DON SELF'S FREE MEDICAL OFFICE DOCUMENTS PAGE, full of medical coding information, cpt code usage, claim processing data, tips on electronic medical billing, links to billing services, hipaa compliance and HIPAA compliance, denial by carriers, executive healthcare information and more. As a healthcare consultant, we guarantee a primary care physician that we will increase their annual profits by at least $125,000 or they do not owe us a penny. No one else does what we do. No one else gives a guarantee like Don Self & Medical Source, Inc.
Give us a call or an email if you are a
primary care physician
and you would like for us to schedule a 1 hour free tele-consult with you and your office manager. In that hour, we will be asking questions about your practice, your patient flow, your insurance mix, the services you offer, etc... At the end of the hour, we will give you a guaranteed amount that we will increase your annual profits in your practice, as well as our fee. Usually, that guarantee is well over $10,000 per month and in many cases, it is over $20,000 per month in a solo, family practice clinic. Medicare and private carriers are willing to pay you much more than they have - but only if you know why and when and that is what we teach you.
last updated 7/28/2008 with the JULY ISSUE OF STAT in PDF (our monthly 8 page subscription newsletter) and in June with the Audit worksheet for Neuro and Ortho and prior to that was the MGMA Letter regarding Incident-to rule changes and on 5/30 with the Updated Medicare Lab Fee schedule for 2nd quarter 2008, Updated Medicare Drug Pricing for 2nd quarter 2008 and updated Drug CPT-NDC Code Crosswalk for 2nd quarter 2008, updated Carrier-to-zip directory and updated instructions for the current CMS 1500 claim form.
ONE DAY PRIMARY CARE SEMINARS COMING - Since Healthcare Reimbursment seminars with CEUs are limited in what they can say, as it has to be "approved" by the CEU association, we are also scheduling for several full day seminars on using PQRI to increase the income of a primary care practice by $75,000 or else that will NOT have CEUs or CMEs. This way, we will not be limited on how much we can teach doctors the way we sometimes are. The only way someone can attend is if their Family Practice, Internal Medicine or General Practitioner doctor attends and that doctor is allowed to bring one (non doctor) person with them for free. This is not designed for other specialties or surgeons. It is designed for primary care doctors that are in private practice and only if their capitation rate is less than 40%. With those, we have no doubt we can increase their net deposits over $125K a year, but the guarantee for the day is $75K. At the end of the day, if we have not convinced the doctors how they can increase the income of that practice by at least $75,000 per year, we will hand that doctor $1,000. These will be limited in size to no more than 25 physicians. These will be held in cities across the country, on Saturdays, such as Atlanta, Dallas, San Francisco, Tampa, etc... If you're interested in this, please send me an email and tell me what city you want to see one in and how many people you may be bringing to one so that we can weigh the feasibility for adding that city to our schedule.
Don has a BLOG with an update where he, Angie and Cookie are
and where they are going as well as an idea of what is happening in their life on the road in an RV - including photos as well.
DON'S PAGE HAS BEEN VISITED
TIMES
A FEW OF OUR FAVORITE FUNNY VIDEOS - SOME REQUIRE YOUR SPEAKER VOLUME TURNED UP
Don has a free, healthcare reimbursement & medical coding private listserv to exchange information. A lilstserv is like a chat room, but it's medical business related and it's only via email. If you click Here to sign up for it, be sure to tell me why I should let you on it, where you work and how to get hold of you as I do not allow spammers, salespeople, etc... on it. Click here for the
Every time I have used the E&M Documentation Sliderule in teaching physicians, office managers & insurance clerks, I have heard the comment that this tool will enable the doc or clinic to use the higher level of codes AND THEY'VE BEEN DOWN-CODING. Check out the NEW (as of February 2008) sliderule that takes the deletion of some consult codes as well as the revision of all of the SNF codes into consideration. In fact, this one even meets the requirements that many Medicare Medical Carrier Directors have instituted - which requires the exam elements on the 95 and the 97 guidelines. Many claim processing companies have ordered these as well as other healthcare reimbursement consultants
Order one for $12.50 plus $2.50 s/h and we'll send it to you with a statement. If you like it - pay the statement. If not, return it and owe nothing. You have nothing to lose. We have sold thousands of these so far. In fact, one large carrier in Kansas even buys them from us and uses them in their provider education seminars
It used to take me 2 hours to teach E&M
documentation to physicians and in Healthcare Reimbursement seminars. Using this tool, it now
takes about 20 minutes.
