Transcription of SPECIALTY EXAM: NEUROLOGY HIC# DATE OF …
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SPECIALTY EXAM: NEUROLOGY HIC# DATE OF …
SPECIALTY EXAM: NEUROLOGYP erformed and DocumentedLevel of ExamOne to five bulletsSix to eleven bulletsTwelve or more bulletsAt least one bullet in the box with the unshaded borderAND every bullet in each box with the shaded FocusedExpanded Problem FocusedDetailedComprehensive(Circle the bullets that are documented.)zSystem/BodyAreaElements of Examination1aHIC#DATE OF SERVICE(Enter the number of circled bullets in the boxes below. Then circle the appropriate level of care.)Answer the following two questions. If bothanswers are "yes," the appropriate level ofexam is at least one bullet documented in theunshaded box?
SPECIALTY EXAM: NEUROLOGY Performed and Documented Level of Exam One to five bullets Six to eleven bullets Twelve or more bullets ... E&M Score Sheet: Neurology
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