Academy of Chiropractic Personal Injury & Primary Spine Care Program

Quickie Consult 737
Narratives 53 N

From the Desk of Dr. Mark Studin
Academy of Chiropractic
Preamble: many of these issues are small, yet each issue is just that… an issue. If you take care of the small issues, then the larger issues often take care of themselves and you can focus on the larger issues… a larger, more profitable practice and more family time.

“Review of Systems”

It is a Federal Mandate that you must sign off or note that you reviewed the “review of systems” form of the “Family and Social Past History” the patient filled out. The same mandate applies to past family and social history.
 
CMS States: 

DG: The ROS and/or PFSH may be recorded by ancillary staff or on a form completed by the patient. To document that the physician reviewed the information, there must be a notation supplementing or confirming the information recorded by others.

Note: DG stands for Documentation guideline or mandate

 
This is consistent with what I have been telling you for quite some time and I urge each of you to include a full review of systems in your initial E&M evaluation report.  This is simply one more place to help make you bulletproof and NOT GET Audited vs. simply surviving an audit.

 
Follow the rules!!!! 


 
 
 
Respectfully,



Mark Studin DC, FASBE(C), DAAPM, DAAMLP

Adjunct Assistant Professor of Chiropractic, University of Bridgeport, College of Chiropractic
Adjunct Professor, Division of Clinical Sciences, Texas Chiropractic College
Educational Presenter, Accreditation Council for Continuing Medical Education Joint Partnership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences

Academy of Chiropractic
US Chiropractic Directory
631-786-4253
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