a physician instructed his outpatient coder to report multiple codes in order to try and increase reimbursement when a single combination code should normally be reported. what is this called?

Answers

Answer 1

When a doctor instructs his outpatient coder to submit many codes rather than a single combination code when doing so would often result in a reimbursement rate, this is known as unbundling.

What is the name of the procedure where several codes are utilized in place of one code to raise the amount of reimbursement?

When different CPT codes are used for the various steps of a procedure, this practice is known as unbundling. This may be done accidentally or in an effort to get paid more.

What kind of coding makes use of a procedure code that offers a higher reimbursement rate than the actual code?

Upcoding is the practice of using a procedure code that offers a higher reimbursement rate than the actual code. linking codes. An association between a billed service and a diagnosis is reported through code linkage.

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Related Questions

according to a study conducted by the european public health alliance more illicit drug use than the u.s.

Answers

Hungary has some of the strictest drug prohibitions in the European Union, with possession of illegal drugs in tiny amounts (without distinction) punishable by two years in jail.

Decriminalization promotes both public safety and public health.

Three key results emerge from data from nations that have decreased or eliminated criminal sanctions for drug possession: There was no rise in drug usage or crime.

In 2022, reported usage of any illegal substance in the previous year remained at or below pre-pandemic levels for all grades, with 11% of eighth pupils, 21.5% of tenth graders, and 32.6% of twelfth graders reporting any illicit drug use in the previous year.

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You respond to call for trouble breathing. When you arrive, you find a 75 year old man struggling to breathe. You notice he has gurgling sounds when breathing, and he is coughing up pink fluid . The patient has swollen ankles, and he tells you he had a heart attack 6 months ago. What should you do?

Answers

Answer: he might have Congestive Heart Failure

Explanation:

A chronic condition in which the heart doesn't pump blood as well as it should.

Heart failure can occur if the heart cannot pump (systolic) or fill (diastolic) adequately.

Symptoms include shortness of breath, fatigue, swollen legs, and rapid heartbeat.

Treatments can include eating less salt, limiting fluid intake, and taking prescription medications. In some cases a defibrillator or pacemaker may be implanted.

¿Qué describen las propiedades de la materia?
Son aquellas que definen las características de todo aquello que tiene masa y ocupan un volumen de masa: cantidad de materia que tiene un cuerpo

Answers

Answer:

Las propiedades de la materia son aquellas que definen las características de todo aquello que tiene masa y ocupa un volumen. ... Masa: cantidad de materia que contiene un cuerpo. Volumen o extensión: espacio que ocupa un cuerpo. Peso: la fuerza que ejerce la gravedad sobre los cuerpos.9 jun. 2021

what complications might charlie face if symptoms are not recognized and treated in a timely manner?

Answers

If Charlie's symptoms are not identified and treated right away, complications could include impaired skin integrity as a result of the itch from his uticaria, which can cause sores and bleeding.

What is symptoms?

A physical or psychological issue that a person has that could be a sign of a disease or condition. Symptoms are invisible and do not appear on diagnostic tests. Headache, fatigue, nausea, and pain are a few symptoms. A number of diseases in a specific body part or organ can be indicated by a number of symptoms. 3. Symptoms are subjective because only the individual can feel them, in contrast to signs, which are objective. Examples of symptoms include headache, nausea, shivering, body aches, muscle fatigue, and more.

Here,

Charlie may experience complications such as impaired skin integrity as a result of the itch from his uticaria, which can result in sores and bleeding, if his symptoms are not recognized and treated right away.

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a nurse is providing care to a client who has been diagnosed with metastatic brain cancer. when developing the client's plan of care, which outcome would the nurse most likely identify?

Answers

The nurse's most likely outcome for a client with metastatic brain cancer would be to maintain the client's comfort and quality of life. Since metastatic brain cancer is incurable, the primary focus of care is to manage the symptoms and provide palliative care.

