Wiki No ROS on a new patient

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There's no ROS at ALL?
Are there any allergies listed? You can use that for the allergic/immunologic system, at least thats 1. I try not to do this but use it in a situation like this.

Otherwise, I would credit it as the lowest level and educate the provider of the importance of this documentation requirement.
 
No ROS for New Patient

Another idea would be to use any extra associated signs and symptoms (if present) in the appropriate ROS category.

Otherwise, I would bill 99201 and begin to include an ROS review sheet in each chart (or in the pre-visit packet sent to the patient) for completion by patient, family or another healthcare team member. The physician must review this at each visit and update accordingly.

Good Luck!

Sally
 
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