HERE ARE THE FORMS YOU CAME HERE FOR, IN ALPHABETICAL ORDER
If the file is in a format that your browser will not read, you may need to RIGHT-CLICK your mouse on it and 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.
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CHART QUOTE: "The baby was delivered, the cord clamped and cut and handed to the pediatrician, who breathed and cried immediately".
MEDICARE LOCALITIES in Excel format, listing the different carriers, carrier numbers, localities, states, etc.
CHART QUOTE: "Patient has two teenage children, but no other abnormalities. "
99211 PowerPoint Presentation on when it is appropriate and when it is not appropriate to use 99211, by Lori Hoyt - who did an EXCELLENT job on this and donated it to the site 6/30/05
ACRONYMS Used in 11/15 FEDERAL REGISTER with the 2005 Medicare Fee Schedules
ABN - FOR EVERYONE Beginning Monday, March 3, 2008, providers (including independent laboratories), physicians, practitioners, and suppliers may use the revised ABN for all situations where Medicare payment is expected to be denied. The revised ABN replaces the 2002 existing ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), and NEMB (Form CMS-20007). CMS will allow a 6-month transition period from the date of implementation for use of the revised form and instructions. Thus, all providers and suppliers must begin using the revised ABN (CMS-R-131) no later than September 1, 2008 - in Adobe (PDF) Format (47KB).
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 and should be performing in their office, with income potential and costs, donated by Miheer Shah, Director
Strategic Medical Management, Inc./RapidCare on 1/29/07, and updated by Don Self on 1/30.
Assistant Surgeon Code List - Medicare This text lists all of the procedures that were shown in the 2002 Medicare Fee schedule as classification 2 in the assistant surgery category (assistant surgeon is paid) in Excel Format, cut, cleaned and dried by Don
CHART QUOTE: The patient is tearful and crying constantly. She also appears to be depressed.
Excellent chart auditing form in Word format, along with instructions, submitted by ?. This form will help you on cpt coding as well as medical documentation.
Audit Worksheet - Emergency Room This is a very useful (48KB) worksheet (WORD FORMAT) to use, donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP
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 format
Body Mass Index Table in PDF format, 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) in Word by Jason Green.
Est patient Form in Excel, also from Jean Stoner Jean did a great job on these forms! (35KB)
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 and HIPAA compliance, denial by carriers, executive healthcare information and more
used by the physician to record care plan oversight services rendered each month in RTF format.
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 in WORD format, which is necessary for medical reimbursement and 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 you the application and criteria for poverty levels - submitted by Michelle Juette
CLAIM FORM INSTRUCTIONS FOR NEW CMS 1500 - previously called HCFA 1500 claim form in HTML format, for the new claim form.
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 format. Code Of Conduct For Employees in Word format from Daryl Ewing in Houston.
YOUR DOCTOR IS CONFUSED ABOUT THE CODING DOCUMENTATION REQUIREMENTS - DOWNLOAD SOME OF THE FOLLOWING E&M CODING ASSISTS AND THEN CHECK OUT THE OFFER WE HAVE AT THE TOP OF THE PAGE ON E&M DOCUMENTATION SLIDERULES. YOU CAN ALSO CALL MSI (MEDICAL SOURCE, INC) WHO SPECIALIZES IN ASSISTING YOU IN MEDICAL CODING REVIEW, CPT CODING, CPT CODE USAGE, CLAIM PROCESSING DATA, ELECTRONIC MEDICAL BILLING, HIPAA COMPLIANCE AND MORE
& An Out-Of-Office Coding Card from Adel Miles in WORDPERFECT 5.0 format. This does not prevent the office manager from having to go out into the parking lot and checking the forgetfull doctor's car for charge tickets & billing notes left above the visor. Having the correct information is vital for proper claim processing and healthcare reimbursement.
