首页|Moving to More Evidence-Based Primary Care Encounters: A Farewell to the Review of Systems
Moving to More Evidence-Based Primary Care Encounters: A Farewell to the Review of Systems
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NSTL
Amer Medical Assoc
In the practice of medicine， what is documented in a patient’s medical record helps ensure continuity of care， facilitate coordination between clinicians， support quality improvement and research， can be useful in medical-legal disputes， and， increasingly， makes medical care more transparent to patients。 However， over the years， documentation has been increasingly driven by billing and coding requirements。 One example is the review of systems (ROS)。 For decades， clinicians were reimbursed at a higher level by the Centers for Medicare & Medicaid Services (CMS) if visits included an ROS。 For example， billing for a “comprehensive” visit was allowed if， among other required components， a “complete ROS” with inquiries about symptoms from at least 10 of 14 organ systems was documented。 These financial incentives linked tradition-based care with reimbursement-based care， which could be considered to be care documented largely for billing requirements。
Barry M.J、Tseng C.-W
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Division of General Internal Medicine, Massachusetts General Hospital, Boston, United States
NSTL
Amer Medical Assoc
