Oncology & Hematology Coding Alert

Can a nurse's notes make a difference in the final equation?

You can't always count on E/M services to go by the book--sometimes you have to dig for rules beyond the basics.

Try your hand at this tricky question to determine your review-of-systems (ROS) savvy. 

Question: Can you use a nurse's notes to satisfy elements of ROS and past, family, social history (PFSH) for a new patient visit in the office, as long as the physician documents his review of the notes (signature or initials and date)?