ED Coding and Reimbursement Alert

CPT or CMS? Be sure you know whose ROS rules private payers follow. A lack of E/M coding smarts can cost your ED when it comes to determining review of systems (ROS) levels. In some instances, it can make all the difference when choosing an ED E/M service. Got your sights set on precision ROS selection skills? Check out this FAQ to master all three ROS levels and become an ROS coding sure shot.. What Is ROS? ROS is part of the history component of an E/M service. During ROS, the physician might review "systems directly related to the problem or problems identified in the HPI and a limited number of additional systems," explains Judy Newberry, LPN, CPC, CCS-P, medical coding director for Insurance-Data Services in Wyoming, Mich. Example: A patient reports to the ED complaining of a headache. The physician asks the patient how long the headache has lasted, [...]