Results 1 to 5 of 5

Need Cc/HPI/Ros help please

  1. #1
    Location
    Phoenix, AZ
    Posts
    620
    Default Need Cc/HPI/Ros help please
    Medical Coding Books
    Please help with a "discussion" we are having in our office. If a patient is seen in a single encounter for cc: chest pain. Then the HPI states patient seen today for chest pain and intermittent shortness of breath. Is it possible to use the chest pain and shortness of breath as the ROS as well?

    Thanks,
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  2. Default
    Quote Originally Posted by Cyndi113 View Post
    Please help with a "discussion" we are having in our office. If a patient is seen in a single encounter for cc: chest pain. Then the HPI states patient seen today for chest pain and intermittent shortness of breath. Is it possible to use the chest pain and shortness of breath as the ROS as well?

    Thanks,
    Dependant on your Medicare Intermediary, mine is Noridian, and according to them that is considered double dipping and it cannot count in both places...

    Anyone else?

  3. #3
    Default
    Quote Originally Posted by Cyndi113 View Post
    Please help with a "discussion" we are having in our office. If a patient is seen in a single encounter for cc: chest pain. Then the HPI states patient seen today for chest pain and intermittent shortness of breath. Is it possible to use the chest pain and shortness of breath as the ROS as well?

    Thanks,
    Chest pain = HPI Location
    I'd use the second chest pain (It's listed twice, right?), as ROS, and SOB as HPI - Associated Signs/Sx. It doesn't matter whether you use it as HPI or ROS. No matter how you count it, you don't get more than an EPF history. Count the ROS somewhere so that you can at least get that much. Hope that helps!

  4. #4
    Location
    Ellenville, New York
    Posts
    1,176
    Default Along with Signs/Sx...
    I would also use the SOB in HPI as "intermittent" can also fall under timing.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  5. #5
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Thanks, Ladies!
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

Similar Threads

  1. Help with HPI and ROS
    By ckelder in forum E/M
    Replies: 1
    Last Post: 07-24-2012, 09:20 PM
  2. I see 4 hpi's and 1 ros on this new pt
    By anggand@aol.com in forum E/M
    Replies: 1
    Last Post: 10-20-2011, 02:53 PM
  3. how many hpi's and ros?
    By anggand@aol.com in forum E/M
    Replies: 1
    Last Post: 10-20-2011, 02:52 PM
  4. I see 4 hpi's and 1 ros on this new pt?
    By anggand@aol.com in forum E/M
    Replies: 4
    Last Post: 10-18-2011, 12:16 PM
  5. ROS vs HPI
    By Ann in forum E/M
    Replies: 7
    Last Post: 08-15-2011, 01:07 PM

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.