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Thread: ROS Auditing

  1. #1
    Join Date
    Apr 2007

    Default ROS Auditing

    AAPC: Back to School
    When auditing Review of Systems in a note, can you count the documentation in the Past History toward that? For Example:

    Past History
    Gall Stones

    Tiffany Fischer, CPC, CEMC

  2. #2


    I would have to say no, this is clearly History. It cannot be counted in both ROS and History.

  3. #3


    My understanding is that you need to list in note something like " pt history cholecystectomy, gallstones, then it can be used as criteria for office visit medical decision making. My suggestion would be to indicate it under speicfic body system within ROS.

  4. #4
    Join Date
    Apr 2007


    No, this is not a review of system, this is just past history. Review of system is what is currently going on.

    You could have a ROS that looks like "patient no longer has periods due to a hysterectomy" but again the hysterectomy is going to be past history history and the lack of periods is the ROS.

    Hope this helps,

    Laura, CPC, CEMC

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