIPAA consulting with HIPAA TODAY & his phone is 714-838-4259 (O). This file was added March 11, 2003


    CHART QUOTE: "The patient experienced sudden onset of severe shortness of breath with a picture of acute pulmonary oedema at home while having sex which gradually deteriorated in the emergency room. "




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


    HIPAA NPP in SPANISH using WORD, donated by Cindy Weston with The American Medical Billing Associaton (AMBA)- Their site is http://www.ambanet.net.

    HIPAA PRIVACY TRAINING requirements, donated by Eric Sandham, CPC - added October 2002

    HIPAA SECURITY POLICIES & PROCEDURE in WORD, donated by Gene Teglovic, at Healthcare Office Automaters

    HIPAA SUMMARY - 4 pages in MS Works, donated by Pam Mauerhan - added October 2002

    HIPAA TRACKING FORM - donated by Valeta Barger

    HIPAA SUMMARY - 4 pages

    HISTORY form for getting the health history from patients. This form is easy to use & modify & was donated by Debbie Foren in June 2000

    HOMEBOUND PATIENT RULES BY MEDICARE. Medicare IOM 100-02, 15, 60.1A

    HOSPITAL CUTBACKS MEMO - humorous





    Subscribe to Med-Managers

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    CHART QUOTE: "By the time he was admitted, his rapid heart had stopped, & he was feeling much better. "



    HOSPITAL DISCHARGE MANAGEMENT CODING MEMO PER CMS, donated by Diane Brooks. This letter in pdfis dated in 1991 from CMS

    HOSPITAL HCFA'S RULES RE. CLASSIFYING ENTITY AS HOSPITAL OUT-PATIENT OR PHYSICIAN CLINIC

    HPI Letters discussion whether it is allowed to count one item notated in the documentation under both, the HPI & the ROS. One of these letters is from Bart McCann, who used to be with HCFA. It is in PDF, so Adobe Acrobat or Acrobat Reader is needed. This is vital to know for proper claims processing & Healthcare Reimbursement



    CHART QUOTE: "Many years ago the patient had frostbite of the right shoe. "





    If you know someone suffering from IBS - check out LEAP on the top left menu on this page - We have a better than 81% success rate!

    ICD9 CODING Pocketbookby Jaime Darling, CPC (444kb)



    ICD-10 Coding Guide - for Ambulance Services in PDFby Steve Verno, CEMCS (132kb)

    ICD-10 Coding Guide - for Emergency Department Care in PDFby Steve Verno, CEMCS (99kb)

    ICD-10 Coding Guide - for General Surgery in PDFby Steve Verno, CEMCS (80kb)

    ICD-10 Coding Guide - for Opthalmology in PDFby Steve Verno, CEMCS (312kb)

    ICD-10 Coding Guide - for Radiation Oncology in PDFby Steve Verno, CEMCS (316kb)







    IM - FP New Patient Form in Excelby Jean Stoner (32 KB)



    IM - FP Established Patient Encounter Form in Excelby Jean Stoner (29KB) - -



    INCIDENT TO LETTER FROM MGMA in Acrobat, donated by Dianne Wilkinson (39kb) - -



    INCIDENT TO - SHARED VISIT GRID, donated by Wanda Woman (107kb) - -



    INFLUENZA COVERAGE RULES - BY MEDICARE- - -


    INJECTION CODES - 2003 HCPCS LEVEL 2 INJECTION CODES with AWP AMOUNTS (Medicare-allowed) in Excel- - -


    INSURANCE ONLY - WHY WE SHOULD NOT ROUTINELY WAIVE CO-PAYS AND/OR DEDUCTIBLES- quoting the Kennedy vs Connecticut General case & others- - added 11/27/03 -



    INSURANCE WITHDRAWL LETTER TO PATIENTS - notifying the patients that you're withdrawing from their HMO or insurance plan

    LAB ICD9 DIAGNOSIS CHEAT SHEET - THIS IS THE FORM - THAT ADEL MILES HAS BEEN FAXING TO PART B LISTSERV MEMBERS ALL OVER THE COUNTRY. IT IS CALLED LABDX.DOC - - -


    LISTSERV INFORMATION

    click here to sign up for the

    PROFESSIONAL MEDICAL OFFICE MANAGEMENT listserv

    that Don Self manages. It's free & it is a great way to network with other offices about Healthcare Reimbursement, medical billing & claim processing as well as executive healthcare issues. We discuss medical coding information, cpt code usage, claim processing data, tips on electronic medical billing, links to billing services, hipaa compliance & HIPAA compliance, denial by carriers, executive healthcare information & more.



