1formissy
Guru
Recently, a fellow colleague and myself were having a discussion regarding the Allergy section of the ROS.
We had a record where the provider reported the patient has a allergy to a medication causing facial swelling.
I took that as part of the MDM (Under Medication Management). I did not count it as a ROS because my understanding of the allergy ROS is pertaining to hay fever, pollen, ect.
I know the E/M guidelines front to back, but there is some grey between myself and my colleague. Since we audit for a payer, I want to make sure we are consistent on our decision making on these types of claims.
Any input would be most helpful.
We had a record where the provider reported the patient has a allergy to a medication causing facial swelling.
I took that as part of the MDM (Under Medication Management). I did not count it as a ROS because my understanding of the allergy ROS is pertaining to hay fever, pollen, ect.
I know the E/M guidelines front to back, but there is some grey between myself and my colleague. Since we audit for a payer, I want to make sure we are consistent on our decision making on these types of claims.
Any input would be most helpful.