• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Hpi,ros,exam templates

Create Wiki
O

opiecpc

Networker
Messages
28
Location
Window Rock, AZ
Best answers
0
Our physicians use a template where they circle the elements of a HPI,ROS,and EXAM. More often than not they'll circle everything even though those systems/body areas aren't pertinent to the CC. In this situation would it be correct to count those systems/body areas to arrive at an appropriate E/M level of service? Thank You in advance. In circling,checking off the elements,body systems,etc, is this considered documenting? Thanks
 
Last edited:
Just circling or ...

For HPI: are they just circling Location / Duration / etc?

For ROS: Are they just circling the system or are they checking Yes or No / Postive or Negative?

Are they not writing ANYTHING down?

No - No - No ... I would not give credit if it is as I've described.

Would be helpful if we could actually see what this document looks like.

F Tessa Bartels, CPC, CEMC
 
You must log in or register to reply here.
Top