ÿþ <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <head> <meta http-equiv="Content-Type" content="text/html;charset=utf-8"> <title> Don Self Free Documents Page 5-13-12 </title> <META http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name="keywords" content="Medicare, webinar, webinars, PPACA, OSHA, PQRS, ERISA, PQRI, ICD-9, ICD-10, ICD10, templates, hipaa, HIPPA, HCPCS, superbill, HIPAA, WEBINAR, billing, CMS, ANSAR, PFT, ABI"> <META content="medicare, hipaa compliance, webinar, 2012 MPFS, OSHA, PQRI, diagnosis codes, templates, hipaa, HIPPA, HCPCS, superbill, superbill template, medical business, HIPAA, cpt, WEBINARS, billing, consultation, CMS, ANSAR, Autonomic, PFT, ABI, brachial"> <META NAME="Description" CONTENT="Don Self Medical Reimbursement Consulting to help physicians stay compliant with fraud and abuse laws, PQRI, HIPAA, coding and more, with hundreds of free documents, forms, appeal letters, fee schedules, Medicare information and more."> <META NAME="ROBOTS" CONTENT="INDEX, FOLLOW, ARCHIVE"> <BODY text="00000" vLink="cc6600" aLink="00ff00" link="ff0000" bgColor="F0F8FF" onload="MM_preloadImages"> <DIV align="center"> <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR bgColor=F0FFFF> <TD vAlign=top height=490> <DIV align=left></DIV> <TABLE width="100%" border=0> <TBODY> <TR> <TD vAlign=top align=left> <DIV align="center"> <TABLE cellSpacing=1 cellPadding=1 border=1> <TBODY> <br> <br> <br> <br> <br> <br> <br> <br> <A HREF="http://www.donself.com"> <img src="http://www.donself.com/images/home-dn.png" alt="Dons Home Page" height=50> </A><br> <A HREF="http://www.donself.com/ansars.html"> <img src="http://www.donself.com/images/ansar-dn.png" alt="image not avail" height=50> </A><BR> <A HREF="http://www.donself.com/articlesframe.html"> <img src="http://www.donself.com/images/articles-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/bell-curve.html"> <img src="http://www.donself.com/images/bell-curve-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://blog.donself.com/"> <img src="http://www.donself.com/images/blog-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/cans-mci.html"> <img src="http://www.donself.com/images/cans-mci-dn.png" alt="image not avail" height=50></A> <br> <A HREF="https://www.medicalcodesolutions.com/search/index.jsp?banner=https://www.medicalcodesolutions.com/images/DonSelf.jpg&=5623"> <img src="http://www.donself.com/images/code-portal-dn.png" alt="Coding Advisor" height=50> </A> <br> <A HREF="http://www.donself.com/comments.html"> <img src="http://www.donself.com/images/comments-dn.png" alt="image not avail" height=50></A><BR> <A href="http://www.donself.com/contact.html"> <img src="http://www.donself.com/images/contact-dn.png" alt="image not avail" height=50></A><BR> <A HREF="http://www.donself.com/documents.html"> <img src="http://www.donself.com/images/documents-dn.png" alt="image not avail" height=50></A> <A HREF="http://www.nowleap.com/"> <img src="http://www.donself.com/images/food-test-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/hydrostat.html"> <img src="http://www.donself.com/images/hydrostat-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/jokes.html"> <img src="http://www.donself.com/images/jokes-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/links.html"> <img src="http://www.donself.com/images/links-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/12fees.html"> <img src="http://www.donself.com/images/medicare-$-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/newsmain.html"> <img src="http://www.donself.com/images/newsletter-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/pqri.html"> <img src="http://www.donself.com/images/pqrs-dn.png" alt="image not avail" height=50></A> <br> <A HREF="http://www.donself.com/slideruleframe.html"> <img src="http://www.donself.com/images/sliderule-dn.png" alt="image not avail" height=50> </A> <br> <A HREF="http://www.donself.com/superbills.html"> <img src="http://www.donself.com/images/superbills-dn.png" alt="image not avail" height=50> </A> <br> <A HREF="http://www.donself.com/templates.html"> <img src="http://www.donself.com/images/templates-dn.png" alt="image not avail" height=50 ></A> <br> <A HREF="http://www.donself.com/videos.html"> <img src="http://www.donself.com/images/videos-dn.png" alt="image not avail" height=50></A><br> <A HREF="https://shop.donself.com"> <img src="http://www.donself.com/images/web-store-dn.png" alt="Dons Web Shop" height=50> </A> <br> <TR> <TD></TBODY></TABLE></DIV></TD></TR> <TR> <TD vAlign=top align=left>&nbsp; </TD> </TR> <TR> <TD vAlign=top align=left>&nbsp; </TD> </TR> </TBODY></TABLE></TD> <TD vAlign=top colSpan=6 height=290> <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD> <H3> <CENTER> <IMG src="http://www.donself.com/images/donself-banner.gif"> <br> <H4> <FONT color=BLUE> DON SELF'S FREE DOCUMENTS PAGE, <font color=red> UPDATED MAY 13, 2012 </font> <CENTER> <IMG src="http://www.donself.com/images/penguin.gif" height=98 width=152> <p> Do you feel like the penguin on the left & the insurance carriers are the one on the right? <br> <FONT color=black> <H5 align="center"><FONT color=red> <A href="https://shop.donself.com" target=_blank><IMG height=150 src="http://www.donself.com/images/sliderule-09b1.jpg" width=325></A> </FONT> </FONT></CENTER><FONT color=black><H4> <CENTER>Order them for $12.50 each plus s/h by clicking on the sliderule </a></FONT> </CENTER> <P> <CENTER><BR>******************************************************************* <h5>JOIN MORE THAN 800 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 OR I WILL DENY YOUR FREE MEMBERSHIP IN ORDER TO KEEP SPAMMERS OUT. <form method="get" action="http://groups.yahoo.com/subscribe/Med-Managers" style="background-color: #ffc; width: 254px; padding: 2px 4px"> <h6 style="font-weight: bold; margin-bottom: 5px; text-align: center"> Subscribe to Med-Managers</h6> <input style="vertical-align: top" type="text" name="user" value="enter email address" size="25" > <input type="image" alt="Click to join Don's Listserv for Med-Managers" name="Click to join Don's Free Email Listserv called Med-Managers" src="http://us.i1.yimg.com/us.yimg.com/i/yg/img/i/us/ui/join.gif" > <p style="text-align: center;"> Powered by <a href="http://us.groups.yahoo.com/">us.groups.yahoo.com</a></p> </form> <br> <CENTER> <P></H5><FONT face=Arial color=#ff0000> HERE ARE THE FORMS, IN ALPHABETICAL ORDER - NOTE THAT 2012 MEDICARE DATA IS LISTED BEFORE THE "A"s..</H3><BR> <H4> <FONT color=#008000> If the file is in a format 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. <FONT color=black> <P align=left> <BOLD><STRONG> </center> <BR> <A href="http://www.donself.com/documents/1995dg.pdf"> 1995 E&M Documentation Guidelines </A>in PDF. <BR><BR> <A href="http://www.donself.com/documents/1997dg.pdf"> 1997 E&M Documentation Guidelines </A>in PDF. <BR><BR> <H4> <IMG src="http://www.donself.com/images/college.jpg" HEIGHT=250 WIDTH=340> <br> <br> </center> <A href="http://www.donself.com/documents/AWV.pdf">2011 AWV - ANNUAL WELLNESS VISIT - form </A>in PDF. added 11/6/11<BR><BR> <A href="http://www.donself.com/documents/HRA-EXAMPLE.pdf">AWV HEALTH RISK ASSESSMENT (HRA) EXAMPLE </A> form - to be used in conjunction with the Medicare AWV IN PDF <BR><BR> <A href="http://www.donself.com/documents/2012-NCCI-10021-19396.xls"> CCI - 2012 CORRECT CODING INITIATIVE </A></FONT> Codes 10021-19396 used to determine which services are bundled into others - in Excel format (97-03 format) <BR><BR> <A href="http://www.donself.com/documents/2012-NCCI-10021-19396.txt"> CCI - 2012 CORRECT CODING INITIATIVE </A></FONT> Codes 10021-19396 used to determine which services are bundled into others - in text format <BR><BR> <A href="http://www.donself.com/documents/2012-NCCI-20000-29999.txt"> CCI - 2012 CORRECT CODING INITIATIVE </A></FONT> Codes 20000-29999 used to determine which services are bundled into others - in Text format. This file is too long to be in a 1997-03 Excel file as that version of Excel only allowed 63,000 rows, so I have them on this page in text and pdf only. <BR><BR> <h4> <a href="http://www.donself.com/books.html"> <IMG src="http://www.donself.com/images/book-cover.jpg" width=147 height=189> GET DON'S BOOK </h3> called The Unfiltered Guide to Medical Office Management. The book is in it's 4th printing. Click on this link to see the comments received. Thank you to the thousands of people that have bought the book and told others about it.</a> <br> Check out Don's <font color=dark red> Web Shop </FONT> at <a href="https://shop.donself.com"> https://shop.donself.com <a> & tell us what you think. <br> <p> > <BR> </center> <A href="http://www.donself.com/documents/2012-NCCI-20000-29999.txt"> CCI - 2012 CORRECT CODING INITIATIVE </A></FONT> Codes 20000-29999 used to determine which services are bundled into others - in text format <BR><BR> <A href="http://www.donself.com/documents/2012-NCCI-90000-99999.xls"> CCI - 2012 CORRECT CODING INITIATIVE </A></FONT> Codes 90000-99999 used to determine which services are bundled into others - in Excel format (97-03 format) <BR><BR> <A href="http://www.donself.com/documents/2012-NCCI-90000-99999.pdf"> CCI - 2012 CORRECT CODING INITIATIVE </A></FONT> Codes 90000-99999 used to determine which services are bundled into others - in PDF format <BR><BR> <A href="http://www.donself.com/documents/2012-DRUG-TABLE.pdf"> 2012 - TABLE OF DRUGS</A> in PDF added 1/6/12 by Don <BR><BR> <A href="http://www.donself.com/documents/2012-Global.xls"> 2012 - Global Fee Periods per Medicare <A> in Excel 97-03. added 1/6/12 <BR><BR> <A href="http://www.donself.com/documents/2012-Global.pdf"> 2012 - Global Fee Periods per Medicare <A> in PDF (Adobe Acrobat). added 1/6/12 <BR><BR> <IMG src="http://www.donself.com/images/its-friday.jpg"> <BR> </center> <A href="http://www.donself.com/documents/2012-RVU-global-instructions.pdf"> 2012 - Global & RVU Instructions from Medicare <A> in PDF (Adobe Acrobat). added 1/6/12 <BR><BR> <A href="http://www.donself.com/documents/2012-HCPCS-ALPHA.pdf"> 2012 - HCPCS (Medicare's HCPCS Codes)</A> in PDF added 1/6/12 by Don <BR><BR> <A href="http://www.donself.com/documents/2012-J-CODES.pdf"> 2012 - J CODE Listing</A> in