November 2011 Newsletter

1. SINCE 2003
(502)543-4100
FAX: 877-200-4940
Professional Office Solutions,
TOLL FREE: 877-338-
8800
WWW.PROSOLUTIONS.INFO LLC. Newsletter
V O L U M E 4 , I S S U E 2 N O V E M B E R 2 0 1 1
SPECIAL POINTS
OF INTEREST:
• Closing days for the
“We take the pain out of medical billing.”
holidays
• POS on Facebook!
•More Meaningful
Users!
Congratulations!
Meaningful Use Free Seminar
INSIDE THIS
ISSUE:
ANSI 5010 Testing 2
Professional achieved If you are
Accountable Care 2 Office Solutions, meaningful use interested in
Organizations LLC is going to and received attending this
host a FREE stimulus seminar please
seminar on payments. We want RSVP to
POS Holiday 3 Meaningful Use. to share the TiffanyL@prosolu
Schedule Many physicians information on tions.info. Any
are wanting to what practices of our clients
gather information have to do to who bring or
Advance 3 on converting to receive the refer two or
Beneficiary Notice Electronic Health stimulus money more physicians
Records, but have and effectively or office
many questions use an EHR managers to the
ICD-10 4, about stimulus system. seminar (from
Implementation 5 money, the The seminar non client
government will be held on practices) will
Opportunities For 6 criteria, and Tuesday, March receive $50 off
Our Clients where to start. We 27th 2012 at the there March
What Seminars 7
are hosting a FREE Fern Valley Hotel bill. There is
Are You
seminar to help and Conference limited space.
Attending?
answer these Center at 6:30 In order to
questions. As you pm. There will be reserve your
Congratulations 7 know, several of wine and hor- seat please
Meaningful Users! our clients have dourves served. RSVP.
now successfully
PROFESSIONAL OFFICE SOLUTIONS, LLC.

2. PAGE 2
Accountable Care Organizations (ACO’s)
We all hear a lot of talk about ACO’s, but it seems like
most of us are unsure what exactly ACO’s are or what they
mean for us personally. At a glance, an ACO is a group of
physicians or a group of physicians and hospitals who work
closely together under a contract with Medicare. This group
would be responsible for caring for a minimum of 5,000
Medicare patients assigned to them. The goal of these
ANSI 5010 provider groups would be to achieve certain health standards
TESTING and goals in order to achieve bonus payments for providing
good care and providing it efficiently.
Professional Many people believe that this type of system is the key
to achieving the United States goal of “National Quality
Office Solutions Strategy”. This strategy has three core goals. These goals
began ANSI 5010 are:
testing months
Better Care- Improve the healthcare of patients by healthcare
ago. This will more patient centered, reliable, and safe. How do you do
provide an easy, this? One way is to improve communication between providers.
seamless So, if you work with the same physicians all the time,
transition for both perhaps the lines of communication would be better.
Healthy People and Communities-Improve the nations health by
us and our billing delivering higher quality and practicing interventions to
clients. You will address behavioral, social, and environmental determinants of
not even notice a health.
Affordable Care- Lower the cost of healthcare for everyone
change! including not only patients, but the government and
businesses.
There are many speculations about whether this will ever
actually take off and the federal regulations ever reach a
final decision. Whether or not there is ever federal
regulations in regards to ACO’s one thing is clear. Health
insurance companies and employers are both pushing for a
system where physicians and hospitals are held accountable
for the overall cost and quality of care.
This type of change will mean a change in fee schedules.
Much like we now negotiate fee schedules with insurance
companies, we will have to negotiate pay for certain
standards of care. Furthermore, the way we bill and provide
information will also change because we will have certain
measures required to prove quality care.
As changes continue to occur with the future of ACO’s
Professional Office Solutions will continue to research
and maintain the standards necessary to help your
business continue to prosper and grow. As we learn and
receive information on changes and advances we will be
sure to relay the information to you.
PROFESSIONAL OFFICE SOLUTIONS, LLC.