The nurse will work with the healthcare team to manage the client's pain, nausea, vomiting, and other symptoms, while also providing emotional and spiritual support. The nurse will also educate the client and family on how to manage symptoms and provide resources for hospice and end-of-life care if needed.

The goal is to ensure that the client is comfortable and able to maintain their dignity and sense of well-being during this difficult time.

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A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily, but the client reports that she has been taking extra doses to promote weight loss. What findings should indicate to the nurse that the client is dehydrated?

Answers

If a client is taking extra doses of furosemide, a diuretic medication that promotes the excretion of water and electrolytes, it can lead to dehydration. The nurse should assess for signs and symptoms of dehydration during the client's assessment.

Dehydration is a condition that occurs when the body loses more water than it takes in. Water is essential for many bodily functions, including regulating body temperature, transporting nutrients and oxygen to cells, and removing waste products. When the body becomes dehydrated, it can't perform these functions effectively, which can lead to a range of symptoms and complications.

Dehydration can be caused by a variety of factors, including inadequate fluid intake, excessive sweating, vomiting, diarrhea, and certain medications. Common symptoms of dehydration include thirst, dry mouth, dark yellow urine, fatigue, headache, dizziness, and muscle cramps. In severe cases, dehydration can lead to confusion, rapid heartbeat, low blood pressure, and even organ failure.

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Emily's doctor thinks she should use a walking brace for a few months to see if it will help assist her when managing her physical disability. How
would the doctor MOST likely categorize this walking brace?
OA adaptive technology
OB. adaptive switch
Ocaugmentative and alternative communication
OD. visual representation system
Reset
Next

Answers

Answer:

a

Explanation:

_______ can lead to cardiotoxicity.
Question 24 options:

Paclitaxel

Cisplatin

Doxorubicin

Erlotinib

Answers

Answer: Doxorubicin

Explanation: hope this helps you out

Felice's doctor has determined that her blood is not clotting easily enough. Which type of drug would MOST LIKELY be prescribed to help Felice's blood form clots?

a. a thrombolytic
b. a hemostatic drug
c. an anticoagulant drug
d. an antibiotic drug

Answers

Answer:

The answer correct Aaaaaa

A patient with asthma Mei Mei what type of sound when breathing a sound that sometimes can be heard even without a stethoscope

Answers

The patient Mei Mei would have a crackling or bubbling sound when she inhale for air.

The cause of crackles can be from air passing through fluid, pus or mucus.

b) which component of the separation mixture (bovine hemoglobin or blue dextran) eluted first? explain what characteristics of the components influence the order of elution.

Answers

The component that elutes first from a chromatography column is the one with the least affinity for the stationary phase. In the case of bovine hemoglobin and blue dextran, likely, blue dextran eluted first.

Blue dextran is a large, hydrophilic molecule that is not likely to interact strongly with the hydrophobic stationary phase, so it will move through the column relatively quickly. Bovine hemoglobin, on the other hand, is a smaller, more hydrophobic molecule that may interact more strongly with the stationary phase, causing it to elute later.

Another factor that can influence the order of elution is the size and shape of the molecules. In general, larger molecules will elute more slowly than smaller molecules, as they will experience more resistance from the stationary phase.

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your primary assessment of an elderly woman reveals that she is conscious and alert, but is experiencing difficulty breathing. she has a history of emphysema, hypertension, and congestive heart failure. as you assess the patient's circulatory status, you should direct your partner to

Answers

As you evaluate the patient's circulatory condition, tell your partner how to administer oxygen using the proper equipment like canula.

Low flow oxygen administration uses a nasal cannula, transtracheal catheters, face masks, and non-rebreathing masks. While HFNC (High flow nasal cannula) is used by medical professionals to administer high flow oxygen to patients. The different kinds of oxygen therapy delivery systems are: Compressed gas: One hundred percent oxygen is kept under pressure in a sizable metal cylinder. An oxygen flow regulator is built into the cylinder. When you breathe in, an oxygen-conserving device sends oxygen, and when you exhale, it stops the flow of oxygen.If not closely monitored, oxygen therapy in emphysema patients can be dangerous. Be extremely cautious before administering oxygen therapy to an emphysema patient in an acute care setting who exhibits symptoms of hypoxia, shortness of breath, and increased effort to breathe.

