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Thread: Credit for PFSH

  1. #1

    Default Credit for PFSH

    AAPC: Back to School
    The E/M Guidelines state that if the ROS and/or PFSH is recorded by the ancillary staff or on a form by the patient, the provider must put a notation in the chart that he/she has reviewed this information. Am I correct in assuming that in the absence of the notation, the provider can't be given credit for the PFSH and/or ROS? I would say yes but I'm curious what others think.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  2. #2


    I would have to agree with you. it goes back to that old standby of "if it's not documented, it's not done."

  3. #3


    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

  4. #4
    Join Date
    Apr 2007


    I agree, they have to indicate where the info can be found and that they reviewed it.

    Laura, CPC, CEMC

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