Key Elements:
Crosscheck ROS Documentation to Capture Higher Level E/M Opportunities
Published on Fri May 31, 2013
Hint: Guide your clinician to complete documentation of review of systems. Ensuring your pulmonologist is documenting every aspect of the review of systems (ROS) during E/M encounters is critical to arriving at the right level office visit code. Follow these tips for accurately capturing ROS elements to avoid overcoding or undercoding E/M services. Refresher: The third element of the history [...]