3. PAGE 3
POS HOLIDAY SCHEDULE
Professional Office Solutions would like to let
you know that our office will be closed on the
following days:
November 25….. Thanksgiving
Welcome New
November 26….Black Friday
Customers!
***Closings are subject to change. There may be Professional Office
more throughout the year as deemed necessary by Solutions would like to
management. *** welcome two of our
newest clients!
2011 Version of Advance Beneficiary Notice of Non- • Judy Carrico Family
coverage Must Be Used Beginning Sunday, Practice
&
January 1, 2012 • Advanced Therapy
Innovations
In May 2011, the Centers for Medicare and Medicaid Services (CMS)
released an updated version of the Advance Beneficiary Notice of Noncoverage
(ABN) (form CMS‐R‐131), which will replace the 2008 version of this form. The
2011 version contains no substantive changes from the 2008 version of the notice
and was approved by the Office of Management and Budget. The 2008 and 2011
ABN notices are identical except that the release date of “3/11” is printed in the
lower left hand corner of the new version. The ABN is used by all providers,
practitioners, and suppliers paid under Medicare Part B, as well as hospice
providers and religious nonmedical healthcare institutions (RNHCIs) paid
exclusively under Part A.
When the 2011 ABN was posted to the CMS Web site on Monday, May 16, All of the staff at
CMS announced a mandatory use date of Thursday, September 1 and permitted
providers and suppliers to begin using the new form immediately. Subsequently, Professional Office
we received requests from the industry to extend this deadline in order to permit Solutions wishes all
providers and suppliers with preprinted stockpiles of ABNs, time to exhaust their
supplies.
of our clients, their
Providers and suppliers are allowed to use either the 2008 or 2011 version staff , and families
of the ABN through the end of this year; beginning Sunday, January 1, 2012, they a happy holiday
must begin using the 2011 version. ABNs issued after Sunday, January 1 that are
prepared using the 2008 version of the notice will be considered invalid by
season!
Medicare contractors. 2008 versions of the ABN that were issued prior to Sunday,
January 1 as long‐term notification for repetitive services delivered for up to one
year will remain effective for the length of time specified on the notice.
Information and a copy of the 2011 version of the ABN (form CMS‐R‐131)
can be found online at http://www.CMS.gov/BNI, under the “FFS Revised ABN”
link.

4. PAGE 4
ICD-10 Implementation
Effective Did you know the US Department of Health and Human Services (HHS) has
January 1st, mandated the replacement of the ICD-9-CM code sets used by medical coders
and billers to report health care diagnoses and procedures with ICD-10 code sets,
Passport effective Oct. 1, 2013. ICD-10 implementation will radically change the way
Advantage is coding is currently done and will require a significant effort to implement.
no longer a Documentation will become critical.
carrier. If your
patients ask The AAPC has found after thousands of ICD-10 assessments, that only 65% of
today’s documentation is ready for the transition. This confirms that one of the
what they need largest problems following the October 1, 2013 implementation date will be
to do, have insufficient documentation to support the specificity required for the new ICD-10
them call CGS code sets. Organizations every where are concerned this has been forgotten
at the among all the other prepar
customer ++ation activities. If the office is fully prepared for ICD-10, but clinical
service phone documentation is not improved, accurate coding and proper payment will not be
number, possible. It is believed a behavioral change in documentation habits for most
providers will be necessary– don’t procrastinate– start preparing now.
866-276-9558.
An ICD-10 Assessment will:
• Validate sufficient ICD-10 documentation
• Identify ICD-10 clinical documentation deficiencies
• Identify ICD-10 training specific to your needs.
• Avoid an increase in denied or unbillable claims.
• Prevent an interruption in revenue.
Here are just a few examples to compare ICD-9 to ICD-10:
ICD-9
Supplemental Classification
V25.01 Contraception, oral
V25.02 Contraception, other (diaphragm, etc.)
V58.31 Dressing, surgical wound
V01.9 Exposure, infectious disease, unspec.
V72.31 Gynecological exam
V06.8 Immunization, combination, other
V04.81 Immunization, influenza
V25.2 Sterilization
V70.0 Well adult check
PROFESSIONAL OFFICE SOLUTIONS, LLC.

