abc1099
Guest
Our office uses a form that the patient fills out for the PSFH and ROS each time they come into the office. Here is my question. I believe that even though our doctor reviews the form, dates and signs it that the doctor needs to refer to the form in his dictation in order to count the PSFH and ROS. I found in the 1995 guidelines that it states:
DG: A ROS and/or a PFSH obtained during an earlier encounter does not need to
be re-recorded if there is evidence that the physician reviewed and updated
the previous information. This may occur when a physician updates his or
her own record or in an institutional setting or group practice where many
physicians use a common record. The review and update may be documented
by:
• describing any new ROS and/or PFSH information or noting there
has been no change in the information; and
• noting the date and location of the earlier ROS and/or PFSH.
but I am being told that only refers to previous notes or a shared hospital chart - not a form. I have a meeting Monday morning on this and I'm digging trying to find more. Help!!!
Ann, CPC
DG: A ROS and/or a PFSH obtained during an earlier encounter does not need to
be re-recorded if there is evidence that the physician reviewed and updated
the previous information. This may occur when a physician updates his or
her own record or in an institutional setting or group practice where many
physicians use a common record. The review and update may be documented
by:
• describing any new ROS and/or PFSH information or noting there
has been no change in the information; and
• noting the date and location of the earlier ROS and/or PFSH.
but I am being told that only refers to previous notes or a shared hospital chart - not a form. I have a meeting Monday morning on this and I'm digging trying to find more. Help!!!
Ann, CPC