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Thread: Er 99281/no ros done

  1. #11
    Join Date
    Apr 2007
    Daytona Beach, FL


    AAPC: Back to School
    According to Highmark Medicare services elements from the HPI can be used to in the ROS. Under their frequently asked questions they state the following:

    When scoring the review of systems (ROS), can you use the systems addressed in the history of present illness (HPI) elements or is that "double dipping"?

    ROS inquiries are questions concerning the system(s) directly related to the problem(s) identified in the HPI. Therefore, it is not considered "double dipping" to use the system(s) addressed in the HPI for ROS credit.

    Date Posted: 10/16/2009, Date Revised: 08/30/2010

    Also, in regards to using the nurse's documentation for the ROS - yes that can be used as long as the doctor has documented that he has reviewed the information and where the information is located in the chart. Medicare allows the PFSH and the ROS to be documented by ancillary staff or by the use of forms completed by the patient, but this information has to be sent with the notes if the chart is being audited.

    Hope this helps.

    Last edited by jdibble; 12-15-2010 at 07:35 AM.
    Jodi Dibble, CPC

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