Yarbs
Networker
Hello,
The following questions were posed by one of my clients - does anyone have the answer? My first instinct is to give the 10 pt ROS, as one would do for someone who is untubated or comatose. Also, for past medical history - would you give the pre-natal details or affirm that the child was just - born!
Many thanks -
1. With a newborn (age 28 days or less), what is required for documentation of the review of systems (ROS)?
2. More specifically for a high level admission (99223), does the MD need to document negatives and pertinent positives for 10 of 14 systems in a newborn?
3. If a re-admission is done, say, the kid goes home for 10 days then needs to be readmitted, does a new ROS need to be done or can they refer to the previous ROS and note any interval changes?
The following questions were posed by one of my clients - does anyone have the answer? My first instinct is to give the 10 pt ROS, as one would do for someone who is untubated or comatose. Also, for past medical history - would you give the pre-natal details or affirm that the child was just - born!
Many thanks -
1. With a newborn (age 28 days or less), what is required for documentation of the review of systems (ROS)?
2. More specifically for a high level admission (99223), does the MD need to document negatives and pertinent positives for 10 of 14 systems in a newborn?
3. If a re-admission is done, say, the kid goes home for 10 days then needs to be readmitted, does a new ROS need to be done or can they refer to the previous ROS and note any interval changes?