Results 1 to 6 of 6

ROS And Pt not Able?

  1. #1
    Location
    Pottstown/Philadelphia
    Posts
    266
    Question ROS And Pt not Able?
    Exam Training Packages
    I have as a review of systems that due to the patient's mental status ROS could not be obtained. Can this be counted as a complete? And either way, is there a source of documentation on that? I have a dr saying he knows this counts and either way I want to have a place that I can say it is stated clearly. Thanks ahead.

  2. #2
    Location
    Central Pittsburgh
    Posts
    164
    Default
    If you document what you tried to get and why you couldn't get it; you get the credit for it.

    Most often the MD will get something from the chart, floor nurse, office MA, etc. But, when talking with the patient if the MD cannot elicit any further information it is acceptable to mention as indicate above.

    Suzan

  3. Default
    I cannot locate the documentation right this second because I really do not have the time right now. However, I did want to let you know that, yes, full ROS counts if the doctor documents unable due to patient condition, such as altered mental status. I will provide you with documentation when I get the time to find it for you.

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    "If the physician is unable to obtain a history from the patient or other source, the record should describe the patient's condition or other circumstance which precludes obtaining a history."


    http://www.cms.hhs.gov/MLNProducts/D...ds/MASTER1.pdf

    If the provider made every attempt to provide a ROS from lets say...family, EMT, caregiver, previous records, etc....and documents thoroughly why the information is unobtainable...intubated, unconscious, severly demetia, etc...I would allow credit.

  5. #5
    Location
    Pottstown/Philadelphia
    Posts
    266
    Default
    Thank you sooooo much! I really appreciate the fast response. Also, whenever you get the source for that please just post or message me. Thank you again, Jennifer

    Oh, i posted same time as the previous message. Thank you sooo much for posting that source!

  6. #6
    Location
    Milwaukee WI
    Posts
    4,466
    Default 99499 Unlisted E/M
    Okay - don't shoot the messenger ...

    I was at a coding symposium devoted to E/M last month. Our Medicare rep (WPS in WIsconsin) stated that NO credit would be given for "unable to obtain ROS / PFSH," regardless of the reason for not being able to get it.

    Rather, WPS would expect to see this coded as 99499 with documentation provided. You would price equivalent to the E/M level you WOULD have coded had you been able to obtain the ROS/PFSH.

    Remember ... don't shoot the messenger. I strongly disagree with his position, but he said it multiple times. (Boy, am I glad I'm in pediatrics!)

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Ros
    By valerie2424 in forum E/M
    Replies: 0
    Last Post: 04-08-2015, 08:45 AM
  2. Ros
    By selsal in forum E/M
    Replies: 1
    Last Post: 09-07-2011, 01:09 PM
  3. Ros?
    By ktden in forum E/M
    Replies: 1
    Last Post: 12-03-2009, 08:54 AM
  4. ROS: see ROS from (other document)
    By renifejn in forum E/M
    Replies: 3
    Last Post: 07-13-2009, 04:59 PM
  5. ROS Help!! What is proper language for ROS?
    By jvalntine in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-10-2009, 07:07 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.