    One of the ways that Don stays on top of changes is through Internet Listservs. This link will go to a site that not only has a listserv for just about any specialty, & they also deal with medical coding information, cpt code usage, claim processing data, tips on electronic medical billing, links to billing services, hipaa compliance & HIPAA compliance, denial by carriers, executive healthcare information & more



    but also they publish some excellent newsletters, publications & consulting.

    For the very best in Podiatry coding, medical billing, claim processing & healthcare reimbursement business matters, become a member of the Codingline community, run & managed by one of the very best in the business - Harry Goldsmith, DPM


    LOCALITIES - MEDICARE in Excel, listing the different carriers, carrier numbers, localities, states, etc.


    MANAGED CARE CONTRACTING TIPS & the top 10 reasons why we should tell Mangled care companies NO,, donated by Patricia Nelson


    MEDICAL RECORDS COPYING CHARGES BY STATE listing all of the state laws/recommendations by state on attorney Thomas Lamb's website


    MEDICAL RECORDS TRANSFER policy & fees


    MEDICARE CARRIER LISTED BY ZIP CODES in EXCEL, updated 5/13/2008.



    MEDICARE CLIA WAIVED CODES & GRID in EXCEL, added to site 7/25/05, thanks to Donna Beaulieu.


    MEDICARE CONVERSION FACTORS - 1996 - 2005 in WORD

    MEDICARE COVERED PREVENTIVE SERVICE CHECKLIST in Excel, dated 1/7/05 from Charlene Burgett,BS,CMA,CMM,CPC,CCP


    DON'S PAGES HAVE BEEN VISITED
    TIMES

    MEDICARE COVERED PREVENTIVE SERVICE MATRIX in Excel, from Charlene Burgett,BS,CMA,CMM,CPC,CCP


    MEDICARE CROSSOVER LISTING - TEXAS in WORD, dated 11/03 from CMS


    2010 MEDICARE DIAGNOSTIC PROCEDURE SUPERVISION FILE in Adobe Acrobat (pdf)

    2010 MEDICARE DIAGNOSTIC PROCEDURE SUPERVISION FILE in 2003 Excel (xls)

    2010 MEDICARE DRUG ASP FILE for first quarter 2010 - in Excel.

    MEDICARE DOCUMENTATION POINTER in txt, from Medicare's site


    MEDICARE EOB REMITTANCE CODES in PDF, dated 11/03 from CMS

    MEDICARE ENROLLMENT FORMS (CMS 855 FORMS) UPDATED 4/30/2006 (EARLIER VERSIONS NOT ACCEPTED AFTER 6/1/06)








    Medicare Enrollment - 855A - HealthCare Providers that will bill Medicare fiscal intermediaries (cms855a.pdf) in PDF.


    Medicare Enrollment - 855B - HealthCare Providers that will bill Medicare carriers (cms855b.pdf) in PDF

    Medicare Enrollment - 855I - Individual Health Care Practitioners (cms855i.pdf) in PDF .

    Medicare Enrollment - 855R - (cms855r.pdf) in PDF .


    Medicare Enrollment - 855S - (cms855s.pdf) in PDF .



    Medicare Enrollment - Individual Reassignment of Benefits (cms855r.pdf) (314 kb) in PDF (Acrobat).

    Medicare Enrollment - DMEPOS Suppliers (cms855s.pdf)(911 kb) in PDF (Acrobat).

    Medicare Enrollment - 855 Change of Information Form in PDF (Acrobat).
    MEDICARE FEE SCHEDULE for 2009in Excel- added 12/6/2008. This link to a page listing all 59 files - sorted by state & locality




    (a href="http://www.medicarenhic.com/providers/pubs/mentalhlth_apr07.pdf">

    Medicare Mental Health Services Billing Guide from NHIC Medicare in pdf

    Medicare National Coverage Determinations (NCD) Coding Policy Manual & Change Report (April 2006) Suffix descriptions in PDF.

    Medicare Patient HIN (Healthcare Identifier Number) Suffix descriptions.

