DON'S UNFILTERED GUIDE TO MEDICAL OFFICE MANAGEMENT,
updated 7/31/2011



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You can order this 259 page book at the bottom of this page

A FEW COMMENTS


I started to skim over the information 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 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.

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When you asked me to comment about your book, I just want to say, I already knew it was going to be a great
read, just because I know you!!! Congratulations on a great read! (But then, I knew it would be)
- - Jennifer Wilkes, CPM, President, Practice Management, Inc.

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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.

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I think managers and physicians would be hard-pressed to find this amount of information available in
one book. 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

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"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)

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I know Don Self personally and professionally. Any advice and direction he has given me has always been
RIGHT ON THE MONEY. Lee Browder, National Director, PAHCS

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“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.

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Great info and in a very easy read format. 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-PM CHCO MJH Consulting Denver, CO

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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.

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


This 255 page book is in the process of being printed in a professional bound paperback version by
THE UNFILTERED PRESS and should be available for shipping by May 1st, 2010.


Those ordering the PDF version will receive an email within 24 hours of ordering
with instructions for downloading the 1.6 mb PDF file, as well as a link to a free version of Adobe Reader.


ABOUT THE BOOK

The book includes the following subjects:

  • Office Policies,
  • Practice Location,
  • Marketing your practice,
  • Medicare Participation Status,
  • Participation With Managed/Mangled Care Plans,
  • Red Flag Laws,
  • 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,
  • E&M Documentation
  • HPI
  • ROS
  • PFSH
  • Exam
  • Medical Decision Making
  • EMR,
  • EMR Incentive Payments,
  • EMR – True Benefit,
  • Mediocre Care,
  • PQRI,
  • Medicare Advanced Beneficiary Notice (ABN),
  • Using A Nurse Practitioner Or Physician Assistant,
  • Incident-To Billing,
  • Coding,
  • Consultations,
  • Handling Medicare Secondary In Hospital,
  • Pre-Op Physicals,
  • 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,
  • Using Time To Determine Level Of Code,
  • Prolonged Service Coding,
  • Initial Inpatient Care (Admits),
  • Modifier AI,
  • Admit From Emergency Room To Inpatient Hospital,
  • Admit To Critical Care From E.R.,
  • Critical Care Billing,
  • Outpatient (24 - 48 Hour) Observation Admits/Visits,
  • Discharging The Patient From The Hospital,
  • Hospital Discharge & Nursing Home Admit On Same Day,
  • Pronouncing Death,
  • Modifiers
  • Progress Note Blunders,
  • Signed, But Not Read,
  • Sports & School Physicals,
  • Health Reform & more.

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    Don regularly contributes helpful information to the medical billing industry and I suspect
    that as long as he is around, we will continue to learn from him.
    Cyndee Weston, Executive Director, American Medical Billing Association

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    Don
    Having known you for many years and thinking I never "needed" your services I attended a
    lecture you gave and what heard made me feel like I was falling behind in my approach to managing
    my office. After a visit to my office and implementation of a few suggestions, within 6 months
    I had realized over a 30% increase in office revenue which has allowed me to add new employees and
    more diagnostic equipment which will continue to increase my office bottom line.
    Jeffrey Lindenbaum, D.O. 301 Oxford Valley Rd, Yardley, PA 19067 267 503-0130
    jlcrackdoc@comcast.net

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    We're doing great. Praise the Lord! " I am sooooooo very glad that we finally opened our eyes
    and agreed to follow your recommendations for our practice. Our patients have benefitted clinically
    and our practice income has seen a dramatic increase in the years we've been adopting your suggestions."
    Again, thank you for your help.
    Cindy Benavides, Michael Benavides, D.O., Dallas, Texas (972) 682-5757
    cindybenavides1@gmail.com

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    After 17 years of practice I felt I had a reasonably efficient well-run practice. I still at times
    found myself discouraged by cash flow issues, which I found to be a fairly common problem among primary
    care practices in today's medical climate. Over the years I have heard many promises from many consultants,
    and I was more than a little skeptical when you were recommended to me.

    Don, I must tell you that it was very refreshing when I quickly realized that you were not just another
    salesman with pie in the sky ideas. Your analysis of my practice was thorough and extremely accurate.
    Incorporation of some of your most basic suggestions immediately impacted my bottom line, but what was
    most impressive was the fact that you focused your recommendations not on money but on enhanced patient
    care.

