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LISAF

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Posts: 7
Reply with quote  #1 

Hello, 

 

WOULD YOU ACCEPT THE FOLLOWING TO SUPPORT COMPREHENSIVE HISTORY.  3 PFSH  & 4 HPI are documented. 

ROS:

In the HPI... I can usually pull from 2-5 ROS out of HPI but in the ROS section they state individually under each ROS...denies symptoms other than stated above. "Usually the pertinent pos and neg are documented"   THEY DO NOT STATE THE REMAINDER OF ROS REVIEWED ARE NEGATIVE. 

 

Const:  denies symptoms other than stated above.

Eyes:    denies symptoms other than stated above

ENT: denies symptoms other than stated above

CV: denies symptoms other than stated above

Resp: denied symptoms....  "

GI:  denies symptoms .... "

GU, Ms, skin neur, psych...ect denies symptoms other than stated above.

 

I would appreciate your opinion. 

 

This is on every patient.

THanks 

pjensen

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Posts: 773
Reply with quote  #2 

Probably it would not count as a complete ROS.  They need to say exactly, "All other systems reviewed and are negative."  Or they need to document 10 individual systems.

LISAF

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Posts: 7
Reply with quote  #3 

 thank you !

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