pdf added 1/6/12 by Don <BR><BR> <A href="http://www.donself.com/documents/2012-J-CODES.xls"> 2012 - J CODE Listing</A> in EXCEL added 1/6/12 by Don <BR><BR> <A href="http://www.donself.com/documents/2012-LAB-1sthalf.xls"> 2012 - MEDICARE LAB FEE SCHEDULES (Allowable) for all states </A> in Excel added 1/6/12, effective for first half of 2012 <BR><BR> <A href="http://www.donself.com/documents/2012-locality-carrier-listing.xls"> 2012 - Locality Listing</A>by zip code for all Medicare carriers/localities in EXCEL added 1/6/12 by Don <BR><BR> <A href="http://www.donself.com/documents/2012-MEDICARE-INACTIVE-CODES.xls"> 2012 - MEDICARE INACTIVE CODES </A> in Excel added 1/6/12 <BR><BR> <br><font color=blue> <italics> The following is about BREATH HYDROGEN and not H Pylori which is totally different! </font> <br> <CENTER><font color=red>A TESTIMONIAL - DECEMBER 2012 - <font color=black> Don, I want to give you a little feedback on the breath hydrogen unit that you sold me several months ago. This has been a great piece of equipment. From the financial aspect it is relatively inexpensive, not expensive to run and good reimbursement. Bloating and heartburn patients are plentiful in my practice and it is amazing to see patients who have had CT scans, ultrasounds, EGD's along with the GI consultation and still they are miserable and told to live with it. A simple test with the breath hydrogen and you identify the underlying problem, usually meaning a short course of antibiotics or more likely avoidance of certain foods. Patients come back crying with joy and relief that they finally have their problem solved(their spouses are even more happy!) I have had multiple scenarios played out in my office and when it comes to the bloating/burping indigestion patient, I have not found a patient yet that we could not solve their problem. If anyone treats these Patients I strongly recommend this unit as it is very cost-effective and you will have patients that think you are a genius for solving their problem. <br> <br> Orrin McLeod D.O. - - - McLeod Medical Centers <br> <br> <BR> </center> <A href="http://www.donself.com/documents/2012-MEDICARE-NON-COVERED.xls"> 2012 - MEDICARE NON COVERED CODES </A> in Excel added 1/6/12 <BR><BR> <A href="http://www.donself.com/12fees.html"> 2012 - MEDICARE PHYSICIAN FEE SCHEDULES (Allowable) for all states </A> in Excel added 1/5/12 <BR><BR> <A href="http://www.donself.com/documents/PQRI-2012.pdf"> 2012 - PQRI LISTING <A> in PDF added 1/6/12 <BR><BR> <A href="http://www.donself.com/documents/PQRI-Implementation-Guide-2012.pdf"> 2012 - PQRI IMPLEMENTATION GUIDE <A> in PDF added 1/6/12 <BR><BR> <A href="http://www.donself.com/documents/2012-RVU-global.xls"> 2012 - RVU from Medicare <A> in Excel. added 1/6/12 <BR><BR> <A href="http://www.donself.com/documents/2012-Supervision.xls"> 2012 - Supervision Requirements for Diagnostic/Procedures rom Medicare <A> in Excel. added 1/6/12 <BR><BR> <A href="http://www.donself.com/documents/2012-Supervision.pdf"> 2012 - Supervision Requirements for Diagnostic/Procedures rom Medicare <A> in PDF. added 1/6/12 <BR><BR> <br> <h3> <font color=navy> 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. <font color=dark red> -- Frank Cohen, MIT Systems, Inc. </font> <br> <br><br> </h3> <IMG src="http://www.donself.com/images/2muchcaffeine.jpg" HEIGHT=250 WIDTH=250> <br> <br> <br> <H5><FONT color=navy>> CHART QUOTE: "Patient has two teenage children, but no other abnormalities. " > <FONT color=black> <FONT color=black> <BR><BR> <A href="http://www.donself.com/documents/99211.ppt"> 99211 PowerPoint Presentation </A>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<BR><BR> <br> <br> <font color=navy> 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. -- <font color=dark red> Charlene Endre-Burgett, MS, CMA (AAMA), CPM, CPC, CMSCS, - Administrator, North Scottsdale Family Medicine </font> <br> <br> <br> </center> <A href="http://www.donself.com/documents/508ABN.pdf"> ABN - ADVANCED BENEFICIARY NOTICE </A> dated March 2011. This is required to be used as of January 1, 2012 where Medicare payment is expected to be denied for medical necessity reasons. The revised ABN replaces the 2008 ABN - in Adobe (PDF)(). <BR><BR> <A href="http://www.donself.com/documents/508ABN.doc"> ABN - ADVANCED BENEFICIARY NOTICE </A> dated March 2011. This is required to be used as of January 1, 2012 where Medicare payment is expected to be denied for medical necessity reasons. The revised ABN replaces the 2008 ABN - in Word (doc)(). <BR><BR> <IMG src="http://www.donself.com/images/Medicare-profitable.jpg" HEIGHT=250 WIDTH=340> <br> <br> <A href="http://www.donself.com/documents/508ABNinstructions.pdf">ABN Instructions - published by CMS for the March 2011 version </A> in Adobe (PDF). <BR><BR> > <FONT color=navy>CHART QUOTE: Patient has left his white blood cells at another hospital. </H4><FONT color=black> > <br> <br> <IMG src="http://www.donself.com/images/child-proofed.jpg" HEIGHT=250 WIDTH=340> <br> <br> <P align=left> </center> <A href="http://www.donself.com/documents/AR-Summary.xls">ACCOUNTS RECEIVABLE SUMMARY </A> in Excel, donated by Barbara Colburn on 12/29/06. <BR><BR> <br> <FONT color=navy> > CHART QUOTE: He had a left-toe amputation one month ago. He also had a left-knee amputation last year. > <FONT color=black> <FONT color=black> <BR><BR> <A href="http://www.donself.com/documents/Ancillary-income.xls">ANCILLARY INCOME </A> 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 <BR><BR> <A href="http://www.donself.com/documents/AWV.pdf">ANNUAL WELLNESS VISIT - form </A>in PDF. added 11/6/11<BR><BR> <A href="http://www.billing-coding.com/pdf/appeals.pdf">APPEALS BOOK - THE ART OF APPEALS </A> in PDF, written by Steve Verno, CMMB, CMMC, NREMTP & released by the BC aDVANTAGE - ADDED on 11/12/09. <BR><BR> <A href="http://www.donself.com/documents/assignment-of-benefits.doc">ASSIGNMENT OF BENEFITS &amp; RELEASE OF INFORMATION STATEMENT </A> from Ann Moll. If you are using a 3 or 4 line Assignment of Benefits form, you are not legally allowed to appeal about 80% of the non Medicare claims you file if you are ever challenged by an insurance company. You want to use this form. <BR><BR><BR> <BOX><FONT color=navy>CHART QUOTE: The patient is tearful & crying constantly. She also appears to be depressed. <FONT color=black> > <BR><BR></CENTER><FONT color=black> </center> <A href="http://www.donself.com/documents/auditsheets.pdf">Audit Sheets -4 in one file - </A>in PDF. 936,161kb<BR><BR> <A href="http://www.donself.com/documents/audit-tool-hgsa.pdf">Audit Tool - Used by Medicare - HGSA</A>in PDF (Acrobat) . 503kb <BR><BR><BR></CENTER><FONT color=black> <A href="https://shop.donself.com"><IMG src="http://www.donself.com/images/slide-rule.gif"></A> <BR><BR> <A href="http://www.donself.com/documents/audit2l.xls">Audit Tool - Page 1 - Added 5/1/00 </A>in Excel, donated by ?. <BR><BR> <A href="http://www.donself.com/documents/audit2l2.xls">Audit Tool - Page 2 - Added 5/1/00 </A>in Excel, donated by ?. <BR><BR> <A href="http://www.donself.com/documents/audit.doc">Audit Forms/Instructions </A></FONT>Excellent chart auditing form in Word, along with instructions, submitted by ?. This form will help on cpt coding as well as medical documentation.<BR><BR> <A href="http://www.donself.com/documents/erauditw.doc">Audit Worksheet - Emergency Room </FONT></A></FONT>This is a very useful (48KB) worksheet (WORD) to use, donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP <BR><BR> <A href="http://www.donself.com/documents/epauditw.doc">Audit Worksheet - Establised Patient </FONT></A></FONT>(68KB) worksheet (WORD), donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP <BR><BR> <A href="http://www.donself.com/documents/npauditw.doc">Audit Worksheet - New Patient </FONT></A></FONT>(66KB) worksheet (WORD), donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP <BR><BR> <A href="http://www.donself.com/documents/audit-ortho-neuro.pdf">Audit Worksheet For Neuro & Ortho </FONT></A></FONT>( worksheet (PDF), donated by Bonnie Ribble, CPC <BR><BR> <A href="http://www.donself.com/documents/AWV.pdf">AWV - ANNUAL WELLNESS VISIT - form </A>in PDF. added 11/6/11<BR><BR> <BR> <P> To See How Don Can Help YOUR Primary Care Practice, check out the following video Don put on YOUTUBE<br> <BR> <br> <left><iframe width="425" height="349" src="http://www.youtube.com/embed/tj9oI2C8_x0?hl=en&fs=1" frameborder="0" allowfullscreen></iframe> <br> <br> </center> <A href="http://www.donself.com/05-Utilization.html">BELL CURVE (Utilization) DATA FROM MEDICARE for all specialties on this one link for all E&M codes </A>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. <BR><BR> <br> <IMG src="http://www.donself.com/images/bell-curve.png"> <br> <br> <P align=left> BELL CURVE (Utilization) DATA FROM MEDICARE for SOME specialties for all E&M codes in Excel file - per specialty: <BR> <BR> <LI> <A href="http://www.donself.com/documents/2007-s01-GP.xls"> Specialty 01 - General Practice </a> 78kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s02-GENSURG.xls"> Specialty 02 - General Surgery </a> 78kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s06-CARD.xls"> Specialty 06 - Cardiology </a> 71kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s08-FP.xls"> Specialty 08 - Family Practice </a> 128kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s11-IM.xls"> Specialty 11 - Internal Medicine </a> 87kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s16-OBGYN.xls"> Specialty 16 - OB/GYN </a> 57kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s37-PED.xls"> Specialty 37 - Pediatrics </a> 57kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s46-ENDO.xls"> Specialty 46 - Endocrinology </a> 78kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s50-97-NP-PA.xls"> Specialty 50 & 97 - Nurse Practitioners & Physician Assistants </a> 112kb <br><br> <A href="http://www.codingandreimbursement.net/downloads/06-bcbsltrs[1].pdf">BC/BS LETTER </FONT></A></FONT>Letters sent by Georgia State Board of Ins. &amp; BC/BS about the automatic downcoding they did. This is the same one that was being faxed by Anne Robinson. It is in PDF<BR><BR><BR> <h4> <font