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Which of the following is a method of closed treatment of fractures?
a. Without manipulation and/or traction
b. With manipulation and/or traction
c. Fixation device placed across fracture site
d. Without manipulation and/or traction and with manipulation and/or traction
e. All are correct

Answers

The method of closed treatment of fractures that encompasses all the options is e. All are correct.

Closed treatment of fractures refers to the management of fractures without the need for open surgical intervention. It involves the use of non-surgical techniques to align and immobilize the fractured bone, promoting healing.

a. Without manipulation and/or traction: In some cases, fractures can be treated without the need for manual manipulation or the application of traction, using methods such as casting or splinting alone.

b. With manipulation and/or traction: Other fractures may require manual manipulation (realignment) or the application of traction (pulling force) to restore proper alignment.

c. Fixation device placed across fracture site: This refers to the use of external fixation devices like pins, wires, or plates to stabilize and hold the fractured bone fragments in place.

Therefore, all of the options listed (a, b, c) can be considered methods of closed treatment of fractures depending on the specific characteristics and requirements of the fracture

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9. Identify the healthcare smart card subsets of data

Answers

The healthcare smart card subsets of data refer to various categories of information stored on a smart card that is used in the healthcare industry.

These subsets include:
Personal Identification: This includes the cardholder's name, date of birth, gender, and a unique identification number.
Insurance Information: This subset contains details about the cardholder's insurance provider, policy number, coverage, and eligibility.
Medical History: This section stores information about the cardholder's past medical conditions, surgeries, allergies, and medications.
Emergency Contact: This subset includes the contact information of the cardholder's designated emergency contact person.
Physician Information: This section contains details about the cardholder's primary care physician, including their name, address, and contact information.
Immunization Records: This subset holds information about the cardholder's immunization history, including the type of vaccine and dates administered.
Prescription Information: This section stores data related to the cardholder's current prescriptions, including medication names, dosages, and refill dates.
Medical Test Results: This subset includes recent medical test results, such as blood tests, imaging studies, and other diagnostic procedures.
Health Measurements: This section records the cardholder's vital statistics, such as blood pressure, heart rate, and body mass index.
Overall, these subsets of data provide a comprehensive view of a patient's healthcare information, facilitating efficient and effective care management.

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a middle-aged client, newly diagnosed with type 2 diabetes, expresses disbelief at this diagnosis. the nurse explains that the development of diabetes in middle-age is most likely related to which factor

Answers

Type 2 Diabetes in middle age is most likely related to obesity factor.

For middle-aged consumers, obesity is a significant risk factor for type 2 diabetes. Increased sugar consumption does not immediately cause diabetes to develop. Diabetes does not directly correlate with viral infections.

Type 2 diabetes is a long-term disorder that influences how the body manages blood sugar i.e., glucose. In type 2 diabetes, the body either produces insufficient insulin or rejects it.

There are several symptoms, including increased thirst, frequent urination, hunger, exhaustion, and blurred vision. There may be no symptoms in some circumstances. Diet, exercise, medicine, and insulin therapy are all forms of treatment.

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Researchers have found that in children from three to six years of age, the most rapid growth takes place in the _____, part of the _____ lobe areas of the brain. Select one: a. prefrontal cortex; frontal b. bilateral cortex; temporal c. bilateral cortex; frontal d. prefrontal cortex; temporal

Answers

Researchers have found that in children from three to six years of age, the most rapid growth takes place in the prefrontal cortex and temporal lobe areas of the brain. The prefrontal cortex is responsible for cognitive functions such as decision-making, problem-solving, and social behavior, while the temporal lobe is involved in memory, language, and emotion processing. The correct answer is d. prefrontal cortex; temporal.

