Here's the best explanation I could find on the difference between ROS and PE...I know you said you've given him info previously, but possibly try once more?No, these are new In Patient Hospital Visits. His documentation is all over the place and sometimes he doesn't list the ROS. Due to the 3/3 rule, we can't credit him for a New Visit and have to downcode to subsequent. However, he states the ROS is within the body of the Physicial Exam (it isn't_). Even if it was, "double dipping" is not allowed in any of the E/M components. We have even provided documentation from CPT book, Wikipedia and and info from a E/M seminar we attended given the definition of "ROS".
I'm at a loss of what else to do.