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Counting ROS

  1. Default Counting ROS
    Exam Training Packages
    I have heard in the past that when a patient is unable to answer any questions pertaining to the ROS (ie:language barrier, mental status change, untubated), it is acceptable to count this as a complete ROS.
    thought?

  2. #2
    Default
    That is correct but the doctor has to document in his notes why he/she was unable to obtain the ROS. Hope this helps!
    Susie Corrado, CPC
    __________________
    ENT Coding/Billing

  3. #3
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    Milwaukee WI
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    Default Depends on the payer
    Please check with your payer ... not all of them allow full credit for a complete ROS and PFSH when the patient in unable to provide it due to condition (intubated, infant, dementia, language, etc)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Smile
    Quote Originally Posted by FTessaBartels View Post
    Please check with your payer ... not all of them allow full credit for a complete ROS and PFSH when the patient in unable to provide it due to condition (intubated, infant, dementia, language, etc)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Great advice Tessa!
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  5. #5
    Default
    I definitely recommend, as stated above, checking with your carrier. WPS, for instance, was specifically asked about this recently, and their position is that they don't automatically default the ROS level one way or the other.

    Trying to explain this to my providers who've been told by ill-informed coders elsewhere that it does default to comprehensive ROS was not fun.

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