color=navy> "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. -- <font color=dark red> Desiree R. Baylin, CMOM, CPM-HRS, Executive Director, Physician Office Managers Association of America (POMAA) </font> <br> <br> </center> <A href="http://www.donself.com/documents/Billing-Compliance-Manual.pdf">Billing Compliance Manual </FONT></A></FONT>in pdf, donated by Steven M. Verno<BR><BR><BR> <A href="http://www.donself.com/documents/bill-productivity.doc">Billing Productivity Log </FONT></A></FONT>, donated to this page by ? <BR><BR><BR> </center> <A href="http://www.donself.com/documents/BMI-table.pdf">Body Mass Index Table </FONT></A></FONT>in PDF, with cross-index, donated to this page by Joey Hilario <BR><BR><BR> <A href="http://www.donself.com/documents/cardiac-questions.doc">Cardiac Questionnaire </A></FONT></FONT>for patients to complete. Best used when placed on back side of Symptoms Survey form (also found on this page) by Jason Green. <BR><BR> <A href="http://www.donself.com/documents/ep.xls">Cardiology EP Ticket </A></FONT></FONT>in Excel <BR><BR> <center> <br>REPORT PQRI FOR 2011 THE EASY WAY! <BR></h3> Before you click on the link below to take you to the PQRI Wizard website and check it out - take advantage of a deal that Don has with them. If you use DONSELF2011 as the Discount Code on their page, it knocks $50.00 (FIFTY DOLLARS) off the $299 registration, so you're only paying $249. If you can't see the wisdom of spending $249 to make $2,000 to $6,000 in PQRI bonus for 2010 - don't bother reading any further on this page as you're not going to learn anything. Seriously, people - check this out. <A href="http://www.PQRIWIZARD.com"> <IMG src="http://www.donself.com/images/pqri_wizard.png"> </A> <BR> <BR> <A href="http://www.donself.com/documents/cardnew.xls">Cardiology </A></FONT></FONT>New patient Form in Excel by Jean Stoner. <BR><BR> > <H3><BOX><FONT color=navy>CHART QUOTE: On the second day the knee was better & on the third day it had completely disappeared. </H4></CENTER><FONT color=black> > </CENTER><FONT color=black> </h3> <h4> <A href="http://www.donself.com/documents/cardest.xls">Cardiology</A> </FONT></FONT> Est patient Form in Excel, also from Jean Stoner Jean did a great job on these forms! (35KB) <BR><BR><BR> <CENTER><A href="http://www.webcom.com/medical/AMBA.htm"><IMG alt="American Medical Billing Association Advertisement" src="http://www.donself.com/images/amba.jpeg" align="center"> </A> 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 </FONT><BR><BR></CENTER><FONT color=black> <BR> <P align=left> <A href="http://www.donself.com/documents/cpo.rtf">CARE PLAN OVERSIGHT FORM </A></FONT>used by the physician to record care plan oversight services rendered each month in RTF. <BR><BR> > <H4> <br> <br> <CENTER><BOX>CHART QUOTE: She is numb from her toes down. </H4></CENTER><FONT color=black> > <A href="http://www.donself.com/documents/cpo.doc">CARE PLAN OVERSIGHT FORM </A></FONT>used by the physician to record total care plan oversight services rendered each month , which is necessary for medical reimbursement & proper cpt coding. <BR><BR> <A href="http://www.donself.com/documents/2011-cci.xls"> CCI - 2011 CORRECT CODING INITIATIVE </A></FONT> used to determine which services are bundled into others - in Excel format (97-03 format) <BR><BR> <A href="http://www.donself.com/documents/charity.rtf">CHARITY POLICY &amp; APPLICATION </A></FONT>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<BR><BR> <P align=left><BR><BR> <A href="http://www.donself.com/documents/waived-lab.pdf"> CLIA WAIVED LAB TESTS </A> From CMS, effective for 2009 </FONT>in PDF. <br> <br> <A href="http://www.donself.com/documents/CLIA-Waived-2011.pdf"> CLIA WAIVED LAB TESTS 2011 </A> From CMS, effective for 2011 </FONT>in PDF. <br> <br> <A href="http://www.donself.com/documents/CMS-Offices.doc"> CMS REGIONAL OFFICE </A> Listing </FONT> <BR><BR> <A href="http://www.donself.com/documents/CODECOND.doc">Code Of Conduct </A></FONT>and example being used by some offices to show compliance with OSHA, HIPAA, privacy laws, etc. from Joyce Kyle (Indiana)in WORD. <BR> <A href="http://www.donself.com/documents/code-cond2.doc">Code Of Conduct For Employees </A>in Word from Daryl Ewing in Houston. <BR><BR></FONT> <CENTER> <IMG src="http://www.donself.com/images/confused-baby.bmp" height=220 width=150> YOUR DOCTOR IS CONFUSED ABOUT THE CODING DOCUMENTATION REQUIREMENTS - DOWNLOAD SOME OF THE FOLLOWING E&amp;M CODING ASSISTS & THEN CHECK OUT THE OFFER WE HAVE AT THE TOP OF THE PAGE ON E&amp;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 </CENTER><FONT color=black> <BR><BR> <H4> <A href="http://www.donself.com/documents/codebuilder.doc">CODE (E&amp;M) AUDITING FORM - CALLED CODEBUILDER </A></FONT>This Word document <FONT color=#000000>donated by Michelle Green is excellent & easy to use. <BR><BR> <A href="http://www.donself.com/documents/coding-correction.pdf">Coding Correction Card </A></FONT>A coding correction card in PDF, donated by Laura Caperton <BR><BR> <CENTER><A href="http://www.ritecode.com/refer.htm" target=_blank><IMG alt=RiteCode src="images/ritecode2.gif" border=0></A> </FONT><BR><BR> <A href="http://www.donself.com/documents/cdrsheet1.rtf">CODING, DOCUMENTATION &amp; Healthcare Reimbursement </A>&amp; Committee Proposal regarding CPT CODING in RTF, submitted by Stephen Myers, M.D. <BR><BR></FONT> <h3> <a href="http://www.donself.com/books.html"> <IMG src="http://www.donself.com/images/book-cover.jpg" width=150 height=180> Please consider ordering DON'S BOOK </h3> 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.</a> <br> <br> <br> <A href="http://www.donself.com/documents/coding-flowchart.doc">CODING FLOWCHART FOR CPT CODING </FONT></A></FONT>SIMPLIFIED, comparing AAPC & AHIMA coding certifications, submitted by Jeff Rustucio <BR><BR><BR> > <H4><BOX><FONT color=navy>CHART QUOTE: Both breasts are equal & reactive to light & accommodation. </H4></CENTER><FONT color=black> <A href="http://www.donself.com/documents/cdrsheet1.doc">CODING, DOCUMENTATION &amp; REIMBURSEMENT </A>&amp; Committee Proposal, submitted by Stephen Myers, M.D. <BR><BR><BR><BR> <A href="http://www.donself.com/documents/Compliance-Action-Checklist.pdf">Compliance Action Checklist </FONT></A> covering OIG Compliance, HIPAA Compliance, CLIA Compliance, Medical Board Compliance, ERISA Compliance, Infection Control Compliance and more</FONT>in pdf, donated January 22, 2012 by an expert in Complilance, Ann Moll<BR><BR><BR> <A href="http://www.donself.com/documents/compliance.doc">COMPLIANCE OFFICER DESCRIPTION</A> </FONT>This Word document has 4 different descriptions used & submitted by Cindy Wilkins for all to use & enjoy <BR><BR><BR> <H4> <CENTER>COLLECTION LETTERS </CENTER><FONT color=black> </H4><BR><br> </center> <A href="http://www.donself.com/documents/coll-balancedue.rtf">Collection Letter - Balance Due </A>&amp; in RTF- donated by Gwen Ousley (5 kb)<BR><BR> <A href="http://www.donself.com/documents/coll-collagency.doc">Collections - Collection Agency Check List </A>&amp;- donated by Gwen Ousley (23kb) <BR><BR> <br> <br> <h3> <font color=navy>  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. <font color=dark red> Terry McVey, President, McVey Associates, Inc. </font> <br> <br> </h3> <A href="http://www.donself.com/documents/coll-warningletter.rtf">Collection Letter - Collection Agency Warning Letter </A>&amp; in RTF- donated by Gwen Ousley (5 kb) <BR><BR> <A href="http://www.donself.com/documents/coll-collprocess.doc">Collection Letter - Collection Process </A>&amp;- donated by Gwen Ousley (27 kb) <BR><BR> <A href="http://www.donself.com/documents/coll-noresp-ins.rtf">Collection Letter - No Response From Insurance </A>&amp; in RTF- donated by Gwen Ousley (5 kb) <BR><BR> <A href="http://www.donself.com/documents/coll-payarrange.rtf">Collection Letter - Payment Arrangement Letter </A>&amp; in RTF- donated by Gwen Ousley (4 kb) <BR><BR> <A href="http://www.donself.com/documents/coll-physnotif.rtf">Collections - Physician Notification Form </A>&amp; in RTF- donated by Gwen Ousley (8 kb) <BR><BR><BR> <A href="http://www.donself.com/documents/coll-paflow.ppt">Collections - Patient Account Flow Chart </A>&amp; in Powerpoint- donated by Gwen Ousley (37 kb) <BR><BR> <A href="http://www.donself.com/documents/compliance-plan.txt">Compliance Plan for CPT Coding </A>&amp; This text file is a good coding compliance plan by Leslie J <BR><BR> <A href="http://www.donself.com/documents/compli.txt">Compliance Plan </A>&amp; 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 <BR><BR> <A href="http://www.donself.com/documents/bscompli.doc">Compliance Plan For Medical Billing Services </A><BR><BR> <A href="http://www.donself.com/documents/copaywaiver.doc">CO-PAY, DEDUCTIBLE &amp;mp; WAIVER INSTRUCTIONS &amp; FORM </A>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 <BR><BR> > <H4><BOX><FONT color=navy>CHART QUOTE: "When she fainted, her eyes rolled around the room." </H4></CENTER><FONT color=black> > </center> <A href="http://www.donself.com/documents/CONSENTFORM.doc">CONSENT FORM FOR TREATMENT </A>used by the physician to record the patient's consent for treatment in Word. <BR><BR> <A href="http://www.donself.com/documents/CONSENTFORM2.doc">CONSENT FORM </A>(This one is a spoof created by Don). <BR><BR> <A href="http://www.donself.com/documents/consent-tx-minors.doc">CONSENT FORM for TREATMENT OF MINORS</A>(donated by Charlene Burgett). <BR><BR> <A href="http://www.donself.com/documents/consult.doc">CONSULTATION REQUEST </A>FORM TO SUPPORT CPT CODING CONSULTS. <BR><BR> <A href="http://www.donself.com/documents/consult-request-pain-neuro.doc">CONSULTATION REQUEST FOR PAIN OR NEURO </A>FORM, donated by Carol E. on 6/7/05 <BR><BR> <A href="http://www.donself.com/documents/contract-neg.xls">CONTRACT NEGOTIATION EXCEL SPREADSHEET </A>FORM for ANESTHESIA in Excel, donated by Michele Howell <BR><BR> > <H4> <CENTER><BOX>CHART QUOTE: Whilst in Casualty she was examined, X-rated & sent home. </H4></CENTER><FONT color=black> </center> <A href="http://www.donself.com/documents/co-pay-letter.doc">CO-PAY-LETTER </A> to send to insurance carriers notifying them that the policyholder has not paid the co-pay or co-insurance, donated by Laura Bassett, RMM . <BR><BR> <A href="http://www.donself.com/documents/2011-cci.xls"> CORRECT CODING INITIATIVE -2011 </A></FONT> used to determine which services are bundled into others - in Excel format (97-03 format) <BR><BR> <br> <br><IMG src="http://www.donself.com/images/Good-Morning.jpg" height=300 width=400> <br> <br> </center> <A href="http://www.donself.com/documents/cpo.rtf">C.P.O. (CARE PLAN OVERSIGHT) FORM </A>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 <BR><BR> <A href="http://www.donself.com/documents/cpo.doc">C.P.O. (CARE PLAN OVERSIGHT) FORM </A>used by the physician to record total care plan oversight services rendered each month,. <BR><BR> <A href="https://shop.donself.com"><IMG src="http://www.donself.com/images/slide-rule.gif"></A> <BR><BR> <A href="http://www.donself.com/documents/Credentialing-Info.pdf">Credentialing Information form - </A> submitted by Sara Tradup. <BR><BR> <A href="http://www.donself.com/documents/CICU.doc">Critical Care Template - CICU FORM </A>used submitted by Diane Brooks. <BR><BR> <A href="http://www.donself.com/documents/MICU.doc">Critical Care Template - MICU FORM </A>used submitted by Diane Brooks, which is needed for CPT code 99291. <BR><BR><H4><FONT color=blue>CLICK <A href="http://www.donself.com/documents/death-pronounce.doc"> DEATH PRONOUNCEMENT </A>and whether you can bill for it or not (In WORD) thanks to Gregory L. Schnitzer, RN, CPC, CPC-H, CCS-P, RCC.