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Thread: Hpi & ros

  1. #1
    Join Date
    Apr 2007

    Default Hpi & ros

    AAPC: Back to School
    Just covering myself when I go to the physician. For a complete ROS in the HPI you need at least 10 systems reviewed and not 10 positive and/or negative responses in less than 10 of the systems reviewed.

  2. #2


    HPI, ROS and PFSH all make up the History component of the E&M along with exam and MDM

    Guidelines for ROS state 10 ROS must be documented to meet a Complete ROS. For an Extended ROS, 2-9 systems must be reviewed

    And the review must be made of each individiual system. If found normal the physician can document "negative" or "none noted" etc

    If the system idenitifies a problem, then the physician must document detail of the identified problem. In other, words he can not document Respiratory-abnormal he must document what the abnormal finding or problem is such as Respiratory- congested cough

    Also, check your Medicare payer (FI) and see what their guidelines are regarding the "all others found negative" statement. There are different views on this between payers
    Last edited by sbicknell; 06-04-2010 at 10:40 AM.

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