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Review of Systems - found unremarkable

  1. #1
    Question Review of Systems - found unremarkable
    Exam Training Packages
    Has anyone ever come across this statement before, regarding the ROS?

    "Checked completely and was found unremarkable. The patient does not have any birthmarks, body itching, shortness of breath or difficulty swallowing".

    What do you make of this?

  2. #2
    Default
    Unless there is a form that the doctor signed off on with all the systems reviewed, I would not count the "Checked completely" statment at all. I have never seen a statement quite like that myself.

    I would only give credit for skin, respiratory, and GI.

    Laura, CPC

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Skin, Respiratory, GI
    I agree with Laura ... would only give credit for the systems that are specifically documented (UNLESS, there is a complete questionaire that is signed and dated by the physician)

    F Tessa Bartels, CPC, CEMC

  4. #4
    Default
    Thanks Laura and Tessa

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