If the Services Provided Are NOT Appropriate in Light of the Diagnosis

question 96

True/False

If the services provided are NOT appropriate in light of the diagnosis and the claim is denied, a telephone appeal can resolve the situation.

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Definitions:

Dysfunctional

Pertaining to the impaired or abnormal functioning of a system, organ, or mechanism in a living organism or organization.

Schizophrenia

A mental disorder characterized by distorted thinking, perception, emotions, language, sense of self, and behavior.

Neurotransmitter

Substances in the nervous system that facilitate signal transmission from one nerve cell to another across synaptic gaps.

Dopamine

A neurotransmitter associated with pleasure, movement, and the brain's reward system.