You are on the right path...If my physicians choose to document this way, then I always refer to this section of the "DG's". I've taken a few, scrubbed, examples to E/M workshops and the Medicare guru's state we are in compliance.
DG: A ROS and/or a PFSH obtained during an earlier encounter does not
need to be re-recorded if there is evidence that the physician reviewed
and updated the previous information. This may occur when a
physician updates his or her own record or in an institutional setting or
group practice where many physicians use a common record. The
review and update may be documented by:
â€¢ describing any new ROS and/or PFSH information or noting
there has been no change in the information; and
â€¢ noting the date and location of the earlier ROS and/or PFSH.
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