Coding Correction Card A coding correction card in PDF format, donated by Laura Caperton on 8/15/05
Compliance Plan for CPT Coding & This text file is a good coding compliance plan by Leslie J, added to the site Jan. 17, 2003
Compliance Plan & This 32K text file is a product of Sheila, Susan and 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
CO-PAY, DEDUCTIBLE ∓ WAIVER INSTRUCTIONS & FORM This is an excellent guide, reference and waiver to use on charity cases, submitted by Sherry Straub, in Word format (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 format.
CONSENT FORM (This one is a spoof created by Don) In WORD format.
CHART QUOTE: Whilst in Casualty she was examined, X-rated and sent home.
CO-PAY-LETTER to send to insurance carriers notifying them that the policyholder has not paid the co-pay or co-insurance in Word format, donated by Laura Bassett, RMM in August of 2007
.
C.P.O. (CARE PLAN OVERSIGHT) FORM used by the physician to record care plan oversight services rendered each month, in RTF format. This form is necessary if you intend to bill for G0179, G0180, etc...
C.P.O. (CARE PLAN OVERSIGHT) FORM used by the physician to record total care plan oversight services rendered each month, in WORD format.
used submitted by Diane Brooks in WORD format, 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
instructions from Medicare, (pdf format) thanks to Karen Hurley
DIAGNOSTIC TEST INTERPRETATION rules of Medicare for ERs - telling Medicare to pay for the interp actually used in the treatment and not just an interp used as quality control. Radiologists will not like this rule that most people are not aware of. In PDF format - from CMS MCM 15023.
in Microsoft Word format - - Added 3/10/03 - by George Ward
Drug Pricing by NDC in Microsoft Excel format in a zipped file. This Excel file is 3.5 megs when unzipped and 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 and many will find this easy to use.
CHART QUOTE: "Patient was released to outpatient department without dressing."
E & M HISTORY This form submitted by Stephanie L. Fiedler, CPC, ASC-EM and it is in WORD format.
E & M WORKSHOP HANDOUT - - - This is the 34 page seminar workbook Don drafted up (garnering info from everyone I could) in Word format (135kb) (106KB).
Emergency Medicine Documentation Guide in Word for Office 95 format by Martin Gottlieb called 1998doc.doc. (141kb)
Emergency Room Acuity worksheet in Excel format, donated by Mimi Tytko (19kb) Emergency ROOM Acuity worksheet in Word format, 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.
EMPLOYEE QUIZ - A quiz (in WORD format) 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 you if they fail the test
EMPLOYEE QUIZ - The same quiz described above in TEXT format
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 in WORD format
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 encounter in Word Format called encountr.doc by Sandy Turpin.
Encounter Form Maker is one of the easiest programs we have seen for helping offices prepare, update and design superbills and encounter forms. I've created hundreds of different superbills in my earlier career as a Superbill salesman with Controlo-o-fax, and I only wish I had this program back then.
DON BELIEVES YOU CAN HELP 75% OF YOUR PATIENTS WITH MIGRAINE HEADACHES REDUCE OR ELIMINATE THEIR HEADACHES WITHOUT PILLS, INJECTIONS OR PROCEDURES. CLICK ON THE MAN ABOVE TO READ ONE PAGE DON HAS AND THEN YOU CAN COME BACK TO THIS PAGE.
