National Physical Therapy Examination NPTE Quiz
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During a routine internal audit, a clinic manager discovers that one therapist has been billing a Level 3 evaluation (CPT 97163) for nearly all new patients, including those with simple, uncomplicated conditions like a lateral ankle sprain. The documentation for these patients does not consistently support a high level of clinical complexity.
From a compliance perspective, this billing pattern is MOST indicative of which of the following?
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