<BR><BR> <A href="http://www.donself.com/documents/diagnosis-pointer.pdf"> DIAGNOSIS POINTER (block 24E) </A> instructions from Medicare, (pdf) thanks to Karen Hurley<BR><BR> <br> <br> <h3> <font color=navy> 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! <font color=dark red> Marvel J Hammer RN CPC CCS-P PCS ACS-PM CHCO MJH Consulting Denver, CO <br> <br> </font> </h3> </center> <A href="http://www.donself.com/documents/er-interps.pdf">DIAGNOSTIC TEST INTERPRETATION rules of Medicare </FONT></A></FONT>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. <BR><BR> <A href="http://www.donself.com/documents/diag-test.pdf"> <A href="http://www.donself.com/documents/Medicare-Diagnostic-Supervision.pdf"> DIAGNOSTIC PROCEDURE SUPERVISION FILE </A> for 2010 Medicare in Adobe Acrobat (pdf)<BR><BR> <A href="http://www.donself.com/documents/Medicare-Diagnostic-Supervision.xls"> DIAGNOSTIC PROCEDURE SUPERVISION FILE </A> for 2010 Medicare in 2003 Excel (xls)<BR><BR> <A href="http://www.donself.com/documents/discharg.pdf">DISCHARGE FROM NURSING HOME LETTER </A>from HCFA (In PDF) <BR><BR> <A href="http://www.donself.com/documents/divorce.doc">DIVORCE LETTER FOR PATIENTS </A>in Word- from Don <BR><BR> <A href="http://www.donself.com/documents/divorce-poem.doc">DIVORCE POEM FOR PATIENTS </A>in Word- from Don <BR><BR>> <H4><CENTER><BOX>CHART QUOTE: "The patient states there is a burning pain in his penis which goes to his feet." </H4></CENTER><FONT color=black> <A href="http://www.donself.com/documents/HCPCS.doc">Drug Codes (HCPCS) - Table of Drugs </A>in Microsoft Word- - Added 5/17/02 (213 kb) <BR><BR> <A href="http://www.donself.com/documents/drug-dispense.doc">Drug Dispensing Guidelines for California </A>in Microsoft Word- - Added 3/10/03 - by George Ward <BR><BR> <A href="http://www.donself.com/documents/NDC.zip">Drug Pricing by NDC </A>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 <BR><BR> <A href="http://www.donself.com/documents/1995dg.pdf"> E&M Documentation Guidelines - 1995 </A>in PDF. <BR><BR> <A href="http://www.donself.com/documents/1997dg.pdf"> E&M Documentation Guidelines - 1997 </A>in PDF. <BR><BR> <A href="http://www.donself.com/documents/emdoctable.doc">E &amp; M DOCUMENT TABLE </A>This nifty table was submitted by Deb Martinez on 10/7/99 & many will find this easy to use. <BR><BR> <br> <br><IMG src="http://www.donself.com/images/KEEP-RIGHT.jpg"> <br> <br> <A href="http://www.donself.com/documents/emform.doc">E &amp; M AUDIT SHEET </A>This form submitted by Mary Thomas. <BR><BR>> <H4> <CENTER><BOX>CHART QUOTE: "Patient was released to outpatient department without dressing." </H4></CENTER><FONT color=black> <A href="http://www.donself.com/documents/history-of-em.doc">E &amp; M HISTORY </A> This form submitted by Stephanie L. Fiedler, CPC, ASC-EM & it is. <BR><BR>> <H4> <A href="https://shop.donself.com"><IMG src="http://www.donself.com/images/slide-rule.gif"></A> <BR><BR> <A href="http://www.donself.com/documents/98em.doc">E &amp; M WORKSHOP HANDOUT </A>- - - This is the 34 page seminar workbook Don drafted up (garnering info from everyone I could)(135kb) (106KB). <BR><BR></CENTER><FONT color=black> <P align=left><BR><BR> E&M Utilization files - see UTILIZATION PER SPECIALTY for the link to a special page. <br> <br> <A href="http://www.donself.com/documents/1998doc.doc">Emergency </A>Medicine Documentation Guide for Office 95by Martin Gottlieb called 1998doc.doc. (141kb) <BR><BR> <A href="http://www.donself.com/documents/EM_ER_Worksheet.xls">Emergency Room </A>Acuity worksheet in Excel, donated by Mimi Tytko (19kb) <BR> <A href="http://www.donself.com/documents/ER_ACUITY_SHEET.doc">Emergency ROOM </A>Acuity worksheet, also donated by Mimi Tytko (63kb) <BR><BR> <A href="http://www.ercoder.com/utilization.htm">Emergency ROOM </A>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. <BR><BR> <br> <br> political statement! - <IMG src="http://www.donself.com/images/Halloween.jpg" height=300 width=400> <br> <br> <A href="http://www.donself.com/documents/Employee-Eval.pdf">EMPLOYEE Evaluation Form </A> for hourly employees - in pdf, donated by PAHCS. <BR><BR> <A href="http://www.donself.com/documents/Employee-Eval.doc">EMPLOYEE Evaluation Form </A> for hourly employees, so, change it however - also donated by PAHCS. <BR><BR> <A href="http://www.donself.com/documents/employeequiz.doc">EMPLOYEE QUIZ </A>- 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 <BR><BR> <A href="http://www.donself.com/documents/employeequiz.txt">EMPLOYEE QUIZ </A>- The same quiz described above in TEXT<BR><BR> <A href="http://www.donself.com/documents/Employee-reprimand.doc">EMPLOYEE REPRIMAND FORM </A>- This form can be used when warning an employee about improper behavior or when you're not satisfied with their job performance<BR><BR> <A href="http://www.donself.com/documents/Preemployment-Test.pdf">Employment & Pre-Employment Medical Billing Test </A>- This is a good pre-employment test designed by & copyrighted by Steve Verno, who shares it in it's original for whomever wishes to use it. <BR><BR> <center> <br><h3>NOT TOO LATE TO REPORT PQRI FOR 2011! <BR></h3> If you are waiting until you get EHR before reporting PQRS - that makes as much sense as waiting until you have the flu before getting a flu shot. DO IT NOW FOR 2011! If You believe you missed out on the PQRI bonus for 2011, you may be wrong. You have until February 15, 2012 to report via registry, so you have time and it's important you realize that it may only take any employee in your practice about 3 hours to do the reporting for the entire year via registry. Now - before you click on the link below to take you to the NETHEALTH PQRS website and check it out - take advantage of a deal that Don has with them. If you use DonSelf as the Discount Code on their page, it knocks $50.00 (FIFTY DOLLARS) off the $279 registration, so you're only paying $229. If you can't see the wisdom of spending $229 to make $2,000 to $6,000 in PQRI bonus for 2011 - don't bother reading any further on this page as you're not going to learn anything. Seriously, people - check this out. <A href="http://www.1stascentpqrs.com/(S(12mczlvs4buzyp55ro4h0n55))/default.aspx"> 1st Ascent Net Health PQRS Registry </A> <BR> <BR> <A href="http://www.donself.com/documents/encountr.doc">ENCOUNTER FORM </A>- An EXCELLENT encounter form to use for documentation that prompts the doctor to document all healthcare reimbursement elements needed for the E&amp;M encountercalled encountr.doc by Sandy Turpin. <BR><BR> <A href="http://www.competsolutions.com/index.html"><IMG alt="Encounter Form Maker Link" src="" align=right> Encounter Form Maker </A>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. <BR><BR> <A href="http://www.donself.com/documents/encounter99.doc">ENCOUNTER FORM 2 </A>- Another EXCELLENT encounter form to use for documentation that prompts the doctor to document all elements needed for the E&amp;M encounterdonated by Deborah Hill in Georgia. <BR><BR> <FONT color=black> <A href="http://www.donself.com/documents/ER_ACUITY_SHEET.doc">ER ACUITY WORKSHEET </A>submitted by Jennie,. (63k) <BR><BR> <A href="http://www.donself.com/documents/erauditw.doc">ER Audit Worksheet </FONT></A></FONT>This is a very useful (48KB) worksheet (WORD) to use, donated by Charlene Burgett, BS,CMA,CMM,CPC,CCP <BR><BR> <A href="http://www.donself.com/documents/er-interps.doc">ER INTERPRETATION rules of Medicare </FONT></A></FONT>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. <BR><BR> > <FONT color=blue> <H4> <CENTER><BOX>CHART NOTE: "The patient has no past history of suicides." </H4></CENTER><FONT color=black> > </FONT> <A href="http://www.donself.com/documents/ER_EM.xls">ER VISIT FORM </A>, in Excel. (19k) <BR><BR> <H4><FONT color=darkgreen>ERISA - HOW TO APPEAL YOUR CLAIM & MAKE THE CARRIERS PAY YOUR CLAIM <FONT color=blue></A>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 - <FONT color=blue>REGARDLESS OF THE REASON FOR DENIAL OR REASON THEY REDUCED THE PAYMENT. <A href="http://www.ERISACLAIM.COM"><CENTER><IMG alt="BE HAPPY" src="http://www.donself.com/images/erisa-disc.gif"> </H4><BR></CENTER><FONT color=black></FONT><BR><BR><FONT color=black> <A href="http://www.donself.com/documents/assignment-of-benefits.doc">ERISA - ASSIGNMENT OF BENEFITS &amp; RELEASE OF INFORMATION STATEMENT </A> from Ann Moll. If you are using a 3 or 4 line Assignment of Benefits form, you are not legally allowed to appeal about 80% of the non Medicare claims you file if you are ever challenged by an insurance company. You want to use this form. <BR><BR><BR> <A href="http://www.donself.com/documents/ERISA-WEBINAR.pdf">ERISA WEBINAR </A>, handout in pdf, created by Dr. Jin Zhou in mid January, 2010. Dr. Jin is an expert at ERISA <BR><BR> <A href="http://www.donself.com/documents/evaluation.doc">EVALUATION FORM FOR EMPLOYEES </A>- A tongue-in-cheek employee evaluation formby Don - feel free to add to, modify or alter this form. It's not copyrighted. <BR><BR><FONT color=black> <h3> <br> <br> <font color=navy>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!" <br> <font color=dark red> John Bishop, P.A.