ROS statement

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Shoshana
Posts: 73
Joined: Fri Jun 23, 2017 1:41 pm
Location: Multi-specialty Clinic

Thu Sep 27, 2018 4:16 pm

Would anyone give credit for a full ROS with this statement? I am thinking no.

Review of systems is otherwise unremarkable except as documented elsewhere in this document and in the scanned patient history from this date.

I am finding no scanned history. Just allergies and neuro covered in HPI.
"In any moment or decision, the best thing you can do is the right thing." - T.Roosevelt
Shoshana, BA, CPC, CPMA, CPCO, RRT
ariley
Posts: 7
Joined: Thu Mar 08, 2018 12:14 pm
Location: Redding, California
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Thu Sep 27, 2018 5:45 pm

I would not give credit for it, because from what is written here, it seems like there is not even a review for the presenting problem? I am running into this more and more and I believe it is an unfortunate consequence of having "hard coded" statements populated into every note. At least that has been my experience.

I hope this helps.
Alexis Riley, MA, RHIA, CHPS, CPC
ariley@arileyconsulting.com
Shoshana
Posts: 73
Joined: Fri Jun 23, 2017 1:41 pm
Location: Multi-specialty Clinic

Fri Sep 28, 2018 9:23 am

Thanks for your response. I feel the same way. I can't tell if any work was done this day. I have to trust he did the work, but am unable to justify credit for it.
"In any moment or decision, the best thing you can do is the right thing." - T.Roosevelt
Shoshana, BA, CPC, CPMA, CPCO, RRT
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