To determine if a patient qualifies for insurance-paid substance abuse treatment, the medical biller would need to consult:

a. the physician.
b. the insurance plan administrator.
c. the substance abuse treatment provider.
d. the patient.

Answer: b

Health Professions

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An initial E/M service is provided in the private residence of an 83-year-old woman who has been discharged from a nursing home. The patient broke her fibula when she fell off a ladder

The clinician collects an extended HPI, a complete ROS, and a complete PFSH, making note of the number of family and friends who passed through the patient's home during the visit. Then the clinician performs a detailed physical examination and medical decision making of moderate complexity. The clinician documents that the patient is "a delightful older woman who laughs frequently and is quite alert, and even gregarious." Which of the following E/M service codes best reflects the documented service? a. 99343 b. 99253 c. 99349 d. 99326

Health Professions

Models and frames of reference provide a way to focus on

A) The parts of the client's situation that stand out B) The client's functional behaviors C) The nature of the client's function and dysfunction D) The parts of the client's environment and contexts that stand out

Health Professions