ENCOUNTER FORM 2 - Another EXCELLENT encounter form to use for documentation that prompts the doctor to document all elements needed for the E&M encounter in Word Format donated by Deborah Hill in Georgia.
for diagnostic tests - telling Medicare to pay for the interp actually used in the treatment and not just an interp used as quality control. Radiologists will not like this rule that most people are not aware of. In Word format - from CMS MCM 15023.
CHART NOTE: "The patient has no past history of suicides."
ERISA - HOW TO APPEAL YOUR CLAIM AND 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, AND YOU WILL 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.
EVALUATION FORM FOR EMPLOYEES - A tongue-in-cheek employee evaluation form in WORD format by Don - feel free to add to, modify or alter this form. It's not copyrighted.
FAMILY MEMBERS WHO MEDICARE DOESN'T ALLOW YOU TO BILL in WORD format
FLUOROSCOPY CODE APPEAL in WORD format, donated by Linda at Desert Pain Institute (with names changed by Don)
HCFA Memo re. E&M documentation from Dr. Kanoff submitted by Linda Howrey in Word Format. If you prefer - you can have 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
HIPAA CONFIDENTIALITY AGREEMENT (CA) & NON DISCLOSURE AGREEMENT in WORD format, (2 PAGE) donated by Dr. Herbert Schwarz - This file was added March 11, 2003
HIPAA NPP (NOTICE OF PRIVACY PRACTICE 2 PAGE final in WORD format, donated by Jennifer Humbert - added March 10, 2003, and required if practices intend to be HIPAA COMPLIANT.
7 PAGE in WORD format, donated by Dr. Herbert Schwarz - He does HIPAA consulting with HIPAA TODAY and 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. "
HIPAA NPP in SPANISH using WORD format, donated by Cindy Weston with The American Medical Billing Associaton (AMBA)- Their site is http://www.ambanet.net.
MEMO PER CMS, donated by Diane Brooks. This letter in pdf format is 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 and the ROS. One of these letters is from Bart McCann, who used to be with HCFA. It is in PDF format, so you will need Adobe Acrobat or Acrobat Reader. This is vital to know for proper claims processing and 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 Pocketbook in Word format by Jaime Darling, CPC
(444kb)
IM - FP New Patient
Form in Excel format by Jean Stoner (32 KB)
IM - FP Established Patient Encounter Form in Excel format by Jean Stoner (29KB) - -
LAB ICD9 DIAGNOSIS CHEAT SHEET - THIS IS THE FORM - IN WORD 97 FORMAT - THAT ADEL MILES HAS BEEN FAXING TO PART B LISTSERV MEMBERS ALL OVER THE COUNTRY. IT IS CALLED LABDX.DOC - - -
that Don Self manages. It's free and it is a great way to network with other offices about Healthcare Reimbursement, medical billing and 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 and HIPAA compliance, denial by carriers, executive healthcare information and more.
One of the ways that Don stays on top of changes is through Internet Listservs. This link will take you to a site that not only has a listserv for just about any specialty, and they also deal with medical coding information, cpt code usage, claim processing data, tips on electronic medical billing, links to billing services, hipaa compliance and HIPAA compliance, denial by carriers, executive healthcare information and more
but also they publish some excellent newsletters, publications and consulting.
For the very best in Podiatry coding, medical billing, claim processing and healthcare reimbursement business matters, you have to be a member of the Codingline community, run and managed by one of the very best in the business - Harry Goldsmith, DPM
MANAGED CARE CONTRACTING TIPS & the top 10 reasons why you should tell Mangled care companies NO, in WORD format, donated by Patricia Nelson
MEDICARE ENROLLMENT FORMS (CMS 855 FORMS) UPDATED 4/30/2006 (EARLIER VERSIONS NOT ACCEPTED AFTER 6/1/06)
CMS uses five different provider and supplier enrollment applications. In general, Part A providers that bill fiscal intermediaries (see list below) are required to use the CMS-855A to enroll or update their enrollment information; physicians and non-physician practitioners (see list below) are required to use the CMS-855I to enroll or change their enrollment information; other Part B suppliers (see list below), except suppliers of Durable Medical Equipment, and Prosthetics, Orthotics, and Supplies (DMEPOS), are required to use the CMS-855B to enroll or update their enrollment information; and DMEPOS suppliers are required to use the CMS-855S to enroll or update their enrollment information.
