tci ED Coding & Reimbursement Alert - 2009 Issue 4

Track ROS to Nail E/M Levels

Multi-system reviews must exceed exam elements in HPI. If you choose the wrong review of systems (ROS) level when your ED physician performs an E/M, you risk miscoding the E/M, opening the practice up to lost revenue or audit concerns. Use System List When Compiling ROS During the ROS, the provider "asks the patient questions about symptoms he may be experiencing. It's part of the history, done to make sure nothing important has been missed," explains Robert LaFleur, MD, FACEP, of Medical Management Specialists in Grand Rapids, Mich. Providers perform ROS to focus treatment options and rule out...

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