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Ros Noncontributory

  1. #1
    Default Ros Noncontributory
    Medical Coding Books
    If clinician writes, "ROS NONCONTRIBUTORY", when determining an EM for visit, what level of visit would that satisfy the documentation of ROS for? Problem focused, expanded problem focused, detailed or comprehensive?

  2. #2
    Location
    Kansas City, MO
    Posts
    751
    Default
    The E/M Guidelines state

    "The patient's positive responses and pertinent negatives for the system
    related to the problem should be documented."

    The statement "ROS NONCONTRIBUTORY" does not fulfill the above requirements. Most auditors that I have poled on this issue will only count as 1 (problem pertinent) and some will allow none at all.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  3. #3
    Default
    Quote Originally Posted by heatherwinters View Post
    If clinician writes, "ROS NONCONTRIBUTORY", when determining an EM for visit, what level of visit would that satisfy the documentation of ROS for? Problem focused, expanded problem focused, detailed or comprehensive?
    Why would ROs be noncontributory, what was the pt being seen for, it almost seems impossible but I guess it could happen.

    Roxanne Thames, CPC

  4. #4
    Location
    Greeley, Colorado
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    2,045
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    As an auditor I would count this as no more than one for ROS.

  5. Default
    If the physician is reviewing all systems and they are negative, then more appropriate language would be " all systems reveiwed and negative" than noncontributory. Hope this helps

  6. #6
    Location
    Greeley, Colorado
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    If are going to go with a blanket statement, it would be more appropriate to indicate one or two systems and then state "all other systems were reviewed and are negative". Stating "all systems reviewed and negative" doesn't really tell us how many systems were reviewed. Is it literally ALL systems, or does all mean all the systems that the provider reviewed? (could be that only 4 systems were reviewed and were negative).

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