linc11
Networker
This is quite lengthy, but here goes....
When a patient is seen in our clinic it is protocol for our offices to always inquire about new or old allergies to medications. My question is, when is this considered a ROS and when would this be a PFSH? Also, as this is protocol would it be appropriate to always consider this in our E/M calculation?
For example...an established patient presents with a contusion on their hand which occured yesterday while playing football. Patient states it is slightly painful and hurts to the touch. Currently taking tylenol to relieve pain.
Patient does not have any allergies to medications and currently using inhaler for asthma.
Plan of care....sending patient for XRAY and advised to continue tylenol.
When looking at this I do not see where their current medication use or history of allergies to medications would be pertinent or relevant to the visit since no medication was prescribed and/or the patient did not present for allergy problems therefore, I do not believe this should be considered part of the E/M calculation.
If anyone out there has some insight it is greatly appreciated. I've been pouring over this for quite some time now!
Thank you!
When a patient is seen in our clinic it is protocol for our offices to always inquire about new or old allergies to medications. My question is, when is this considered a ROS and when would this be a PFSH? Also, as this is protocol would it be appropriate to always consider this in our E/M calculation?
For example...an established patient presents with a contusion on their hand which occured yesterday while playing football. Patient states it is slightly painful and hurts to the touch. Currently taking tylenol to relieve pain.
Patient does not have any allergies to medications and currently using inhaler for asthma.
Plan of care....sending patient for XRAY and advised to continue tylenol.
When looking at this I do not see where their current medication use or history of allergies to medications would be pertinent or relevant to the visit since no medication was prescribed and/or the patient did not present for allergy problems therefore, I do not believe this should be considered part of the E/M calculation.
If anyone out there has some insight it is greatly appreciated. I've been pouring over this for quite some time now!
Thank you!