A case manager at the local mental health center evaluates the clinical appropriateness of a patient's current level of care. To do this, the case manager will assess:
a. the type of service currently provided.
b. the vigor of the patient to whom the service is provided.
c. the type, amount, and level of care needed to achieve positive outcomes.
d. whether the level of the patient's care is currently considered cost effective.
C
Clinical appropriateness is the degree to which the type, amount, and level of clinical services are delivered to promote the best clinical outcomes.
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