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UT Southwestern Medical Center at Dallas / BioTek EMS SystemDRAFT January 2014Evaluation & Management of Patients in Custody Purpose: The purpose of this policy is to assist paramedics in providing
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Start by gathering all the necessary information. This includes relevant documents, data, and reports related to the evaluation process. It is important to have a thorough understanding of what needs to be evaluated and managed.
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Evaluation and management (E/M) is the process of determining the level of care a patient needs based on their medical history, symptoms, and other factors.
Healthcare providers, such as doctors, nurse practitioners, and physician assistants, are required to document and file evaluation and management services.
Evaluation and management services are filled out by documenting the patient's medical history, performing a physical exam, and assessing the patient's condition.
The purpose of evaluation and management services is to provide patients with the appropriate level of care and ensure accurate billing for healthcare services.
Evaluation and management services must include documentation of the patient's medical history, physical exam findings, medical decision making, and any additional services provided.
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