Wiki Counting ROS

denbed

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I have heard in the past that when a patient is unable to answer any questions pertaining to the ROS (ie:language barrier, mental status change, untubated), it is acceptable to count this as a complete ROS.
thought?
 
Depends on the payer

Please check with your payer ... not all of them allow full credit for a complete ROS and PFSH when the patient in unable to provide it due to condition (intubated, infant, dementia, language, etc)

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
Please check with your payer ... not all of them allow full credit for a complete ROS and PFSH when the patient in unable to provide it due to condition (intubated, infant, dementia, language, etc)

Hope that helps.

F Tessa Bartels, CPC, CEMC

Great advice Tessa! :)
 
I definitely recommend, as stated above, checking with your carrier. WPS, for instance, was specifically asked about this recently, and their position is that they don't automatically default the ROS level one way or the other.

Trying to explain this to my providers who've been told by ill-informed coders elsewhere that it does default to comprehensive ROS was not fun.
 
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