ROS statement

Post here your questions regarding auditing ,coding, documentation, and compliance. Also, join in on the conversation- help your fellow auditors and compliance professionals in the industry.

Moderators: Shannon DeConda, NAMAS Moderator

ROS statement

Postby Shoshana » Thu Sep 27, 2018 8:16 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
Shoshana
 
Posts: 72
Joined: Fri Jun 23, 2017 5:41 pm
Location: Multi-specialty Clinic

Re: ROS statement

Postby ariley » Thu Sep 27, 2018 9:45 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
ariley
 
Posts: 7
Joined: Thu Mar 08, 2018 5:14 pm
Location: Redding, California

Re: ROS statement

Postby Shoshana » Fri Sep 28, 2018 1:23 pm

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
Shoshana
 
Posts: 72
Joined: Fri Jun 23, 2017 5:41 pm
Location: Multi-specialty Clinic


Return to Medical Auditing Forum

Who is online

Users browsing this forum: No registered users and 3 guests

cron