• 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 Review of Systems - found unremarkable

Create Wiki
Gemini18

Gemini18

Expert
Messages
324
Location
NYMAC, GMAC
Best answers
0
Has anyone ever come across this statement before, regarding the ROS?

"Checked completely and was found unremarkable. The patient does not have any birthmarks, body itching, shortness of breath or difficulty swallowing".

What do you make of this?
 
Unless there is a form that the doctor signed off on with all the systems reviewed, I would not count the "Checked completely" statment at all. I have never seen a statement quite like that myself.

I would only give credit for skin, respiratory, and GI.

Laura, CPC
 
Skin, Respiratory, GI

I agree with Laura ... would only give credit for the systems that are specifically documented (UNLESS, there is a complete questionaire that is signed and dated by the physician)

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