The purpose of the Centres of Medicare and Medicaid Services ROs guide is to inform on the oversight and administration of Medicare and Medicaid programs and ensuring that they meet all Federal requirements. The guide contains documentation guidelines for services evaluation and management. Payers require reasonable documentation indicating consistency of services with the insurance coverage provided because they have a contractual obligation to enrollees.
Physicians, medical assistants, and other staff in the clinic are required to read the ROs guide. The guide is an integral part of assessment practices that are based on evidence. The ROs guide aids healthcare professionals in uncovering challenges that may be the root causes of disease processes ( Phillips, Frank, Loftin & Shepherd, 2017) . The guide helps in the identification of an underlying or potential disease or illness states subjectively, and allow medical practitioners to prioritize follow-up systems in the objective examination. Moreover, the guide helps providers to obtain information regarding chief concerns and the history of the present condition.
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Patients, on the other hand, benefit from the Centres of Medicare and Medicaid Services ROs guide. The guide provides concise and clear documentation of medical records that is crucial in providing quality care and prepares patients to receive timely and accurate payment for furnished services. The care received by a patient together with pertinent facts, observations, and findings of their health history is chronologically indicated in the medical records.
An MA can help patients understand the RO guide through the completion of accurate medical history. The MA must include a detailed ROs because it may be the only chance patients have to effectively have unsuspected problems identified or detected. The patient education program should consist of overlaps within primary care, occupational medicine, and appropriate techniques for documenting other issues.
Reference
Phillips, A., Frank, A., Loftin, C., & Shepherd, S. (2017). A Detailed Review of Systems: An Educational Feature. The Journal for Nurse Practitioners , 13 (10), 681-686.
