tci Part B Insider - 2005 Issue 22

Documentation: Keep An Eye Out For These Clues In Review Of Systems Documentation

 9 tips to capture every relevant system Sometimes your physician's review of systems (ROS) documentation can be a maze - but at the end of that maze can be more accurate coding and higher evaluation and management levels."In most instances, providers aren't saying, 'I'm asking questions about X system.' They're asking questions and the coders need to be aware of what particular system that question falls under," says Marvel Hammer with MJH Consulting in Denver.1. Separate out eyes from ear, nose and throat. Often, coders fail to understand that eyes is one system, and...

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