5. VOLUME 4, ISSUE 2 PAGE 5
Technical
Support Tips:
ICD 10
Supplemental Classification
Z30.011 Encounter for initial prescription of contraceptive pills
Z30.013 Encounter for initial prescription of injectable contraceptive When logging
Z30.018 Encounter for initial prescription of contraceptives, unspecified out of AMS be
Z48.01 Encounter for change or removal of surgical wound dressing sure to always
Z20.9 Contact with and exposure to unspecified communicable disease
Z01.44 Encounter for gynecological examination (general) (routine) with abnormal push EXIT not
findings just hit the little
Z01.419 Encounter for gynecological examination (general (routine) without ab- X.
normal findings
Z01.42 Encounter for cervical smear to confirm findings of recent normal smear
following initial abnormal smear Every morning
Z23 Encounter for immunization when you log
730.02 Encounter for sterilization into the system
Z00.00 Encounter for general adult medical examination without abnormal find-
ings
make sure you
Z00.01 Encounter for general adult medical examination with abnormal findings. check the date!
Z00.10 Encounter for routine child health examination without abnormal findings Other than dur-
Z00.11 Encounter for routine child health examination with abnormal findings ing month end,
you always want
to select the cor-
rect date to log
in with.
Professional
Office
Solutions will
be at the
LBPayne
Conference for
chiropractors
on January
21st and 22nd.
If any of our
clients are
going to be
attending,
please stop by
our booth!

6. PAGE 6
PROFESSIONAL OFFICE SOLUTIONS
VO L U M E 4 , I S S U E 1
OPPORTUNITIES FOR OUR CLIENTS...
Free Advertising for Your Office!
Out of ideas of how to advertise your practice? We all need new,
creative marketing tools to get our business name out there. For
each quarterly POS newsletter, we reserve two to three spaces for
articles from our clients. This is a great way to advertise your
office for free! Remember to get your article or ad in soon!
This is first come, first serve! The articles we receive first
are put in the newsletters first. We hold other articles for the
next newsletter. If you would like us to use an article about
your office please email Tiffany at tiffanyl@prosolutions.info or
Brittany at brittanyl@prosolutions.info.
Referral Commission
In todays member and are happy write you a check
harsh economy there with our services we for $200. This is
are many people who would like for you our way for POS to
are in need of a to refer your say thank you for
little extra cash! associates to us. sharing your
Did you know When a confidence in our
referring physician refers a services.
Professional Office colleague and they When you make a
Solutions to your sign a billing referral please have
colleagues could contract with us we the physician or
mean added income will give your office manager call
or discounts to office a $500 credit Dan or Teresa Luster
your practice? off your next at (877) 338-8800
Professional Office invoice. If you are and make sure they
Solutions would a staff member and give us your name so
like to thank you refer another that we can thank
for referring your physician or you for the
colleagues to us. practice to us and referral.
If you are a they sign a billing
physician or staff contract we will Teresa Luster, CPC

7. PAGE 7
PROFESSIONAL OFFICE SOLUTIONS
VO L U M E 4 , I S S U E 1
“ W E TA K E T H E P A I N O U T O F M E D I C A L B I L L I N G . ”
Congratulations to Our New “Meaningful Users”
Professional Office Solutions would like to congratulate all of our
clients who have worked hard to prove “Meaningful Use” of an
electronic medical records system. In our previous issue, we
announced that 3 providers had received their stimulus money. We are
proud to say that there are now 5 providers who use Professional
Office Solutions EMR who have received their stimulus money. We have
4 more doctors who have attested, and are currently waiting to also
receive their payments!
If you have not yet started using an EMR system, it is not too late!
Call today for more information on how to get started!
“LIKE US”
Professional Office Solutions created a Facebook page. You can
search for “Professional Office Solutions”, go to our website,
www.prosolutions.info, or go to http://www.facebook.com/pages/
Professional-Office-Solutions/172644952810303 to like us. We update
this page with helpful information for our clients and other
physicians. Find interesting articles relating to the medical
field, find testimonials, leave comments, and learn about changes
happening here!
What Seminars Are You Attending?
If you or your office staff are attending seminars, conferences, or
lectures Professional Office Solutions, LLC wants to know! We send are
billers to conferences to keep up there continuing education units, and we
want to advertise at a few events. If you are planning on attending a
conference and want to share the information about when and where the
conference is please email the information to TiffanyL@prosolutions.info.

8. Professional Office Solutions
5239 Cedar Grove Road #3
Shepherdsville, KY 40165
Professional Office Solutions
NEWS
INSIDE THIS ISSUE:
• Free Meaningful Use Seminar
Also see: Call ASAP to reserve
• FREE Meaningful Use Seminar your spot for March 27th,
• ACOs 2012 at our FREE Mean-
• Implementing ICD-10 ingful Use Seminar! There
• POS on Facebook!
is limited space. RSVP
today!