Results 1 to 2 of 2

Review of PFSH/ROS

  1. Default Review of PFSH/ROS
    Medical Coding Books
    Good afternoon forum,

    I had a question regarding reference of a previously documented ROS/PFSH in a shared inpatient chart. For example, the provider uses a consultation template that at the top says:

    Review : H&P Notes Subsequent Notes Nursing Flowsheets

    Since this is electronic documentation, they check a box.

    The provider may or may not add additional ROS or PFSH themselves.

    Would this be sufficient documentation to be able to utilize the ROS or PFSH in the H&P admission note or other notes checked off?

    As coders we are not to assume, and based on the documentation guidelines by CMS, I believe more documentation specifically stating review and updates is needed.

    Any opinions would be greatly appreciated!


  2. Default
    Even though in EMR if box is checked for ROS and PFSH, there should be documentation as to how many ROS and PFSH were reviewed.
    Or at least notation stating - As per previous report all the ROS were reviewed and all were negative.


Similar Threads

  1. Use of Allergy as PFSH or ROS
    By linc11 in forum E/M
    Replies: 4
    Last Post: 05-27-2016, 12:47 PM
  2. ROS/PFSH question
    By AmandaW in forum E/M
    Replies: 4
    Last Post: 06-25-2014, 07:09 AM
  3. ROS and PFSH reviewed
    By wahmcoder in forum E/M
    Replies: 2
    Last Post: 12-21-2009, 11:44 AM
  4. Provider review of ROS and PFSH
    By dballard2004 in forum E/M
    Replies: 2
    Last Post: 07-01-2009, 12:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.