A 34-year-old woman is seen by her primary care physician for an examination as part of her work-related disability
One week ago, she was struck by a car while she was collecting shopping carts for her job at the Pinch-a-Penny shopping mall and was knocked to the ground, striking her head on a car bumper as she landed. She reports loss of consciousness for 40 minutes after the accident, although she recalls nothing from that entire day and night. She was treated emergently but remembers nothing of the care she received or how long she remained at the hospital. Records have been received and reviewed. She has suffered dizziness, severe headaches, and numbness in her fingertips and toes since her accident. The physician documents a medical history and physical examination, which are both proportionate to the patient's presenting problem. The physician's diagnosis is a moderate traumatic brain injury as rated on the Glasgow Coma Scale; recommendation for neurologic consultation. Physician strongly recommends the patient is unable to work until she receives full consultation and complete care from neurologist. Physician educates patient on the risk of further brain injury, recommending she wear head protection at all times. All necessary documentation required by the employer's insurance company, the driver's insurance company, and the medical disability agency has been completed in full. Which of the following best reflects the service(s) provided? a. Office or outpatient services, established patient, level 2
b. Special E/M services; work-related or medical disability evaluation services
c. Care plan oversight services
d. Case management services, medical team conference with direct contact with patient
b) Special evaluation and management services; work-related or medical disability evaluation services (this service is intended to provide a baseline for future healthcare services and evaluation for the purposes of an insurance policy, and has been provided by the treating physician.)
You might also like to view...
Which function of the endothelial cell keeps cells and macromolecules in vessels and allows nutrient and gas exchange?
a. Blood-borne antigens processing b. Tissue factor production c. Nitric oxide production d. Blood/tissue barrier
Patients with a large oral cavity and a high palatal vault do not have a gag reflex
Indicate whether the statement is true or false
Surfaces that have been contaminated by an infected patient should be thoroughly cleaned using an EPA-approved disinfectant of 1:10 ________ solution.
Fill in the blank(s) with the appropriate word(s).
A medical facility frequently works with community ________ that provide needed services to patients.
Fill in the blank(s) with the appropriate word(s).