I recently attended a CMS seminar and they mentioned that they are considering doing away with the phrase "all others negative" in the ROS part of the history. (They are warning us now so we can prepare our providers.) According to the speaker it sounds as if the statement "all others negative" may not be accepted in the future but the providers can still perform the ROS and mention positive and NEGATIVE results and obtain a complete ROS. (I was under the impression by the speakers comments that there may be some doubt that the providers are truly reviewing all the systems in the ROS when they state "all others negative".) Just my thoughts.
As far as how we try and educate our providers - we ask them to document the findings pertinent to why the pt. is being seen and if the medical necessity is there then it would be appropriate to review the "other" systems and indicate the positive, negative responses.