<br> <br> </font> <A href="http://www.donself.com/documents/family-members.doc">FAMILY MEMBERS </A>WHO MEDICARE DOESN'T ALLOW BILLING FOR</CENTER><FONT color=black> <BR><BR> < <A href="http://www.donself.com/documents/fluoro-appeal.doc">FLUOROSCOPY CODE APPEAL </A>in WORD, donated by Linda at Desert Pain Institute (with names changed by Don) </CENTER><FONT color=black> <BR><BR>GENERAL, MUSCULAR, NEUROLOG. &amp; URINARY 4 separate EXCEL files designed with General , Muscular, Nuerological & Urology in mind by Maureen McGee. <BR> <A href="http://www.donself.com/documents/genmul.xls">General Exam - </A>(36kb)<BR><A href="http://www.donself.com/documents/muscul.xls">Muscular Exam - </A>(38kb) <BR><A href="http://www.donself.com/documents/neurol.xls">Neurological Exam - </A>(35kb)<BR><A href="http://www.donself.com/documents/urolve.xls">Urological Exam - </A>(36kb) <BR><BR> > <H4> <CENTER><FONT color=blue><BOX>CHART QUOTE: "Patient was becoming more demented with urinary frequency." </H4></CENTER><FONT color=black> <A href="http://www.donself.com/documents/2010-Global.xls"> 2010 MEDICARE GLOBAL FEE PERIODS</A>in Excel (03). added 12/30/09 <BR><BR> <A href="http://www.donself.com/documents/2010-Global.pdf"> 2010 MEDICARE GLOBAL FEE PERIODS</A>in PDF. added 12/30/09 <BR><BR><BR><BR> <A href="http://www.donself.com/documents/hardship-form.doc">HARDSHIP LETTER & APPLICATION </A>Formby Linda Sauls <BR><BR> <A href="http://www.donself.com/documents/hardship-waiver.doc">Hardship Waiver form for Medicare patients </A>in Word. (21kb) added 4/23/02<BR><BR> <A href="http://www.donself.com/documents/855r.pdf">HCFA 855 Reassignment of Benefits Form </A>in PDF (Acrobat). <BR><BR> <A href="http://www.donself.com/documents/paragree.pdf">HCFA Medicare Par Agreement Form </A>in PDF (Acrobat). <BR><BR> <A href="http://www.donself.com/documents/speccodes.pdf">HCFA Specialty Code Listing </A>in PDF (Acrobat). <BR><BR> <A href="http://www.donself.com/documents/reviewrequest.pdf">HCFA Medicare Request For Review (Appeal) Form </A>in PDF (Acrobat). <BR><BR> <A href="http://www.donself.com/documents/memo.doc">HCFA </A>Memo re. E&amp;M documentation from Dr. Kanoff submitted by Linda Howrey. If prefered - get it in <A href="http://www.donself.com/documents/memo.txt">TEXT HCFA'S memo </A>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<BR><BR> <br> <br><IMG src="http://www.donself.com/images/no-turns.jpg"> <br> <br> <A href="http://www.donself.com/documents/2002guide.doc">HCFA's 2002 E&amp;M PROPOSALS </A>submitted by Charlene Allen. (88k) <BR><BR> <P align=left> <A href="http://www.donself.com/documents/10-HCPCS-alpha-numeric.pdf"> HCPCS - ALPHA-NUMERICAL LIST - 2010</A>in PDF. added 12/30/09 <BR><BR> <A href="http://www.donself.com/documents/10-HCPCS-drugs-table.pdf"> HCPCS DRUGS-TABLE - 2010</A>in PDF. added 12/30/09 <BR><BR> <A href="http://www.donself.com/documents/10-HCPCS-numerical.xls"> HCPCS NUMERICAL LIST - 2010</A>in Excel (03). added 12/30/09 <BR><BR> <A href="http://www.donself.com/documents/10-HCPCS-numerical.pdf"> HCPCS NUMERICAL LIST- 2010</A>in PDF. added 12/30/09 <BR><BR> <br> <br> <br> <A href="http://www.donself.com/documents/HRA-EXAMPLE.pdf">HEALTH RISK ASSESSMENT (HRA) EXAMPLE </A> form - to be used in conjunction with the Medicare AWV IN PDF <BR><BR> <A href="http://www.donself.com/documents/BAA-2008.doc">HIPAA BUSINESS ASSOCIATE AGREEMENT (BAA-2008) </A>in WORD, donated by Robin at Physicians Choice Medical Billing <BR><BR> <A href="http://www.donself.com/documents/CMSHIPAAPaper101.pdf">HIPAA COMPLIANCE 101 FOR PROVIDERS FROM CMS </A>in pdf. This is supposed to be posted on CMS' website soon, but CMS sent it to us early. <BR><BR> <A href="http://www.donself.com/documents/ass-agree.doc">HIPAA COMPLIANCE BUSINESS ASSOCIATE AGREEMENT (BAA) </A>in WORD<BR><BR> <A href="http://www.donself.com/documents/BAA-2.doc">HIPAA COMPLIANCE B.A.A. (Business Associate Agreement) </A>4 PAGE, donated by Dr. Herbert Schwarz - He does HIPAA consulting with HIPAA TODAY. This file was added March 13, 2003 <BR><BR> <A href="http://www.donself.com/documents/CA.doc">HIPAA CONFIDENTIALITY AGREEMENT (CA)</A> &amp; NON DISCLOSURE AGREEMENT, (2 PAGE) donated by Dr. Herbert Schwarz - This file was added March 11, 2003<BR><BR> <A href="http://www.donself.com/documents/HIPAA-faxcover.doc">HIPAA FAX COVER SHEET </A>in WORD, created by Don as humor.<BR><BR> <A href="http://www.donself.com/documents/HIPAA-faxcover2.doc"> <P align=left>HIPAA FAX COVER SHEET </A>in WORD. <BR><BR> <A href="http://www.donself.com/documents/NPP_acknowledgement.doc">HIPAA NPP (NOTICE OF PRIVACY PRACTICE </A> ACKNOWLEDGEMENT form for the patient to sign in WORD, donated by Terri Ristem - added Dec 3, 2008<BR><BR> <A href="http://www.donself.com/documents/HIPAA-NPP2.doc">HIPAA NPP (NOTICE OF PRIVACY PRACTICE </A>2 PAGE final, donated by Jennifer Humbert - added March 10, 2003, & required if practices intend to be HIPAA COMPLIANT. <BR><BR> <A href="http://www.donself.com/documents/NPP-2.doc"> <P align=left>HIPAA NPP (NOTICE OF PRIVACY PRACTICE) </A>2 PAGE, donated by Kathy Pfaff, R.N., B.S.N., M.B.A. - added March 11, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-10.doc">HIPAA NPP </A>2 PAGE - GEORGIA DEPT OF COMMUNITY HEALTH, donated by Ruth Carr - added March 13, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-SHBP.doc">HIPAA NPP </A>2 PAGE - GEORGIA SHBP, donated by Ruth Carr - added March 13, 2003 <BR><BR> > <H4> <CENTER><FONT color=blue><BOX>CHART QUOTE: "The patient's past medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days." </H4></CENTER><FONT color=black><FONT color=black> > <P align=left> <A href="http://www.donself.com/documents/NPP-Peachcare.doc">HIPAA NPP </A>2 PAGE - GEORGIA PEACHCARE FOR KIDS, donated by Ruth Carr - added March 13, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-9.doc">HIPAA NPP </A>ANOTHER 2 PAGE - for PHYSICIAN OFFICE, donated by Merry Schiff - added March 12, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-8.doc"> <P align=left>HIPAA NPP </A>2 PAGE - WOMEN'S HEALTH CLINIC, donated by John Carrico, CMC - added March 12, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-5.doc"> <P align=left>HIPAA NPP </A>2 PAGE - 3 Column, - donated by Melissa Cornwell - added March 11, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-4.doc"> <P align=left>HIPAA NPP </A>4 PAGE, donated by Malinda Butson - added March 11, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-6.doc"> <P align=left> HIPAA NPP </A>6 PAGE, geared towards Oncology, donated by Eileen Peterson. - added March 11, 2003 <BR><BR> <A href="http://www.donself.com/documents/NPP-7.doc"> <P align=left> HIPAA NPP </A>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 <BR><BR> > <H4> <CENTER><FONT color=blue><BOX>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. " </H4></CENTER><FONT color=black><FONT color=black> > <h3> <br> <br> <font color=navy> This book is the fasttrack to moneytown. You've done what I ve wanted to write about for years. <br> <font color=dark red> Steve Verno <br> <br> <br></h3> <P align=left> <A href="http://www.donself.com/documents/NPP-Spanish.doc">HIPAA NPP </A>in SPANISH using WORD, donated by Cindy Weston with The American Medical Billing Associaton (AMBA)- Their site is http://www.ambanet.net. <BR><BR> <A href="http://www.donself.com/documents/HIPAA-privacy.doc"><P align=left> HIPAA PRIVACY TRAINING </A>requirements, donated by Eric Sandham, CPC - added October 2002 <BR><BR> <A href="http://www.donself.com/documents/HIPAA-security-PP.doc"> <P align=left>HIPAA SECURITY POLICIES &amp; PROCEDURE </A>in WORD, donated by Gene Teglovic, at Healthcare Office Automaters</A> <BR><BR> <A href="http://www.donself.com/documents/HIPAAsummary.wps"> <P align=left>HIPAA SUMMARY </A>- 4 pages in MS Works, donated by Pam Mauerhan - added October 2002 <BR><BR> <A href="http://www.donself.com/documents/HIPAAtracking.xls"> <P align=left> HIPAA TRACKING FORM </A>- donated by Valeta Barger <BR><BR> <A href="http://www.donself.com/documents/HIPAAsummary.doc"> <P align=left> HIPAA SUMMARY </A>- 4 pages<BR><BR> <A href="http://www.donself.com/documents/history.doc"> <P align=left> HISTORY form </A>for getting the health history from patients. This form is easy to use & modify & was donated by Debbie Foren in June 2000 <BR><BR> <A href="http://www.donself.com/documents/Homebound.doc">HOMEBOUND PATIENT RULES </A> BY MEDICARE. Medicare IOM 100-02, 15, 60.1A <BR><BR><P align=left> <A href="http://www.donself.com/documents/hospital-memo.doc">HOSPITAL CUTBACKS </A>MEMO - humorous<BR><BR><P align=left> > > <br> <br> <form method="get" action="http://groups.yahoo.com/subscribe/Med-Managers" style="background-color: #ffc; width: 254px; padding: 2px 4px"> <h6 style="font-weight: bold; margin-bottom: 5px; text-align: center"> Subscribe to Med-Managers</h6> <input style="vertical-align: top" type="text" name="user" value="enter email address" size="26" > <input type="image" alt="Click to join Don's Free Email Listserv called Med-Managers" name="Click to join Don's Listserv - Med-Managers" src="http://us.i1.yimg.com/us.yimg.com/i/yg/img/i/us/ui/join.gif" > <p style="text-align: center;"> Powered by <a href="http://us.groups.yahoo.com/">us.groups.yahoo.com</a></p> </form> <br><br> <H4> <CENTER><FONT color=blue><BOX>CHART QUOTE: "By the time he was admitted, his rapid heart had stopped, & he was feeling much better. " </H4></CENTER><FONT color=black><FONT color=black> > > <P align=left> <A href="http://www.donself.com/documents/discharg.pdf"> <P align=left> HOSPITAL DISCHARGE MANAGEMENT CODING </A>MEMO PER CMS, donated by Diane Brooks. This letter in pdfis dated in 1991 from CMS <BR><BR> <A href="http://www.donself.com/documents/pmia967.txt">HOSPITAL </A>HCFA'S RULES RE. CLASSIFYING ENTITY AS HOSPITAL OUT-PATIENT OR PHYSICIAN