    As I have continued to incorporate your ideas, I have seen a substantial improvement in the overall
    financial health of my practice. As you know, some of your ideas will still take several months to
    fully implement, but I have great confidence that my ability to care for my patients will only continue
    to improve. More than anything, I have come to think of you more as a friend than as a consultant.
    Your core belief that by doing the right thing for the patient will result in the money taking care of
    itself has proven to be quite true. Thanks for your continued concern for me and my practice and I look
    forward to a long and fruitful relationship.
    A.H. Tilley, MD, Pinnacle Physicians Group, Malvern, Arkansas, 501 337-5678
    ahtilley@ppghealth.com

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    Dear Don,
    I am a solo practice primary care/sports medicine provider in Missouri City, Texas. I have been using
    Don and the ANSAR testing equipment in my office since August of 2007. During that time, I have identified
    at least two patients with severe autonomic neuropathy requiring urgent cardiology evaluation. In both of
    those cases, the cardiologic evaluation confirmed severe coronary disease and prompted change in medical
    management. In many other cases, I have been able to manipulate hypertension medication changes compatible
    with autonomic state and coming up with better control.

    This added service has increased my ability to provide quality care for my patients with objective data.
    The fact that this study is non-invasive and takes less than 20 minutes to complete makes it very
    acceptable to my patient base. I highly recommend the implementation of Don and this tool in any primary
    care office. Thank you for providing me with the opportunity to spread the news.
    David Braunreiter, MD, 5819 S Hwy 6, Ste 380, Missouri City, TX 281-499-4011

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    A little more than 3 years ago, we met in your seminar and since then, we have been following your
    advice. You have always willingly answered our questions and helped us with billing and ancillary services.
    We have told others how much you have helped us and in the almost 3 years since we have been using your
    recommendations, we have increased our annual income by more than $200,000 a year. Last year, you
    introduced us to the ANSAR and although we do bone density scans, PFTs, EKGs, NCVs and other services,
    none of them even come close to the ANSAR as far as reimbursement and patient care goes. In addition to
    the great reimbursement we've received, it is also a test that can be performed multiple times a year
    to help patients. I would recommend any physician interested in increasing his cash flow while helping
    their patients to take a serious look at doing the ANSAR in his office.
    J Michael Holder, D.O., LTD, 720 East Thunderbird, Suite 3, Phoenix, AZ 85022, (602) 866-8603

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    Economic survival and effective, timely, and affordable healthcare delivery in an increasingly complex
    and tumultuous healthcare market necessitates that Osteopathic Physicians continuously implement proactive
    rather than reactive clinical and practice management systems. For more than 20 years Don Self &
    Associates has helped pave Community Medical Clinic's roadmap to success through informative state and
    national workshops, monthly newsletters, timely legislative and coding alerts, practice site and management
    systems evaluations and solutions.

    Don's recommendations on implementing new diagnostic technologies, laboratory testing methodologies and
    invaluable advice on dealing with onerous insurance policies have enabled our family practice clinic not
    only to survive, but thrive in its operational, financial and clinical health outcomes and most importantly
    in improved doctor-patient outcomes.
    Hector Lopez DO, TOMA Past President, 915-751-1249, hlopezdo@elp.rr.com, 9955 Dyer,
    El Paso, TX 79924-4709

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    I was very impressed when I first heard Don speak at the AOA convention in Anaheim, and I subsequently
    purchased the Ansar and PFT machines. He took good care of me and I am providing even better care for
    my patients because of him, not to mention the satisfaction of increased reimbursements.
    Ernesto Quinto, D.O. 3939 J Street # 370 Sacramento, CA 916 453-2800 docesq25@aol.com

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    Don,
    You have helped me in so many ways. You introduced me to autonomic nervous system testing with the
    ANSAR device. This machine allows me to diagnose and treat my patients for autonomic conditions that
    would otherwise have gone undetected. I just diagnosed 2 patients last week with atrial fibrillation.
    You also have helped me with billing and coding. I have learned the correct way to get reimbursed for
    all that I do with my patients. You have encouraged me to use my osteopathic skills and use them to
    ease painful musculoskeletal conditions for my patients. I have increased revenue and I have been
    able to sustain a fully staffed office as a solo practitioner even in these tough economic times.
    Most recently I have used the breath hydrogen test to diagnose malabsorption syndromes in patients
    with symptoms of diarrhea, abdominal pain, gas and bloating. A patient of mine had been suffering with
    "IBS" for 10 years. We found she was intolerant to fructose. She was eating a granola bar and
    yogurt every morning both of which had fructose added to them. She changed the brands she was buying
    and now she is symptom free. She even did her own research on fructose intolerance and bought 3 books
    for me to share with my other patients. She had tears in her eyes and thanked me many times for helping her.
    So you have helped me in many ways. But even more, you have helped me help others get the medical
    intervention they need to be healthy and well. And that is why I do what I do. I love what I do.
    And thanks to you I will continue to make a difference in my patient's lives.
    Tasha Wallace, D.O. , Lehigh Acres, FL, 239 369-2903, twallace0503@hotmail.com

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    y

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