tci ED Coding & Reimbursement Alert - 2005 Issue 9

READER QUESTIONS: Use 'All Others Negative' Wisely

Question: Our practice uses a template that includes a check box designated -All other systems negative.- If the physician marks this box, does that indicate to the insurer that he specifically inquired about all systems? Or is it appropriate for him to mark it if he simply asked the patient, -Is anything else bothering you?- and the patient replied, -No-?Ohio Subscriber Answer: Under audit, the examiner will assume that the physician has asked about at least 10 systems. He may also ask the group directly. If the answer is anything but yes, the examiner will disallow...

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