In addition to the enrollment applications described above, individual practitioners who would like to reassign their benefits to an eligible provider or supplier or terminate an existing reassignment agreement would use the CMS-855R.
You should file a CMS-855A with the designated CMS fee-for-service contractor (i.e., fiscal intermediary) if you would like to enroll your organization in the Medicare program as one of the following types of providers.
You should file a CMS-855I with the designated fee-for-service contractor (i.e., carrier) if you would like to enroll in the Medicare program as one of the following types of suppliers.
• Physicians (all specialties)
• Non-Physicians
o Anesthesiology Assistant
o Audiologist
o Certified Nurse Midwife
o Certified Nurse Specialist
o Certified Register Nurse Anesthetist
o Clinical Social Worker
o Mass immunization, roster biller (individual only)
o Nurse Practitioner
o Occupational Therapist in private practice
o Physical Therapist in private practice
o Physician Assistant
o Psychologist, Clinical
o Psychologist, billing independently
o Registered Dietitian or Nutrition Professional
You should file a CMS-855B with the designated fee-for-service contractor (i.e., carrier) if you would like to enroll in the Medicare program as one of the following types of suppliers.
• Ambulance Service Supplier
• Ambulatory Surgical Center *
• Clinic and Group Practices
Hospital Departments
Multi-Specialty Clinic
Public Health/Welfare Agency
Physical/Occupational Therapy Group in Private Practice
Single Specialty
• Independent Clinical Laboratory
• Independent Diagnostic Testing Facility *
• Mammography Center
• Mass Immunization - roster biller only
• Portable X-ray Facility *
• Radiation Therapy Center
• Slide Preparation Facility
• Voluntary Healthy/Charitable Agency
* denotes that a site visit or state survey is typically required.
You should file a CMS-855S with the National Supplier Clearinghouse if you would like to enroll as a supplier of durable medical equipment, and prosthetics, orthotics, and supplies
Multi-Specialty Exam Form in Microsoft Word/Wordpad format in a self-extracting file by Bill Cox (21KB) This is not a test you 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 and repeat the threat delivered at the robbery: "Give me all your money or I'll shoot." One man stepped forward and yelled, "That's not what I said!"
in Microsoft Excel format in a zipped file. This Excel file is 3.5 megs when unzipped and 957kb when zipped. It was donated to the site by Jacqueline C. Langlois, RN, MSN, CRNI with Mass Med Legal.
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 in WORD DOCUMENT format (41KB) It has the standard questions such as "Were you born? Did you have a mother? Have you made out a will?"
Florida submitted to this site by Murugesh in May 2000.
NO-SHOW Information regarding Medicare and 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 in WORD DOCUMENT format (20KB) Added 4/23/02
NO-SHOW Referral Letter to other physicians that requested you perform a consult, informing them that their patient never showed up for the appointment in WORD DOCUMENT format (20KB) Added 4/23/02
Guide in WORD 97 format by Judy Harris. (39KB) - -
OB/GYN Guide in TEXT format by Judy Harris. (8KB) - OK - one bit of advice to the guys .... If you're wife's expecting and you're going to be in the room with her when she gives birth - remove your wedding ring before you put the scrubs on - It will save you some pain - BELIEVE ME!!!
Attending Form in TEXT
format by Belinda Dixon (3kB) -
Phone Form for recording the information you take on a new patient when they call in for the appointment. This form
was donated by Lori Wyvill. You have your choice of downloading it in Word or Wordperfect format.
PODIATRY LISTSERV - FREE TRIAL OFFER CodingLine has more than a dozen coding experts (most of which are Podiatrists, Seminar Leaders and Consultants). By clicking on this link, you will be taken to a site where you can sign up for a free trial of this Podiatry Listserv. Since it's free - you have nothing to lose by checking it out.
