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ROS and "noncontributory"verbage

  1. #1
    Default ROS and "noncontributory"verbage
    Medical Coding Books
    Can I count the ROS as complete when provider lists the positive findings on some systems and then says oll others noncontributory? Can anyone provide documentation of this?

  2. #2
    Location
    Modesto, CA; Central Valley Chapter
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    Here is the documentation from the 1997 documentation guidelines on ROS:

    A complete ROS inquires about the system(s) directly related to the
    problem(s) identified in the HPI plus all additional body systems.
    !DG: At least ten organ systems must be reviewed. Those systems with
    positive or pertinent negative responses must be individually
    documented. For the remaining systems, a notation indicating all other
    systems are negative is permissible.


    Hope this helps!

    Tina

    Quote Originally Posted by 1073358 View Post
    Can I count the ROS as complete when provider lists the positive findings on some systems and then says oll others noncontributory? Can anyone provide documentation of this?

  3. #3
    Default ?
    Is all other systmes negative the same as noncontributory?

  4. #4
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    That's a good question......I have heard that the statement noncontibutory is not recognized by CMS; but I do not have any documentation to back that up. Maybe it's best to educate physicians to state all other systems negative.

    Wish I could be more help!
    tina

    Quote Originally Posted by 1073358 View Post
    Is all other systmes negative the same as noncontributory?

  5. #5
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    I searched some other forums and found a post by a man who is and has been a consultant for many years and answered the same question you asked.

    He basically stated that the statement 'ROS noncontributory can mean it is obvious that these systems would not apply to this problem so I did not ask. Or it could mean I asked but = they were negative.

    And that since the Guidelines state that one can make a notation that all others are negative. That you should not use the statement noncontributory.

    Hope this helps
    Tina

  6. #6
    Default
    I know trailblazers does not allow "noncontributory" for ROS or p/f/s history, stating it is too vague of a term. this was published in their june 1, 2005 part b newsletter under FAQ's. i would recommend s/he state all other systems negative. For p/f/s history, i advise them if they HAVE to use it, i would use "reviewed but noncontributory" which shows that you did attempt to get the information. However, i also advised them if they were ever officially audited, i do not know if it would be accepted, so they know its a risk. HTH!
    Dawnelle Beall, CPC, CPMA, CPC-I
    Licensed AAPC PMCC Instructor
    AAPC ICD-10CM Certified Trainer
    Previous AAPC Local Chapter President & VP

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