CLINIC <BR><BR> <A href="http://www.donself.com/documents/HPI.pdf">HPI Letters </A>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<BR><BR> <P align=left> >> <A href="http://www.donself.com/documents/HRA-EXAMPLE.pdf">HRA EXAMPLE </A> form - to be used in conjunction with the Medicare AWV IN PDF <BR><BR> <H4> <CENTER><FONT color=blue><BOX>CHART QUOTE: "Many years ago the patient had frostbite of the right shoe. " </H4></CENTER><FONT color=black><FONT color=black> > > <P align=left> <BR><BR> <H4>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! </CENTER><FONT color=black><FONT color=black><BR><BR> <P align=left> </H4> <H4> <P align=left> <A href="http://www.donself.com/documents/codingbook1.doc">ICD9 CODING </A>Pocketbookby Jaime Darling, CPC (444kb)<BR><BR><BR><BR> <A href="http://www.donself.com/documents/ICD_Project_plan.xlsx">ICD-Implementation Project Plan </A> in 2007 Excel - to help you step by step in the Implementation of Icd-10 - donated by Kanar Kokoy <BR><BR> <A href="http://www.donself.com/documents/ICD_Project_plan.pdf">ICD-Implementation Project Plan </A> in PDF (Adobe Acrobat) - to help you step by step in the Implementation of Icd-10 - donated by Kanar Kokoy <BR><BR><BR><BR> <A href="http://www.donself.com/documents/ICD-10-for-ed.pdf">ICD-10 Coding Guide - for Emergency Department Care</A> in PDFby Steve Verno, CEMCS (99kb)<BR><BR> <A href="http://www.donself.com/documents/ICD-10-for-gensurg.pdf">ICD-10 Coding Guide - for General Surgery</A> in PDFby Steve Verno, CEMCS (80kb)<BR><BR> <A href="http://www.donself.com/documents/ICD-10-for-Opthalmology.pdf">ICD-10 Coding Guide - for Opthalmology</A> in PDFby Steve Verno, CEMCS (312kb)<BR><BR> <A href="http://www.donself.com/documents/ICD-10-for-Radiation-Oncology.pdf">ICD-10 Coding Guide - for Radiation Oncology</A> in PDFby Steve Verno, CEMCS (316kb)<BR><BR> <BR> <br> <br><IMG src="http://www.donself.com/images/kidswithgas.jpg"> <br> <br> <BR> <A href="http://www.donself.com/documents/imfpnew.xls">IM - FP </A>New Patient Form in Excelby Jean Stoner (32 KB) <BR><BR><BR><BR> <A href="http://www.donself.com/documents/imfpest.doc">IM - FP </A>Established Patient Encounter Form in Excelby Jean Stoner (29KB) - -<FONT color=#000000> <BR><BR><BR><BR> <A href="http://www.donself.com/documents/mgma-letter.pdf">INCIDENT TO LETTER FROM MGMA </A>in Acrobat, donated by Dianne Wilkinson (39kb) - -<FONT color=#000000> <BR><BR><BR><BR> <A href="http://www.donself.com/documents/incident-to-shared.">INCIDENT TO - SHARED </A>VISIT GRID, donated by Wanda Woman (107kb) - -<FONT color=#000000> <BR><BR><BR><BR> <A href="http://www.donself.com/documents/influenza.doc">INFLUENZA COVERAGE RULES - </A>BY MEDICARE- - - <BR><BR><BR> <A href="http://www.donself.com/documents/HCPCS-fees.xls">INJECTION CODES - </A>2003 HCPCS LEVEL 2 INJECTION CODES with AWP AMOUNTS (Medicare-allowed) in Excel- - - <BR><BR><BR> <A href="http://www.donself.com/documents/ins-only.doc">INSURANCE ONLY - WHY WE SHOULD NOT ROUTINELY WAIVE CO-PAYS AND/OR DEDUCTIBLES- </A>quoting the Kennedy vs Connecticut General case & others- - added 11/27/03 - <BR><BR><BR><BR> <A href="http://www.donself.com/documents/ins-withdrawal.doc">INSURANCE WITHDRAWL LETTER TO PATIENTS - </A>notifying the patients that you're withdrawing from their HMO or insurance plan <BR><BR> <FONT color=black><A href="http://www.donself.com/documents/labdx.doc">LAB ICD9 DIAGNOSIS CHEAT SHEET </A>- THIS IS THE FORM - THAT ADEL MILES HAS BEEN FAXING TO PART B LISTSERV MEMBERS ALL OVER THE COUNTRY. IT IS CALLED LABDX.DOC - - - <BR><BR><br> <H4><FONT color=blue>LISTSERV INFORMATION <BR></H4>click here to sign up for the <H4> <A href="http://communities.msn.com/PMOM">PROFESSIONAL MEDICAL OFFICE MANAGEMENT listserv </A></H4>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. </A> > > <BR><BR> <CENTER>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 <br> <br> <A href="http://coding911.com/" target=_blank><IMG src="http://www.donself.com/images/Coding911.gif" border=0></A> <BR><BR>but also they publish some excellent newsletters, publications & consulting. > > <CENTER><FONT color=blue>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 </CENTER> <A href="http://www.codingline.com/"><IMG src="http://www.donself.com/images/codingline.gif"></A> <BR><BR> <A href="http://www.donself.com/documents/managed-care-tips.doc">MANAGED CARE CONTRACTING TIPS </A>&amp; the top 10 reasons why we should tell Mangled care companies NO,, donated by Patricia Nelson <BR><BR><BR> <A href="http://www.lamblawoffice.com/medical-records-copying-charges.html">MEDICAL RECORDS COPYING CHARGES BY STATE </A> listing all of the state laws/recommendations by state on attorney Thomas Lamb's website <BR><BR><BR> <A href="http://www.donself.com/documents/med-records-transfer.doc">MEDICAL RECORDS TRANSFER </A>policy & fees <BR><BR><BR> <A href="http://www.donself.com/documents/Medicare-ADL.pdf">MEDICARE ACTIVITIES FOR DAILY LIVING (ADL) </A> Questionnaire for patients in PDF, added to site 1/14/11, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/Medicare-ADL.doc">MEDICARE ACTIVITIES FOR DAILY LIVING (ADL) </A> Questionnaire for patients in Microsoft Word, added to site 1/14/11, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/Medicare-PE.pdf">MEDICARE ANNUAL PHYSICAL </A> Form in PDF, added to site 1/14/11, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/Medicare-PE.doc">MEDICARE ANNUAL PHYSICAL </A> Form in Microsoft Word, added to site 1/14/11, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/Summary-Medicare-AWV.pdf">MEDICARE ANNUAL Wellness Visit </A> Summary in PDF, added to site 1/14/11, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/Summary-Medicare-AWV.doc">MEDICARE ANNUAL Wellness Visit </A> Summary in Microsoft Word, added to site 1/14/11, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/assist-surg-2011.xls">MEDICARE ASSIST & CO-SURGERY Indicators </A> spreadsheet for all CPT/HCPS for 2011 in Excel, added to site 3/24/11. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/assist-surg-2011.pdf">MEDICARE ASSIST & CO-SURGERY Indicators </A> spreadsheet for all CPT/HCPS for 2011 in PDF, added to site 3/24/11. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/CARRIER-ZIP.xls">MEDICARE CARRIER LISTED BY ZIP CODES </A>in EXCEL, updated 5/13/2008. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/medicare-CLIA-waived.xls">MEDICARE CLIA WAIVED </A>CODES &amp; GRID in EXCEL, added to site 7/25/05, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/medicare-CLIA-waived.xls">MEDICARE CLIA WAIVED </A>CODES &amp; GRID in EXCEL, added to site 7/25/05, thanks to Donna Beaulieu. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/medicare-conversion.doc">MEDICARE CONVERSION FACTORS - 1996 - 2005 </A>in WORD</CENTER><FONT color=black> <BR><BR><FONT color=yellow> <CENTER><FONT color=blue> <A href="http://www.donself.com/documents/preventive-checklist.xls">MEDICARE COVERED PREVENTIVE SERVICE CHECKLIST </A>in Excel, dated 1/7/05 from Charlene Burgett,BS,CMA,CMM,CPC,CCP <FONT color=black> <BR><BR><BR> <A href="http://www.donself.com/documents/preventive-matrix.xls">MEDICARE COVERED PREVENTIVE SERVICE MATRIX </A>in Excel, from Charlene Burgett,BS,CMA,CMM,CPC,CCP <FONT color=black> <BR><BR><BR> <A href="http://www.donself.com/documents/Medicare-crossover-TX.doc">MEDICARE CROSSOVER LISTING - TEXAS </A>in WORD, dated 11/03 from CMS <FONT color=black> <BR><BR><BR> <A href="http://www.donself.com/documents/Medicare-Diagnostic-Supervision.pdf"> 2010 MEDICARE DIAGNOSTIC PROCEDURE SUPERVISION FILE </A> in Adobe Acrobat (pdf)<BR><BR> <A href="http://www.donself.com/documents/Medicare-Diagnostic-Supervision.xls"> 2010 MEDICARE DIAGNOSTIC PROCEDURE SUPERVISION FILE </A> in 2003 Excel (xls)<BR><BR> <A href="http://www.donself.com/documents/Jan-2010-ASP.xls"> 2010 MEDICARE DRUG ASP FILE </A> for first quarter 2010 - in Excel. <BR><BR> <A href="http://www.donself.com/documents/documentation-pointers.txt">MEDICARE DOCUMENTATION POINTER </A>in txt, from Medicare's site <BR><BR><BR> <A href="http://www.donself.com/documents/care-remittancecodes.pdf">MEDICARE EOB REMITTANCE CODES </A>in PDF, dated 11/03 from CMS <BR><BR> <H4><FONT color=blue>MEDICARE ENROLLMENT FORMS (CMS 855 FORMS) UPDATED 4/30/2006 (EARLIER VERSIONS NOT ACCEPTED AFTER 6/1/06) </H4><FONT color=black><BR><BR><BR><BR> <H4> <P align=left> <BR> <br> <br> <A href="http://www.donself.com/documents/cms855a.pdf">Medicare Enrollment - 855A - HealthCare Providers that will bill Medicare fiscal intermediaries (cms855a.pdf) </A>in PDF. <BR><BR> <BR> <A href="http://www.donself.com/documents/cms855b.pdf"> <P align=left> Medicare Enrollment - 855B - HealthCare Providers that will bill Medicare carriers (cms855b.pdf) </A>in PDF <BR> <BR> <A href="http://www.donself.com/documents/cms855i.pdf"> <P align=left> Medicare Enrollment - 855I - Individual Health Care Practitioners (cms855i.pdf) </A>in PDF . <BR> <A href="http://www.donself.com/documents/cms855r.pdf"> <P align=left> Medicare Enrollment - 855R - (cms855r.pdf) </A>in PDF . <BR><BR> <BR> <A href="http://www.donself.com/documents/cms855s.pdf"> <P align=left> Medicare Enrollment - 855S - (cms855s.pdf) </A>in PDF . <BR><BR> <P align=left> <BR><BR> <P align=left> <H4> <A href="http://www.donself.com/documents/cms855r.pdf"><P align=left> Medicare Enrollment - Individual Reassignment of Benefits (cms855r.pdf) (314 kb) </A>in PDF (Acrobat). <BR><BR> <A href="http://www.donself.com/documents/cms855s.pdf"> <P align=left> Medicare Enrollment - DMEPOS Suppliers (cms855s.pdf)(911 kb) </A>in PDF (Acrobat). <BR><BR> <A href="http://www.donself.com/documents/855c.pdf">Medicare Enrollment - 855 Change of Information Form </A>in PDF (Acrobat). <BR> <A href="http://www.donself.com/09fees.html"> MEDICARE FEE SCHEDULE for 2009</A>in Excel- added 12/6/2008. This link to a page listing all 59 files - sorted by state & locality <BR><BR><BR> <BR><BR> (a href="http://www.medicarenhic.com/providers/pubs/mentalhlth_apr07.pdf"> <P align=left> Medicare Mental Health Services Billing Guide </a> from NHIC Medicare in pdf<br> <br> <A href="http://www.cms.hhs.gov/CoverageGenInfo/Downloads/manual2.pdf"> <P align=left> Medicare National Coverage Determinations (NCD) Coding Policy Manual & Change Report (April 2006) </A>Suffix descriptions in PDF. <BR> <Br> <A href="http://www.donself.com/HIN-suffixes.doc"> <P align=left> Medicare Patient HIN (Healthcare Identifier Number) </A>Suffix descriptions. <BR><BR> <A href="http://www.donself.com/documents/remittance-codes.doc"> <P align=left> Medicare Remittance Remark Codes </A>dated Aug. 5, 2004. <BR><BR><BR> <A href="http://www.donself.com/documents/msp-auth.doc"> <P align=left> MEDICARE Secondary Authorization form </A>in Word donated by George Ward. <BR><BR> <A href="http://www.donself.com/documents/MSPResourceGuide.pdf"> <P align=left> MEDICARE Secondary Payer Resource Guide </A>in PDFdonated by Joel Shaffer. <BR><BR> <A href="http://www.donself.com/documents/spec-codes.pdf">MEDICARE SPECIALTY CODES </A>, in PDF- UPDATED 11/12/09- - <BR><BR> <CENTER> <A href="http://www.donself.com/documents/medicare-status.doc"> <P align=left> Medicare Status Codes </A>- as found on Medicare's Global Fee & RVU pages in Word- - - <BR><BR> <A href="http://www.donself.com/documents/WTM-exam-checklist.pdf">MEDICARE WELCOME TO MEDICARE EXAM </A> Checklist in PDF, added to site 1/14/11, thanks to Becky Price. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/WTM-exam-checklist.doc">MEDICARE WELCOME TO MEDICARE EXAM </A> Checklist in Microsoft Word, added to site 1/14/11, thanks to Becky Price. </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.triwest.com/en/provider/news/2011/12/copying-military-id-cards-allowable/">MILITARY ID - OK TO COPY </A> This website quotes the Department of Defense in their allowing medical practices to copy Military ID CARDS </CENTER><FONT color=black><BR><BR><BR> <A href="http://www.donself.com/documents/Missouri-HPSA.doc"> <P align=left> MISSOURI HPSA LOCALITIES </A>Non-Metropolitan &amp; Metropolitan HPSA areas in Missouri as of March 1, 2004. <FONT color=black> <P align=left> <BR><BR> <br> <br><IMG src="http://www.donself.com/images/store-closing.jpg"> <br> <br> <A href="http://www.donself.com/documents/mod25.txt"> <P align=left> MODIFIER 25 </A>- LETTERS from Kathleen Buto of HCFA in textsubmitted by Jan Rasmussen- - - <BR><BR> <A href="http://www.donself.com/documents/mod25np.doc"><P align=left>MODIFIER 25 (CPT) APPEAL LETTER - NEW PATIENT </A>- Appeal Letter. - <BR><BR> <A href="http://www.donself.com/documents/mod25ep.doc">MODIFIER 25 APPEAL LETTER - ESTABLISHED PATIENT </A>- Appeal Letter. - <BR><BR><H4> <br> <br> <A href="http://www.donself.com/documents/mod57.doc">MODIFIER 57 APPEAL LETTER </A>- Another letter to appeal CPT modifier 57 denials. <BR><BR> <A href="http://www.donself.com/documents/modifier-pt.pdf"> <P align=left> MODIFIER PT </A>information -submitted by Susan Thein [sthein_abs@sbcglobal.net] on 1/18/11 <BR><BR> <A href="http://www.donself.com/documents/modifier-reference.doc"> <P align=left> MODIFIER REFERENCE LISTING </A>-submitted by Vinod Gopal <BR><BR> <A href="https://shop.donself.com"><IMG src="http://www.donself.com/images/slide-rule.gif"></A> <BR><BR> <A href="http://www.coderyte.com/multiple_evaluation_and_management_visits.htm">Multiple E&amp;M Services in One Day - How to Code &amp; Bill </A>This is a link to the Code-Ryte website to an article written by one of the sharpest consultants in our country, Greg Schnitzer <BR><BR><BR> <A href="http://www.donself.com/documents/gmse.doc">Multi-Specialty </A>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 <BR><BR><BR><BR> <H4> <CENTER><FONT color=blue>YOU GOTTA LAUGH </CENTER><FONT color=black> <CENTER><FONT color=blue><BR>New York, NY <BR>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!" <BR></CENTER><FONT color=black> </H4> <H4><BR><BR> <A href="http://www.donself.com/documents/ncs-ov.doc">Nerve Conduction Studies &amp; Office Visits </A>instructions from Medicare. <BR><BR><BR> <A href="http://www.donself.com/documents/newpatient.doc"><P align=left> New Patient Definition by a Medicare carrier </A>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. <BR><BR> <A href="http://www.donself.com/documents/newpat2.doc">New Patient </A>History Form (41KB) It has the standard questions such as "Were you born? Did you have a mother? Have you made out a will?" <BR><BR> <A href="http://www.donself.com/documents/New-Pt-Registration-2012.doc"><P align=left> New Patient </A> Registration Form in Microsoft Word, donated by Ann Moll in January 2012 <BR><BR> <A href="http://www.donself.com/documents/New-Pt-Registration-2012.pdf"><P align=left> New Patient </A> Registration Form in Adobe PDF, donated by Ann Moll in January 2012 <BR><BR> <A href="http://www.donself.com/documents/New-Pt-Registration01.doc"><P align=left> New Patient </A> Registration Form in Microsoft Word, donated by Belinda Caballero, B.A. (67KB) <BR><BR> <A href="http://www.donself.com/documents/New-Pt-Registration01.doc"><P align=left> New Patient </A> Registration Form in PDF, donated by Belinda Caballero, B.A. (68KB) <BR><BR> <A href="http://www.donself.com/documents/noshow.doc">NO-SHOW Information </A>regarding Medicare & CMS, added 4/15/08, thanks to Cyndee Weston with the American Medical Billers Association <BR><BR><P align=left> <BR> <A href="http://www.donself.com/documents/no-show-divorce.doc">NO-SHOW Divorce Letter </A>to patients to explain why you're divorcing them (20KB) <BR><BR> <A href="http://www.donself.com/documents/no-show-referral.doc">NO-SHOW Referral Letter </A>to other physicians that requested your consult, informing them that their patient never showed up for the appointment (20KB)<BR><BR> <A href="http://www.donself.com/documents/obgyn.doc"> <P align=left> OB/GYN </A>Guide by Judy Harris. (39KB) - - <BR><BR> <A href="http://www.donself.com/documents/ob-gyn.txt">OB/GYN </A>Guide in TEXTby Judy Harris. (8KB) <BR><BR><BR> <A href="http://www.donself.com/documents/opnotetests.doc">OP NOTES TEST </A>in WORDby Chris Felthauser<BR><BR> <A href="http://www.donself.com/documents/opnoteanswers.doc">OP NOTES TEST ANSWERS</A>by Chris Felthauser<BR><BR> <A href="http://www.donself.com/documents/outpt-billing.tif">OUT-PATIENT BILLING GUIDELINES</A> in TIF, donated by Karen Craig<BR><BR><BR> <A href="http://www.donself.com/documents/PCMH-2012.pdf">Patient Centered Medical HOME (PCMH) </A>report card, from HHS, dated February 2012 showing that it's not in as good of shape as some may think - in PDF <BR><BR> <A href="http://www.donself.com/documents/pt-financial.doc">Patient Financial Responsibility form </A>in WORD, shared with others by Barbara Colburn <BR><BR> <A href="http://www.donself.com/documents/pt-regist-billingpolicy.doc">Patient Registration </A>Form, shared with others by Anne Hillmann, & modified by Don - - <BR><BR> <A href="http://www.donself.com/documents/pt-regist-english.doc">Patient Registration </A>Form, in English, modified by Don- - <BR><BR> <A href="http://www.donself.com/documents/patient_survey.xls">Patient Survey </A>in EXCEL from Heidi Joseph - -<BR><BR> <A href="http://www.donself.com/documents/patient_survey2.xls">Patient Survey - Humorous </A>in EXCEL from Don Self - - <BR><BR> <A href="http://www.donself.com/documents/payment-plan.pdf">Payment Plan & Promissory Note </A>in PDF from Lisa Scott, CPC with Carolina Bone & Joint <BR><BR> <A href="http://www.donself.com/documents/pedsform.txt"><P align=left>Pediatric </A>Attending Form in TEXT format by Belinda Dixon (3kB) - <BR><BR><BR><P align=left>Phone Form for recording the information on a new patient when they call in for the appointment. This form was donated by Lori Wyvill. <BR> <P align=left> <UL> <LI><A href="http://www.donself.com/documents/phoneform1.doc">Word - 27kb </A><BR><BR> <A href="http://www.donself.com/documents/physicanfamilyrules.doc"> <P align=left>Physician Family Rules </A>of Medicare listing which family members that physicians are not allowed to bill Medicare for, added 2/4/04<BR><BR>Physician Request Form for hospital services, submitted by Tammie Lewis <BR><P align=left> <LI><A href="http://www.donself.com/documents/physreq.doc">Word</A>(14kb) <BR> <LI><A href="http://www.donself.com/documents/physreq.wpd">Wordperfect (19kb)</A> <BR> <LI><A href="http://www.donself.com/documents/physreq.xls">Excel</A><BR><BR><BR><BR> <A href="http://www.donself.com/documents/phys-retire.doc"> <P align=left>Physician Retirement Letter </A>to patients, informing the patients of the retirement, <BR><BR><BR><BR> <A href="http://www.donself.com/documents/posdata.pdf"> <P align=left>PLACE OF SERVICE (POS)codes </A>in PDFfrom Don Self - from CMS- <BR><BR> <A href="http://www.donself.com/documents/podiatry-global05.xls">PODIATRY GLOBAL FEE PERIODS </A>submitted by Ayshea Kumar, CPC in Excel<BR><BR> <A href="http://www.donself.com/documents/poddiag.doc">PODIATRY DIAGNOSIS CODING LIST </A>submitted by Jennifer Hila - - (28kb)<BR><BR><BR> <br> <br><IMG src="http://www.donself.com/images/signs_3.jpg"> <br> <br> <A href="http://www.donself.com/documents/podproc.doc">PODIATRY PROCEDURE CODING LIST </A>submitted by Jennifer Hila (29kb)<BR><BR> <A href="http://www.donself.com/documents/Podiatry-Table.pdf">PODIATRY PROCEDURE COVERAGE LIST </A>submitted by Danielle Taimuty, CPC<BR><BR> <A href="http://www.donself.com/documents/podiatry11.doc">PODIATRY INITIAL PROGRESS SHEET </A>in WORD by Alan ? - This looks like an easy to use form for Podiatrists.