We're presently scheduling 6 series of 1 hour WebCam internet conferences taught by Doug Jorgensen, D.O., CPC and myself starting May 12 through June 15 at 9pm eastern. These will be on PQRI and Pay For Performance and we're expecting to have CEUs from AAPC, PAHCS & AMBA. The first 50 to sign up for these will receive Dr. Jorgensen's book and 1 sliderule free as a gift. Click here to get information on these new WEBINARS.
Refund Request Response letter Excellent Letter - in WORD format- -(10kb) - This one really kicks the insurance carriers in the butt! If you like it - you should check out www.appealsolutions.com as they have these specific to each state!
Review Of System form that you have each patient complete on every visit and place into the patient's chart. Not only will you meet every requirement for ROS, but also the PFSH on each visit, as well as serve as a reminder of certain items for the doctor when they are tired and forgot to ask or document by Don Self - in WORD format- -(34kb) -
SCRIBES CAN BE USED on Medicare patients, per this letter from HCFA in RTF format, called scribes.rtf - donated to the site by Deena Wojtkowski, CMA, CCP
Signature Regulations - - Per State. This RTF file from Linda Howrey lists the different physician signature requirements. BTW - the letters RTF stands for rich text format
SPECIALTY CODES , for Medicare, in Word format, called SPECIALTY-CODES.DOC- -
SUPERBILLS
Click on the superbill above to go to a page of at least 36 different superbills for different specialties, arranged alphabetically, that you can download and use in Word and Excel format. Using the right superbill can make a huge difference in your healthcare reimbursement, claim processing and medical billing processes.
SURGICAL CODING FORM - A form for organizing surgical coding for the billing staff (and for the supervising coder to review from).
SYMPTOMS SURVEY - A form used by Don for all patients, but developed originally for the LEAP program in WORD format
WELCOME TO MEDICARE EXAM SYNAPSIS in Word format, updated 1/4/05, donated by Charlene Burgett, BS, CMA, CMM, CPC, CCP.
WELCOME TO MEDICARE PATIENT INFORMATION & CONSENT FORM in Word format, updated 3/3/05, donated by Charlene Burgett, BS, CMA, CMM, CPC, CCP, who credits it to Steve Cooper at Towncrest Internal Medicine in Iowa City, Iowa. Thank you Steve!
Appeal Solutions has spent
hundreds (if not thousands) of hours researching the legal
issues concerning Healthcare Reimbursement, medical billing, claim processing, insurance claim collections, insurance
appeals and laws to protect the patient and provider. They
offer sample letters on their website, copies of letters and
software to assist you in winning the fight against
carriers
is another company that produces an excellent Healthcare Reimbursement coding product. Some prefer this program over others. They are
definitely worth checking
out.
The publication or information on this Website is designed to provide accurate and authoritative information in regard to the subject matter covered. It is presented
and published with the understanding that the author and publisher are not engaged in rendering legal, accounting or other professional service or advice. If legal advice or other expert assistance is
required, the services of a competent professional person should be sought.
We're not employees of, or in affiliation with any governmental or regulatory agencies.
DON SELF &
ASSOCIATES, INC is not a law firm. We do not practice law. We are not actors on a law show. If legal action or advice is required to successfully resolve a claim or a
claim/business decision, we will refer out our client to an outside legal counsel chosen by our client.
We do not teach, advise or participate in illegal, unethical or immoral coding & billing
practices of your health care claims and practice. We advocate proper coding, billing and reimbursement techniques applicable to federal and state laws.
We have assisted the OIG and CMS in
identifying fraudulent billing activities and will continue to assist law enforcement to curtail illegal, immoral and unethical billing practices. Accordingly, we are also aware of the OIG:
Special Advisory Bulletin: Practices of Business Consultants [PDF]
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