DecisionHealth, DecisionHealth - 2012 Issue 6 (June)

Avoid payment denials by properly linking documentation to HPI, ROS

A physician or coder might be tempted to assign a higher level of service to a claim that uses one comment in a physician’s documentation for the history of present illness (HPI) and review of systems (ROS), but that practice can lead to denials.

Practices continue to struggle with whether one physician comment in his documentation can count in the HPI and ROS, as evidenced by a recent string on the Part B News listserv.

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