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No ROS on a new patient

  1. #1
    Location
    Kachina Coders
    Posts
    53
    Default No ROS on a new patient
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    Can you give me any feedback on this situation?
    Cynthia
    Mesa, AZ
    CPC

  2. #2
    Default
    There's no ROS at ALL?
    Are there any allergies listed? You can use that for the allergic/immunologic system, at least thats 1. I try not to do this but use it in a situation like this.

    Otherwise, I would credit it as the lowest level and educate the provider of the importance of this documentation requirement.

  3. Default No ROS for New Patient
    Another idea would be to use any extra associated signs and symptoms (if present) in the appropriate ROS category.

    Otherwise, I would bill 99201 and begin to include an ROS review sheet in each chart (or in the pre-visit packet sent to the patient) for completion by patient, family or another healthcare team member. The physician must review this at each visit and update accordingly.

    Good Luck!

    Sally

  4. #4
    Location
    Kachina Coders
    Posts
    53
    Smile
    thank you for all your help
    Cynthia
    Mesa, AZ
    CPC

  5. #5
    Default No ROS on a new patient
    You can use the information in the HPI for ROS

  6. #6
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Quote Originally Posted by debsimnz View Post
    You can use the information in the HPI for ROS
    As long as you don't "double dip".
    Lisa Bledsoe, CPC, CPMA

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