his is the January 2019 PDF version of the book that allows you to copy/paste the letters contained in it.   This is not the printed edition - but it has everything in it the printed one has - but in PDF form so you do not have to wait.  You can get this today or tomorrow!

Almost every medical office, clinic, hospital and medical provider are being lied to and stolen from, every single day by insurance companies, without the medical provider even KNOWING they are being lied to.  This book will explain the secrets of using ERISA to stop commercial carriers from improperly denying claims, successfully demanding refunds or even recouping on claims from physicians, hospitals and clinics.     It will give the physician, hospital and clinic the tools they need to stop the down-coding that takes place every single day by commercial insurance carriers - again - without the clinic even knowing they were down-coded.    It's true!  

Look at the last EOB you received from a commercial carrier.  Notice that the CPT code has been replaced with the word "VISIT".   You do not know what code they downcoded to or paid.  This book will help you.    It will also help you stop improper bundling by carriers and more. 

Stop the insurance carriers from stealing from you and from the patient by KNOWING what the rules are.   You do not have to let them take money back from you as it's not their money, as explained in this book with quotes from the U.S. Supreme Court on this very issue.    You do not have to let them downcode you.   You do not have to let them improperly bundle services.   You do not have to accept their denial based on medical necessity determiend by a nurse when your doctor says it's necessary.  You do not have to let them deny because of "timely filing" simply because you were unaware that the patient's policy is the ONLY thing that dictates the filing period.    This book will probably help the typical one doctor medical practice by thousands per year while hospitals will undoubtably save hundreds of thousands per year.



  •           Investigational ABD
  •          Threatened Recoupment  (stop the recoupment!)
  •          Previously Recouped (get them to refund it back to you again!)
  •          Timely Filing ABD
  •          Improper Bundling ABD
  •          Down-Coded Claim ABD
  •          Medical Necessity ABD


This book will probably help the typical one doctor medical practice by thousands per year while hospitals will undoubtably save hundreds of thousands per year. 



"I think it was awesome and the way you presented it was far easier than any other publication on ERISA. There was no legal mumbo-Jumbo and I really think anyone listening was completely educated!!"     Linda Walker

"Don's info on ERISA was excellent. It provided me with those 'AH HA" moments we all look for to increase our revenue"  Lynn Meadows, Advanced Surgical Associates, Mesa, AZ

 "This  is very straight forward and easy to understand.  I also love your book on ERISA and office management".  Cindy Rush, Southern Family Medicine, Claxton, GA

"It is very advantageous information for anyone in the healthcare billing field".   Heidi Cornelius, Mobile Physician Services, New Port Richey, FL

"If you do not have ERISA tools in your denials toolbox, you are walking around with an empty toolbox and are unable to optimize the compliant income your providers worked for and should be paid for."  Barbara Cobuzzi, CPC, CRN Healthcare,  Tinton Falls, NJ
"Very informative and at times very amusing. Tons of useful information."  Rhonda Barrett,  Wyoming Neurological Assoc., Casper, WY



"Most clinics are certainly misinformed about ERISA and would benefit tremendously from watching this webinar."  Carrie Pruitt, The FIRM,  Hunt, TX

"Not one person I have talked to has ever heard of ERISA... including myself and a coworker who has been in medical billing for 25 years!  This was great!"   Ashley Sewald,  Wyoming Neurological Assoc.,   Casper, WY


"If you bill insurance, you need to know about ERISA. Don't just give your money away!"  Linda Vargas,  University Physicians Assoc. Kansas City, KS


"How appropriate to end the day with notification from a major insurance company that an appeal previously denied for timely (due to the 90 day payer contract) was successful! I had taken a break from off-work hours to organize some of my ERISA materials and decided to post some payments when lo and behold....there was the prize!!!   It was only a little over a month ago when I solicitied some help and advice from Don in pursuit of following the procedures outlined in Don's ERISA book. Prior attempts the "conventional" ways had failed and without the ERISA knowledge the claim would have been written off.  
Thanks to Don and everyone for their help. I listened, and learned and and hopefully will have increased my value as an employee!
---Suzanne “


Just wanted to give a BIG shout out to Don and staff on the ERISA Webinar earlier today! I have gained profound valuable knowledge that I feel no doubt will increase our physicians revenue. The cost of the webinar will be paid for in full and then some I'm sure on the first case we apply your teachings to.    Lisa Rodriguez, CPODC      Billing Manager       Fortville, IN  




The 296 page professional pdf book covering management, reimbursement, billing, coding, collections, MACRA, evaluation and management documentation, Electronic Medical Records, remote patient monitoring, cognitive assessments, setting fees, consultations, billing for pre-operative physicals, choosing ICD-10, popular modifiers and more.     On top of everything else, the 2019 version includes information on why Medicare patients are the MOST PROFITABLE of all patients for primary care offices and information on Don's Coding Advisor portal that we spent 4 years creating (it eliminates the need for you to ever buy another CPT, ICD-9 or ICD-10 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, Self-Pay Agreement, Double Booking – Double Trouble, Reporting Office And Insurance Theft & Fraud, Choosing The Medical Office Manager, HIPAA – Not HIPPA, Breach of PHI, Patient Sign In Forms, E&M DOCUMENTATION PRINCIPLES,  Medicare Documentation Pointers,  E&M Chief Complaint, 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-10 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.


Quotes about the book include:  " 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


"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" - - Terry Fletcher, BS, CPC, CCS-P, CCS, CMSCS, CCC, CEMC, CMC - - CEO/President Terry Fletcher Consulting, Inc.


"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)


“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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