I have run into a problem with my audits. For the history side of the audit there is: History of Present Illness, Review of Systems, and past, social, and family history. A lot of our patients cannot communicate with the Drs. regarding the ROS and this brings down the level of service they can charge for, due to brain injuries. According to CMS, the ROS is done by asking the patient direct questions. Usually family does not come with these patients. Do you know of any other rules that would apply to these kinds of patients so the docs can get paid for their hard work?