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Question re: ROS

  1. #1
    Phoenix, AZ
    Default Question re: ROS
    Medical Coding Books
    I'm attempting to get a complete ROS. However, my MD is not cooperating. This patient is post grand mal seizure and post-extubation before my MD completed a consult. His ROS is as follows: He and young lady at bedside deny any other serious illnesses. Ten-system review is unremarkable.

    My inclination is not to give him credit for a complete ROS. I'm trying to get him to be more consistent with his ROS. Am I being to strict with him? He did a lot of work with this patient and I really want to give him credit for the consult.

    HELP, please...? Thanks so much,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  2. #2
    Milwaukee WI
    Default There are 14 systems
    There are 14 systems ... saying "ten system review unremarkable" doesn't get ANY ROS points in my book because I have no idea WHICH 10 systems are reviewed.

    He should list pertinent positives and negatives, and (depending on the state you are in and whether this is a Medicare/Medicaid patiient) "all other systems reviewed and negative" if he wants to get full credit for a complete ROS.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Phoenix, AZ
    I was hoping you would answer!! Thank you!! Yes, it helps!

    THANKS again,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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