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ED Coding and Reimbursement Alert

Track ROS to Nail E/M Levels

Published on Fri Mar 27, 2009

Multi-system reviews must exceed exam elements in HPI. If you choose the wrong review of systems (ROS) level when your ED physician performs an E/M, you risk miscoding the E/M, opening the practice up to lost revenue or audit concerns. Use System List When Compiling ROS During the ROS, the provider "asks the patient questions about symptoms he may be experiencing. It's part of the history, done to make sure nothing important has been missed," explains Robert LaFleur, MD, FACEP, of Medical Management Specialists in Grand Rapids, Mich. Providers perform ROS to focus treatment options and rule out any potential problems that they did not spot in the history of present illness (HPI) portion of the exam. In short: During the ROS, the physician is trying to "learn as much as possible about what other problems a patient has that might affect how he will treat the patient," says Catherine [...]
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