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JBS
Reisterstown
Posts: 2,991
Joined: September 2009
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#50031
11/11/2012 6:37 PM
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Joined: Sep 2003
Posts: 12,899 Likes: 34
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OP
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Posts: 12,899 Likes: 34 |
In the ED reports from our hospital under ROS, they always write the same thing:
A complete review of systems was performed. These are otherwise negative or normal.
Is this good enough for coding or good medical documentation? What is a complete review of systems?
Bert
Pediatrics
Brewer, Maine
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Joined: Nov 2006
Posts: 2,084
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You have to mention positives or pertinent negatives in either a problem focused fashion, or else 9 to twelve categories, depending on the level being billed. The statement above will not pass muster with the Medicare bounty hunters.
John
Internal Medicine
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Joined: Nov 2006
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Joined: Nov 2006
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Here are the 14 systems to review: ROS E/M requirements
John
Internal Medicine
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