The prefrontal cortex and temporal lobe regions of the brain grow most quickly in children between the ages of three and six, according to research. When it comes to cognitive processes like decision-making, problem-solving, and social behaviour, the prefrontal cortex is in charge, whereas the temporal lobe is in charge of processing memories, language, and emotions. Prefrontal cortex and temporal is the right response.

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6. How
many total
muscular
exits are
there from
the female
Pelvis?

Answers

3



Happy Friday!!!!! I
there are 3 exits in the female anatomy

A nurse is preparing to administer lithium 600 mg
PO every 8 hr. Available is lithium carbonate 300
mg capsules. How many capsules should the nurse
administer? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do
not use a trailing zero.)

Answers

Answer:

2 capsules every 8 hours (total of 6 capsules per day)

Explanation:

600 mg every 8 hours is equal to 2 300-mg capsules every 8 hours.

The total capsules per day is 2 x 3 = 6 capsules per day.

The nurse should administer 2 capsules every 8 hours.

To determine the number of lithium carbonate capsules the nurse should administer to achieve a dosage of 600 mg every 8 hours, we need to calculate the number of capsules required.

Given:

Lithium carbonate capsule strength: 300 mg

Desired dosage: 600 mg

To calculate the number of capsules needed, divide the desired dosage by the strength of each capsule:

600 mg ÷ 300 mg = 2

The nurse should administer 2 capsules of lithium carbonate to achieve a dosage of 600 mg every 8 hours.

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1. a portable chest x-ray is taken at 90 cm sid, and the patient exposure is 280 mgy. what will the new
exposure be if the distance is increased to 180 cm and there is no accompanying technique change?

Answers

Answer:

I believe this is what your looking for 70 uGya

Explanation:

A parent brings a 6-month-old child to the primary health care provider after the child abruptly started crying and grabbing intermittently at the abdomen. The client's stool has a red, currant jelly appearance. What intervention does the nurse anticipate?

Answers

The nurse believes that the 6-month-old infant may experience intussusception based on the symptoms mentioned. A blockage results when one section of the intestine slides into another, a disease known as intussusception. The hallmark symptoms of intussusception include

sudden onset of crying, grasping at the belly, and the presence of red, currant jelly-like excrement. The nurse would plan to prepare the youngster for a diagnostic procedure known as a barium or air enema in this scenario. In order to better view the intestine and perhaps even lessen

the intussusception, this surgery involves injecting either barium or air into the rectum. In many instances, the enema aids in the diagnosis and treatment of intussusception because it frequently succeeds in repositioning the problematic portion of the intestine.

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The nursing instructor notices a client who is in pain yet does not have a pulse oximeter in use, and suggests to the student that one should be attached. why

Answers

Patients who are in pain frequently breathe more quickly, which raises the possibility of atelectasis.

The nursing instructor examines a client who is in pain but does not have a pulse oximeter in use and advises the student that the pulse oximeter should not be attached since people who are in pain often breathe more shallowly, which raises the risk of atelectasis. This refers to the total or partial collapse of a lung or lung lobe. Alveolar fluid may also fill the tiny air sacs within the lung, which causes it to deflate. One of the most frequent breathing (respiratory) side effects following surgery is atelectasis.

Hence, values of pulse oximeter fluctuates in stressful state of patient.

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An ileal conduit is created for a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care?
a. Irrigating the urinary diversion
b. Intermittent catheterizations
c. Exercises to promote sphincter control
d. Application of an ostomy pouch

Answers

An ileal conduit is created for a client after a radical cystectomy. a. Irrigating the urinary diversion the nurse expect to include in the client's plan of care.

In this procedure, the patient's intestine is used to direct urine through a tiny hole in the abdominal wall. Patients who choose this kind of surgery will be obliged to wear an external device or "bag" that needs to be periodically emptied into the bathroom. Your small intestine is removed in little pieces by the urologist (ileum). They sew the ileum's severed ends back together. The ureters, which carry urine from your kidneys, are then stitched onto one end of this section of ileum by the surgeon. An ileal conduit operation involves the creation of a new tube from a section of intestine that allows urine to leave the body through a tiny hole known as a stoma and the kidneys to drain.

