tci ED Coding & Reimbursement Alert - 2012 Issue 10

E/M Coding: Reasons Your Review of Systems Documentation Could Be Sabotaging Your Claims

Is "All Other Systems Negative" a ticking time bomb, set to explode your ROS cred?If you're relying too heavily on the handy phrase "all other systems negative" in documenting a complete Review of Systems (ROS), you could be setting yourself up for an audit feeding frenzy. The basics: ROS is a crucial element in supporting a 99285 E/M service; CMS E/M Guidelines indicate that documenting pertinent positive and negative findings combined with the statement "all other systems are negative" will be considered a complete Review of Systems. This phrase can be beneficial to allow physicians a shortcut in...

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