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ROS Documentation

  1. #1
    Kansas City, MO
    Default ROS Documentation
    Exam Training Packages
    The 1995 documentation guidelines states the following:

    (DG) At least ten organ systems must be reviewed. Those systems with positive or pertinent negative responses must be individually documented. For the remaining systems, a notation indicating all other systems are negative is permissible. In the absence of such a notation, at least ten systems must be
    individually documented.

    Would this statement be acceptable to bill for a complete ROS? "A 10 point review of systems was completed, all systems are negative except as noted above." Above is referring to the HPI.

  2. #2
    Milwaukee WI
    Default No
    No, because I don't know which 10 systems are being reviewed. There are 14 systems.
    Just my opinion.

    F Tessa Bartels, CPC CPC-E/M

  3. #3
    Default what is in HPI?
    I have to see what specifically is stated in the HPI - you stated "above is referring to HPI".

    Are there pertinent positives & negatives stated in HPI that can be used as ROS without double dipping? Sometimes physicians combine it all together. If not, then I would agree no it would not qualify.

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