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A dtap and an oral poliomyelitis vaccine (live) are administered to a new 5-year-old patient. a history and examination are performed for an acute uri, and the medical decision making is straightforward (separate identifiable service).

Answers

Answer: 99201-25

90700

90749

90471

90474

Explanation:

the nurse is preparing to administer an ophthalmic medication. what steps will the nurse take to ensure proper procedure is followed?

Answers

To ensure proper procedure is followed when administering an ophthalmic medication, the nurse will typically follow these steps:

Review the medication order: The nurse will carefully review the physician's order to confirm the correct medication, dosage, route, and frequency of administration.

Gather necessary supplies: The nurse will gather all the supplies required for administering the ophthalmic medication, which may include the medication itself, sterile gloves, sterile applicators or droppers, cotton balls, and tissue.

Perform hand hygiene: Before starting the procedure, the nurse will wash their hands thoroughly with soap and water or use an alcohol-based hand sanitiser to ensure cleanliness.

Prepare the medication: If the medication requires any preparation, such as shaking the bottle or reconstitution, the nurse will follow the manufacturer's instructions to prepare it correctly. They will also check the medication label for the expiration date and verify that it is the correct medication for the patient.

Identify the patient: The nurse will verify the patient's identity using at least two patient identifiers (e.g., name, and date of birth) and confirm that they are the intended recipient of the medication.

Explain the procedure to the patient: The nurse will inform the patient about the medication being administered, its purpose, and any potential side effects or precautions.

Ensure patient comfort: The nurse will ensure the patient is in a comfortable position, with their head slightly tilted back or lying down and provide adequate lighting for the procedure.

Use aseptic technique: The nurse will put on sterile gloves to maintain the aseptic technique and prevent contamination. This step helps minimize the risk of introducing infection or causing harm to the patient.

Administer the medication: Using a sterile applicator or dropper, the nurse will gently hold the patient's lower eyelid down and ask them to look up. They will then carefully instil the prescribed number of drops or ointment into the conjunctival sac, avoiding touching the eye or eyelashes with the applicator.

Close the eye and apply gentle pressure: After administering the medication, the nurse will ask the patient to close their eye gently and apply light pressure to the inner corner of the eye (near the nose) with a clean tissue or cotton ball. This helps prevent the medication from entering the tear duct and promotes its absorption.

Discard waste and clean up: Any unused medication and disposable supplies should be properly discarded according to facility protocols. The nurse will remove gloves and perform hand hygiene again.

Document the procedure: The nurse will document the administration of the ophthalmic medication, including the date, time, medication name, dosage, and any relevant observations or patient responses.

It's important to note that these steps provide a general guideline, but specific procedures may vary depending on the facility, type of medication, and individual patient needs. Nurses should always follow their organization's policies and procedures and consult the medication's specific guidelines when administering ophthalmic medications.

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Discuss parenteral and enteral nutrition. Why would these sources of nutrition be utilized in the clinical setting

Answers

Answer:

