I am the Medical Director of a surgical group practice. We recently started using a new auditor for our medical records. The new auditors keep excluding our Review of Systems as invalid because they might not exactly match the rest of the medical record. I have argued that the review of systems is noted as done and often detailed, but they argue that it must match perfectly with the rest of the record or it is invalid and they will not count it on the check off audit sheet as done. For example, if someone is in for a chief complaint of ingrown nail but on the ROS sheet they do not circle "foot pain" and this section is marked as normal or all denied, then the ROS is invalid as it is not complete. This sounds too nit picky to me. Has anyone every heard or see this in a insurance company or Medicare audit where the ROS was not counted as done because it was not exactly correct? Do any of you agree that the auditors should be excluding the ROS as done because it is not perfect??