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additional work- up ( e. admit/ transfer) 4 Total • • function, eg, multiple trauma, acute eg, seizure, TIA, weakness, sensory Chart Note Comments Dictated Handwritten Form Illegible Note signed Signature missing Other Services or Modalities: Auditor’ s Signature TABLE OF RISK Level of Risk Presenting Problem( s) Diagnostic Procedure( s) Ordered. Assignment of evaluation and management level 2. Nursing procedures 3. Hospital technical component of physician procedures 4. Medical supplies 5.
e m level cheat sheet for hospital
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