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unhappy with book

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advance11:
I talked the chiro that I work for into buying your billing book, and am very disappointed with it.  I thought you would have specific billing guidelines for Chiropractors, but the info is all general in nature, and I find myself having to plow through the message boards for specific answers, such as WHY and HOW diagnoses are put in a particular order and WHEN to use the modifiers.  What forms EXACTLY are required for Medicare, and ALL of the implications of being in and out of Network. 
I suppose a refund is out of the question, but can you address the above issues in one spot, please?

PMRNC:
Seems to me that's all anyone could offer with a book on Practice Management for any specialty. With each carrier and each state they are going to have various differences.
Also if you are buying a book and hoping it would answer all your questions or teach you how to bill for any specialty you will be very disappointed no matter how good the book is. Books are a general guideline as they should be. I have not seen the book you are referencing but I have some idea with how people perceive to expect a lot from a book or a reference.
In addition to the book you want to get some knowledge of your state's Medicare carrier and other state rules/regulations.

Pay_My_Claims:
Well Linda I can understand where the poster is coming from. I purchased my first book on medical billing, and it was for someone who NEVER did billing before. It was about insurance, what a supebill was etc. I do agree that you can't approach a specialty billing book to include all scenarios, but the one that will be equal in all instances as it relates to Medicare. If I wrote a book on DME billing I can include how to deal with a denial when a client is SNF. (when the client is no longer snf, you can extend the CMN to add the rental months). I don't want a book that basically list everything off the DMERC website. It appears that what he is complaining about is that its not specific to Chiropractic billing. It may be too general. I have never billed for a Chiropractic service, but being an experienced biller, I feel that I could pick it up. If I purchase a book to learn how to bill for a Chiropractic office, I want it to list the most common used codes, modifiers, the most common mistakes, talk about any codes that are bundled together. What the Medicare rules are for visits. What Medicare pays for and what it doesn't. What dx create red flags, what are the most common dx. What dx associated with what cpt will create a denial. If anyone has a book like that........email me, I'm ready to purchase!!

Michele:
I was holding off on answering this post for a lot of reasons.  First of all, the book she is referring to in mine.  I am completely open to criticism, but I guess I was a little put out at how she decided to express the criticism.  The book was written for someone who was new to chiropractic billing and wanted to understand the basics.  I think that one of the complaints is that we didn't explain why Medicare has certain diagnoses that have to be in a certain order

Quote "specific answers, such as WHY and HOW diagnoses are put in a particular order"

Well, if any of us understood why Medicare does any of what they do we would blow the lid of the billing industry.  In the book we explain WHAT (not WHY) diagnoses are accepted by Medicare as primary, what diagnoses are accepted by Medicare as secondary, and how many visits Medicare will allow with those diagnoses.  We also explain what modifiers would be appropriate for Medicare, and other commercial carriers.  We also address that Medicare requires providers to file claims electronically unless they apply for a waiver.  We also do explain that paper claims are filed on CMS 1500 forms, with the exception of workers' comp, which are filed on workers' comp forms that vary by each state.  We do not include a form for each state in the book.

What I really feel the poster needs based on the complaints is more of a course in billing, which I agree the book is NOT.  But I don't market it as such either. 

We sell many books, and this one in particular is one of our better sellers.  We have received many responses saying how helpful the book was.  We have not received any negatives until now.

I was going to delete the post, but decided I would prefer that everyone could see that we truly don't hide things, and we are just out to try to help everyone succeed. 

As far as a refund, that might not have been out of the question if the poster had contacted us to explain that the book was not what she expected or needed.

I would just like to note that this poster also had posted a thread on her employer that she asked me to remove shortly after, which I did.  I think that she may type before she thinks things through thoroughly. 

Quote:  "I suppose a refund is out of the question, but can you address the above issues in one spot, please?"


I think that what the poster is truly looking for doesn't exist.  If there were one spot that we could go to and get answers to all of our questions, we certainly wouldn't be doing this.

Michele

Michele:
Actually, Charlene, that is one of the main reasons we started writing books.  Many of the ones we encountered were also written by people not in (and never been in) the medical billing field.  It was very frustrating.

Michele

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