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Tim Works at a Law Firm Where He Is Expected

question 93

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Tim works at a law firm where he is expected to bring in a large number of cases each week.He has been working at this job for five years,typically putting in 70 hours a week.He has begun to experience irritability and has begun to drink alcohol in the evening in order to get to sleep.Based on this information,if he were taking any other drug,it would most likely be


Definitions:

Downcoding

A practice of third-party payers in which the benefits code has been changed to a less complex or lower-cost procedure than was reported; another payer practice in which a reported evaluation & management service is reduced to a lower level based strictly on the diagnosis code reported.

Bundling

The practice of grouping together products or services for sale as a single combined unit, often offered at a reduced price compared to purchasing each item separately.

ICD-9-PCS

The International Classification of Diseases, 9th Revision, Procedure Coding System; a medical classification system used in the United States for procedural codes.

ICD-10-PCS

International Classification of Diseases, Tenth Revision, Procedure Coding System; a system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures.

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