Enteral nutrition generally refers to any method of feeding that uses the gastrointestinal (GI) tract to deliver part or all of a person's caloric requirements. It can include a normal oral diet, the use of liquid supplements or delivery of part or all of the daily requirements by use of a tube (tube feeding). The site of entry of the tube and tube types will be discussed under "enteral access". Parenteral nutrition refers to the delivery of calories and nutrients into a vein. This could be as simple as carbohydrate calories delivered as simple sugar in an intravenous solution or all of the required nutrients could be delivered including carbohydrate, protein, fat, electrolytes (for example sodium and potassium), vitamins and trace elements (for example copper and zinc). There are many reasons for enteral and parenteral nutrition including GI disorders such as bowel obstruction, short bowel syndrome, Crohn's disease, and ulcerative colitis; as well as certain cancers or in comatose patients. While enteral nutrition is always preferred when technically possible, some people may have a variety of medical issues that make the safe use of the GI tract difficult. Alternatively, their calorie and nutrient needs may not be met by the current level of functioning of their GI tract. That is when parenteral nutrition may be needed to help an individual remain hydrated and possibly to provide calories and other nutrients to allow for growth and development or maintenance of physical well-being and function. Enteral nutrition generally refers to any method of feeding that uses the gastrointestinal (GI) tract to deliver part or all of a person's caloric requirements. It can include a normal oral diet, the use of liquid supplements or delivery of part or all of the daily requirements by use of a tube (tube feeding). The site of entry of the tube and tube types will be discussed under "enteral access". Parenteral nutrition refers to the delivery of calories and nutrients into a vein. This could be as simple as carbohydrate calories delivered as simple sugar in an intravenous solution or all of the required nutrients could be delivered including carbohydrate, protein, fat, electrolytes (for example sodium and potassium), vitamins and trace elements (for example copper and zinc). There are many reasons for enteral and parenteral nutrition including GI disorders such as bowel obstruction, short bowel syndrome, Crohn's disease, and ulcerative colitis; as well as certain cancers or in comatose patients. While enteral nutrition is always preferred when technically possible, some people may have a variety of medical issues that make the safe use of the GI tract difficult. Alternatively, their calorie and nutrient needs may not be met by the current level of functioning of their GI tract. That is when parenteral nutrition may be needed to help an individual remain hydrated and possibly to provide calories and other nutrients to allow for growth and development or maintenance of physical well-being and function.

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Explanation:

What are the nursing interventions in order for a patient undergoing hemodialysis?

Answers

Answer:

The nurses responsibilities include: checking the patients' vital signs and talking with them to assess their condition. teaching patients about their disease and its treatment and answering any questions. overseeing the dialysis treatment from start to finish

Explanation:

a patient is being assessed for possible acute stroke. which questions are critical for the healthcare provider to obtain answers to during the patient history?

Answers

If a patient is being assessed for possible acute stroke, some questions which are critical for the healthcare provider to obtain answers to during the patient history are about what medications the patient is currently taking and when their symptoms began.

Like other types of stroke, an acute stroke begins suddenly and quickly gets worse. There are two types of strokes, as follows:

Ischemic Stroke: An ischemic stroke occurs when a blood clot blocks a blood vessel, cutting off the blood flow to a portion of the brain. Heart disease, excessive cholesterol, and high blood pressure are just a few of the disorders that might put someone at risk for an ischemic stroke. Other factors that can result in an ischemic stroke include the use of recreational drugs (especially alcohol, cocaine, and heroin), problems with blood coagulation, or trauma to the neck's blood arteries.Hemorrhagic Stroke: An artery in the brain bleeds, resulting in a hemorrhagic stroke. When an aneurysm or artery with an irregular shape, such as an arterial venous malformation (AVM), breaks, this can occur. When a blood vessel bursts, the blood that seeps into the brain puts pressure on the skull, compressing the brain and perhaps resulting in lifelong brain damage.

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a rice cooker was sold for $60 after a discount of 60% waht was the usual price of the rice cooker​

Answers

$150 Was the original price of the rice cooker

a nurse is maintaining a client's continuous bladder irrigation. when appraising the effectiveness of this therapy, the nurse should prioritize what assessment?

Answers

Make an evaluation of your abdomen. If there is stomach soreness or bladder distention, the nurse may be able to tell by palpating the bladder.

What does nursing continuous bladder irrigation entail?

Using sterile fluids to flush the bladder is a medical treatment known as continuous bladder irrigation (CBI). After surgery on the urinary system, it is used by medical professionals to prevent or dissolve blood clots. A tiny tube that delivers sterile solution then removes the bladder's contents and collects them in a bag.

Which conditions call for catheter irrigation?

In general, doctors would advise bladder irrigation if blood is present in the urine and this causes it to seem black or if there are indications of a catheter obstruction. Reduced urine production is one indication when a catheter is clogged.

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What is the breakdown of sugar in the body for energy called

Answers

Cellular respiration
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