Hi,
Is this acceptable or not? Provider uses a form for the Review of systems that patient fills out. There is only 8 systems listed with the associated symptoms listed with it. The patient is suppose to circle all that applies or has experienced recently; which in this case nothing is circled. The form is reviewed, signed, and dated by patient and provider. The OV note contains this statement "Past medical history, surgical history, allergies, medications, social history, and review of systems otherwise were all reviewed and updated on today’s health history form."
Is this adequate to use when considering the HPI element. What in particular disqualifies this ROS for being used in the determination of an element for the HPI.
Is it disqualified because the provider did not state negative or positive to any/all systems that were reviewed. Also, if it was able to be considered would you allow the 8 systems even though nothing is cirled? Would that automatically be considered a negative as the patient did not have any of thosse symptoms affecting their systems?
Thank you for all you input in advance.
Micki
Is this acceptable or not? Provider uses a form for the Review of systems that patient fills out. There is only 8 systems listed with the associated symptoms listed with it. The patient is suppose to circle all that applies or has experienced recently; which in this case nothing is circled. The form is reviewed, signed, and dated by patient and provider. The OV note contains this statement "Past medical history, surgical history, allergies, medications, social history, and review of systems otherwise were all reviewed and updated on today’s health history form."
Is this adequate to use when considering the HPI element. What in particular disqualifies this ROS for being used in the determination of an element for the HPI.
Is it disqualified because the provider did not state negative or positive to any/all systems that were reviewed. Also, if it was able to be considered would you allow the 8 systems even though nothing is cirled? Would that automatically be considered a negative as the patient did not have any of thosse symptoms affecting their systems?
Thank you for all you input in advance.
Micki