    Medicare Remittance Remark Codes dated Aug. 5, 2004.


    MEDICARE Secondary Authorization form in Word donated by George Ward.

    MEDICARE Secondary Payer Resource Guide in PDFdonated by Joel Shaffer.

    MEDICARE SPECIALTY CODES , in PDF- UPDATED 11/12/09- -

    Medicare Status Codes - as found on Medicare's Global Fee & RVU pages in Word- - -

    MISSOURI HPSA LOCALITIES Non-Metropolitan & Metropolitan HPSA areas in Missouri as of March 1, 2004.







    MODIFIER 25 - LETTERS from Kathleen Buto of HCFA in textsubmitted by Jan Rasmussen- - -

    MODIFIER 25 (CPT) APPEAL LETTER - NEW PATIENT - Appeal Letter. - Added 7/27/99 -

    MODIFIER 25 APPEAL LETTER - ESTABLISHED PATIENT - Appeal Letter. - Added 7/27/99 -

    MODIFIER 57 APPEAL LETTER - Another letter to appeal CPT modifier 57 denials.

    MODIFIER 57 CHART - To help us decide whether we want modifier 57 or modifier 25 on the claim in RTF, donated by Linda Weiss.

    MODIFIER REFERENCE LISTING -submitted by Vinod Gopal on 12/31/04



    Multiple E&M Services in One Day - How to Code & Bill This is a link to the Code-Ryte website to an article written by one of the sharpest consultants in our country, Greg Schnitzer


    Multi-Specialty Exam Form in Microsoft Word/Wordpadin a self-extracting file by Bill Cox (21KB) This is not a test to give physicians to see if they can name all the specialties



    YOU GOTTA LAUGH

    New York, NY
    During a police lineup, a detective told each man to step forward & repeat the threat delivered at the robbery: "Give me all your money or I'll shoot." One man stepped forward & yelled, "That's not what I said!"



    National Drug Pricing by NDC in Microsoft Excelin a zipped file. This Excel file is 3.5 megs when unzipped & 957kb when zipped. It was donated to the site by Jacqueline C. Langlois, RN, MSN, CRNI with Mass Med Legal.

    Nerve Conduction Studies & Office Visits instructions from Medicare.


    New Patient Definition by a Medicare carrier in Kansas/Nebraska/NW Missouri. This document file contains an excerpt from their September 1999 Special Bulletin - submitted to this site by Savannah Seins, CPC in August 2000.

    New Patient History Form (41KB) It has the standard questions such as "Were you born? Did you have a mother? Have you made out a will?"

    New Patient Form in a self-extracting file (21KB)

    NO-SHOW Information regarding Medicare & CMS, added 4/15/08, thanks to Cyndee Weston with the American Medical Billers Association


    NO-SHOW Divorce Letter to patients to explain why you're divorcing them (20KB) Added 4/23/02

    NO-SHOW Referral Letter to other physicians that requested your consult, informing them that their patient never showed up for the appointment (20KB) Added 4/23/02

    OB/GYN Guide by Judy Harris. (39KB) - -

    OB/GYN Guide in TEXTby Judy Harris. (8KB) - OK - one bit of advice to the guys .... If you're wife's expecting & you're going to be in the room with her when she gives birth - remove your wedding ring before putting the scrubs on - It will save the husband some pain - BELIEVE ME!!!


    OP NOTES TEST in WORDby Chris Felthauser

    OP NOTES TEST ANSWERSby Chris Felthauser

    OUT-PATIENT BILLING GUIDELINES in TIF, donated by Karen Craig


    Patient Financial Responsibility form in WORD, shared with others by Barbara Colburn 1/12/07

    Patient Registration Form, shared with others by Anne Hillmann, & modified by Don on 9/6 - -

    Patient Registration Form, in English, modified by Don- -

    Patient Survey in EXCELfrom Heidi Joseph - -

    Patient Survey - Humorous in EXCELfrom Don Self - -

    Payment Plan & Promissory Note in PDF from Lisa Scott, CPC with Carolina Bone & Joint - Sept 2006 - -

    Pediatric Attending Form in TEXT format by Belinda Dixon (3kB) -


    Phone Form for recording the information on a new patient when they call in for the appointment. This form was donated by Lori Wyvill.