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.