Wiki ROS Question

[KaylaRieken]

I have a patient that was last seen in 2012. Patient was just recently seen and is considered a new patient now. In the ROS it states: Reviewed from 2012 and the pt reports no significant changes.

Would this be considered a complete ROS since the 2012 one was?

 

[cdeak01]

ROS question

here is what CMS states from the Evaluation and Management Services Guide:
™
You do not need to re-record a ROS and/or a PFSH obtained during an earlier
encounter if there is evidence that the physician reviewed and updated the previous
information. This may occur when a physician updates his or her own record or in an
institutional setting or group practice where many physicians use a common record.
You may document the review and update by:
• Describing any new ROS and/or PFSH information or noting there is no change
in the information
• Noting the date and location of the earlier ROS and/or PFSH