<BR><BR> <A href="http://www.donself.com/documents/podiatry21.doc">PODIATRY FOLLOW-UP PROGRESS SHEET </A>in WORD by Alan. - - <BR><BR> <A href="http://www.donself.com/documents/practice-moving.xls">PRACTICE MOVING/RELOCATING CHECKLIST </A>in an Excel file, donated by Laura Carbonaro <BR><BR> <A href="http://www.donself.com/documents/practice-startup.doc">PRACTICE STARTUP CHECKLIST </A>in a word file, donated by Mike Farley <BR><BR> <A href="http://www.donself.com/documents/practice-startup1.xls">PRACTICE STARTUP CHECKLIST - </A>in an Excel file, donated by Patricia McKinnon <BR><BR> <A href="http://www.donself.com/documents/practice-checklist2.doc">PRACTICE STARTUP CHECKLIST - ANOTHER ONE</A>in a Word file, donated by Andy Arnold<BR><BR> <A href="http://www.donself.com/documents/prevent.pdf"><P align=left> PREVENTIVE MEDICINE </A>Guidelines from Medicare - created in October 1999 & submitted to this site by Sharon Smith. <BR><BR> <A href="http://healthinfolaw.org/index.php?module=News&id=cntnt01&cntnt01action=detail&cntnt01articleid=5&cntnt01detailtemplate=notes_detail_template.tpl&cntnt01returnid=70#table_1">PRIVACY LAWS BY STATE </A>giving Minor Consent & Parental Disclosure laws per sate. This is at healthinfolaw.org <BR><BR> <A href="http://www.donself.com/documents/progress1.doc">PROGRESS NOTE FORM </A>from Deb Martinez <BR><BR> <A href="http://www.ambanet.net/PromptPayState.pdf"> <P align=left>PROMPT PAY LAWS BY STATE </A> on AMBA's website - <BR><BR> <A href="http://www.donself.com/documents/quickpay.rtf">QUICK PAY DISCOUNT </A>policy in an RTF file, FROM R. Lacy in Tampa Bay, FL. <BR><BR><A href="http://www.donself.com/documents/records.doc"> <P align=left> RECORDS RETENTION REQUIREMENTS by Henry Hawthorne II(14kB) - - <BR><BR></A> <A href="http://www.donself.com/documents/site-review-records-checklist.pdf">Records Review Checklist for a Managed Care Review </A> donated by Jean Bowman - - <BR><BR> <A href="http://www.donself.com/documents/ref.doc">REFERRAL TRACKING </A>Form (14kB) - - <BR><BR> <A href="http://www.askleslie.net/Recoupment2a.pdf">Refund Laws </A> state-by-state, with references - This is a link to a site by Leslie Johnson, CCS-P, CPC <BR> <br> REFUNDING PATIENT LAWS link <A>&amp; Unclaimed Property laws in each state. This link was submitted by Cyndee Weston with the American Medical Billing Association & gives you laws in each state that require you to refund patients promptly, & what to do if there are unclaimed amounts (NO! You don't get to keep the money) <BR><BR> <A href="http://www.donself.com/documents/refund.doc">Refund Request Response letter</A> Excellent Letter -- -(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! <BR><BR> <A href="http://www.donself.com/documents/release-auth.doc">Release of Information Request Authorization </A>in Wordto have patients sign -(32kb)<BR><BR> <A href="http://www.donself.com/documents/symptoms-survey.doc">Review Of System form </A> in Word - that you have each patient complete on every visit & 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 & forgot to ask or document, by Don Self -- -(34kb) - <BR><BR> <A href="http://www.donself.com/documents/symptoms-survey.pdf.doc">Review Of System form </A>in PDF that you have each patient complete on every visit & 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 & forgot to ask or document, by Don Self -- -(18kb) - <BR><BR> <A href="http://www.donself.com/documents/scribes.rtf">SCRIBES CAN BE USED </A>on Medicare patients, per this letter from HCFA in RTF, called scribes.rtf - donated to the site by Deena Wojtkowski, CMA, CCP <BR><BR> <A href="http://www.donself.com/documents/signature.txt"> <P align=left> Signature Form </A>- - Adapted from Medicare's official EXTENDED PATIENT SIGNATURE AUTHORIZATION by Don Self in TEXT. (2KB) <BR><BR> <A href="http://www.donself.com/documents/site-review-checklist.pdf">Site Review Checklist for a Managed Care Site Review </A> donated by Jean Bowman - - <BR><BR> <A href="http://www.donself.com/documents/smoking-cessation.doc"><P align=left> SMOKING CESSATION CHART </A>giving you coverage by Medicare, coding & recommendations,, donated by Ronda Scalise - - <BR><BR> <A href="http://www.donself.com/documents/smoking-reminder.pdf"><P align=left> SMOKING REMINDER FLYER </A>giving you coverage by Medicare, on Smoking Cessation with codes, donated by Linda Vargas in April 2012 - - <BR><BR> <A href="http://www.mcveyseminars.com/"><IMG alt="McVey Seminar Advertisement" src="http://www.donself.com/images/mcvey-banner.gif" align="center"> </A><BR><BR> <A href="http://www.donself.com/documents/surgform.doc">SURGICAL CODING FORM </A>- A form for organizing surgical coding for the billing staff (and for the supervising coder to review from). <BR><BR><BR> <A href="http://www.donself.com/documents/symptoms-survey.doc">SYMPTOMS SURVEY </A>- A form used by Don for all patients, but developed originally for the LEAP program<BR><BR><BR> <A href="http://www.donself.com/documents/Taxonomy.doc">TAXONOMY CODES FOR HIPAA </A>in WORD. <BR><BR> <A href="http://www.donself.com/documents/taxonomy_40.pdf">TAXONOMY CODES FOR HIPAA </A>in PDF. <BR><BR> <A href="http://www.donself.com/documents/teaching-physician.doc">TEACHING PHYSICIAN RULES PER CMS </A>in WORD. <BR><BR> <A href="http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads//TelehealthSrvcsfctsht.pdf">TELEHEALTH INFORMATION from Medicare </A> This is a link out of the DONSELF.COM site directly to the CMS website. Added in 2012 <BR><BR> <A href="http://www.donself.com/documents/template.rtf">TEACHING TEMPLATE </A>in an RTF submitted by Maryann Palmeter. <BR><BR> <P align=left> <br> <br><IMG src="http://www.donself.com/images/sixthsense.jpg"> <br> <br> <A href="http://www.donself.com/documents/template.txt">TEACHING TEMPLATE </A>in TEXTsubmitted by Maryann Palmeter. <BR><BR> <A href="http://www.donself.com/documents/Telephone.doc">Telephone Billing document explaining the codes, by Brenda Beabout</A>in WORD. <BR><BR> <A href="http://www.donself.com/documents/Medical-Billing-Terminology.pdf">TERMINOLOGY - MEDICAL BILLING </A> by Steve Verno, in Acrobat pdf. <BR><BR> <A href="http://www.donself.com/documents/time-based-coding.ppt">TIME BASED CODING </A>Presentation in Powerpoint. <BR><BR> <A href="http://www.donself.com/05-Utilization.html">UTILIZATION (BELL CURVE) DATA FROM MEDICARE from 2005 for all specialties on this one link for all E&M codes </A>CMS calls it utilization data. It is the data that shows by specialty, the E&M codes & volumes of services allowed by Medicare. You can use it to compare your own physicians billing profiles with the national data that cms is using. <BR><BR> <IMG src="http://www.donself.com/images/bell-curve.png"> <br> <br> <P align=left> UTILIZATION (BELL CURVE) DATA FROM MEDICARE from 2007 for SOME specialties for all E&M codes in Excel file - per specialty: <BR> <BR> <LI> <A href="http://www.donself.com/documents/2007-s01-GP.xls"> Specialty 01 - General Practice </a> 78kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s02-GENSURG.xls"> Specialty 02 - General Surgery </a> 78kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s06-CARD.xls"> Specialty 06 - Cardiology </a> 71kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s08-FP.xls"> Specialty 08 - Family Practice </a> 128kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s11-IM.xls"> Specialty 11 - Internal Medicine </a> 87kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s16-OBGYN.xls"> Specialty 16 - OB/GYN </a> 57kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s37-PED.xls"> Specialty 37 - Pediatrics </a> 57kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s46-ENDO.xls"> Specialty 46 - Endocrinology </a> 78kb <br><br> <LI> <A href="http://www.donself.com/documents/2007-s50-97-NP-PA.xls"> Specialty 50 & 97 - Nurse Practitioners & Physician Assistants </a> 112kb <br><br> </center> <BR><BR> <<a href="http://www.mitsi.org/html/home.html">">Medicare data showing the top 10 E&M procedure codes reported to CMS for CY 2008, per Specialty, compiled by Frank Cohen, in zip. Click on this link & then go to the Downloads page, after becoming familiar with Frank Cohen & how he is helping the healthcare industry.<BR><BR> <H4><P align=left> <FONT color=black> <A href="http://www.upin.us/">LINK TO UPIN WEBSITE </A>www.upin.us/ <BR><BR> <A href="http://www.donself.com/documents/CLIA-Waived-2011.pdf"> WAIVED CLIA LAB TESTS 2011 </A> From CMS, effective for 2011 </FONT>in PDF. <br> <br> <A href="http://www.donself.com/documents/wtme.doc">WELCOME TO MEDICARE EXAM </A>SYNAPSIS, donated by Charlene Burgett, BS, CMA, CMM, CPC, CCP. <BR><BR> <A href="http://www.donself.com/documents/wtm-info-consent.doc">WELCOME TO MEDICARE PATIENT INFORMATION &amp; CONSENT FORM </A>in Word, 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! <BR><BR> <A href="http://www.donself.com/documents/wtm-quest.doc">WELCOME TO MEDICARE PATIENT QUESTIONNAIRE </A>in Word, donated by Charlene Burgett, BS, CMA, CMM, CPC, CCP <BR><BR> <A href="http://www.donself.com/documents/wtm-progress.doc">WELCOME TO MEDICARE PROGRESS NOTE </A>in Word, donated by Charlene Burgett, BS, CMA, CMM, CPC, CCP <BR><BR> <H4><STRONG><BOLD> <P align=left> </A> <A href="http://www.winzip.com/ddchomea.htm">WINZIP DOWNLOAD LINK - FREE WINZIP PROGRAM </A><BR><BR> <A href="http://www.comp.state.nc.us/ncic/pages/all50.htm#al">WORKERS COMP AGENCIES IN ALL 50 STATES </A>This is a link to another website that lists all of the current agencies, shared to us by Charlene Munt. <BR><BR> > <BR><BR><BR><BR></P> <H4 align="center">&nbsp; <H4 align="center"><A href="mailto:donself@donself.com"><IMG height=300 src="http://www.donself.com/images/email-bird.gif" width=100> <FONT color=#ff0000 size=4> EMAIL DON </A> <H4> <CENTER><FONT color=blue>DON SELF &amp; ASSOCIATES, INC. </CENTER><FONT color=black> </H4> <H4> <CENTER><FONT color=blue>305 Senter Avenue, Whitehouse, TX 75791 <BR> 903 372-7529 - fax 480 247-5650 </CENTER><FONT color=black> <BR><BR> <BR><BR><<BR><BR><!-- Start of StatCounter Code --> <SCRIPT language=javascript type=text/javascript> var sc_project=447473; var sc_partition=2; </SCRIPT> <!-- Start of StatCounter Code --> <SCRIPT language=javascript type=text/javascript> var sc_project=447473; var sc_partition=2; </SCRIPT> <SCRIPT language=javascript src="http://www.statcounter.com/counter/counter.js" type=text/javascript></SCRIPT> <NOSCRIPT><A href="http://www.statcounter.com/" target=_blank><IMG alt="free hit counter" src="http://c3.statcounter.com/counter.php?sc_project=447473&amp;java=0" border=0></A> </NOSCRIPT><!-- End of StatCounter Code --><BR> <SCRIPT language=JavaScript> <!-- var SymRealOnLoad; var SymRealOnUnload; function SymOnUnload() { window.open = SymWinOpen; if(SymRealOnUnload != null) SymRealOnUnload(); } function SymOnLoad() { if(SymRealOnLoad != null) SymRealOnLoad(); window.open = SymRealWinOpen; SymRealOnUnload = window.onunload; window.onunload = SymOnUnload; } SymRealOnLoad = window.onload; window.onload = SymOnLoad; //--> </SCRIPT> visits so far <Y></DIV></BODY></HTML>