a:5:{s:8:"template";s:1952:"<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8"/>
<meta content="text/html; charset=utf-8" http-equiv="Content-Type"/>
<title>{{ keyword }}</title>
</head>
<style rel="stylesheet" type="text/css">@charset "UTF-8";a,body,div,h1,h2,html{border:0;font-family:inherit;font-size:100%;font-style:inherit;font-weight:inherit;margin:0;outline:0;padding:0;vertical-align:baseline;word-break:break-word}html{font-size:62.5%;overflow-y:scroll;-webkit-text-size-adjust:100%;-ms-text-size-adjust:100%}*{-webkit-box-sizing:border-box;box-sizing:border-box}:after,:before{-webkit-box-sizing:border-box;box-sizing:border-box}body{background:#fff}article,header,main{display:block}a:active,a:focus,a:hover{outline:0}body{color:#333;font-family:Montserrat,sans-serif;font-size:14px;line-height:1.5;font-weight:400;text-rendering:optimizeLegibility;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale}h1{font-size:36px}h2{font-size:30px}h1,h2{font-weight:700}hr{background-color:#ccc;border:0;height:1px;margin-bottom:15px}a{color:#000;text-decoration:none;transition:all .3s ease-in-out;-webkit-transition:all .3s ease-in-out;-moz-transition:all .3s ease-in-out}a:hover{color:#000}#primary{float:left;width:65.5%}.post{margin-bottom:40px;display:inline-block}.entry-meta{font-size:12px;margin-top:12px}.blog .entry-content-block{width:100%}.entry-content-block .entry-title{font-size:18px}.post{width:100%}.has-drop-cap:not(:focus):first-letter{float:left;font-size:8.4em;line-height:.68;font-weight:100;margin:.05em .1em 0 0;text-transform:uppercase;font-style:normal}.has-drop-cap:not(:focus):after{content:"";display:table;clear:both;padding-top:14px}</style>
<body class="">
<div id="page">
<div id="header" role="banner">
<div id="headerimg">
<h1><a href="#">{{ keyword }}</a></h1>
</div>
</div>
<hr/>
{{ text }}
<br>
<br>
{{ links }}
<hr/>
<div id="footer" role="contentinfo">
<p>
{{ keyword }} 2021</p>
</div>
</div>
</body>
</html>";s:4:"text";s:24468:"You will use +99417 once for each 15 minutes beyond the minimum required primary service time. Amy Ahasic, MD The AMA developed a new 2021 CPT add on code 99417 for prolonged care, done on the same day as office/outpatient codes 99205 and 99215. In addition, you can only report time for the E&M code if it meets the time threshold of a 99205 or 99215. CPT Code 99483 CPT 99483 is specific to evaluating and treating dementia, and to care planning for people living with dementia. CPT Code Changes at a Glance. Typical Face-to-Face Time (Minutes) 10 20 30 45 60 ESTABLISHED PATIENT VISIT CPT Code 99211 99212 99213 99214 99215 Required Key Components **(2/3 required) History and Exam Problem-Focused N/A X Expanded Problem-Focused X Detailed X Comprehensive X Medical Decision Making (complexity) Straightforward N/A X Low X The following table may be used to calculate billing for prolonged outpatient E&M code 99417. While CPT allows the use of 99358, 99359 for prolonged services on a date other than the date of a face-to-face encounter (see below), CMS does not. The Happy Hospitalist CPT Add-On Code +99355 Reimbursement Rate (2021): $96.31 — Additional time up to three hours for a diagnostic interview (must be used with +99354) For the first time since it was introduced in 1992, the office/outpatient E/M CPT code set has been extensively revised, including the addition of a new code to report incremental time associated with prolonged office or other outpatient services. 90834: Select this code for sessions that are 38 to 52 minutes long. with 99205 or 99215. •For MCB and 96125: We bill per the description of the code so non face-to-face time to prepare the report can be billed without the patient as this is part of the code description •Daily documentation should support the medical necessity of additional, separate, distinct and in-depth cognitive testing via 96125 beyond the initial evaluation When the patient is admitted to inpatient hospital care for less than 8 hours on the same date, then Initial Hospital Care, from CPT code range 99221 – 99223, shall be reported by the physician. Code 99417 is and add-on code used to report prolonged total time (i.e., combined time with and without direct patient When using time for code selection, 60–74 minutes of total time is spent on the date of the encounter. Changes for New Patient CPT 99202-99205 E/M. Reporting Level 5 E/M Code 99205. 99201 E&M code will be deleted in 2021 Psychotherapy Crisis Codes. i. time of the encounter. The proposed wRVU is 0.61. No more! • HCPC Codes are used by Medi-Cal for billing (behind the scenes ) • You must use both the 3 digit InSyst (County) Procedure codes and the 5 digit CPT codes in your documentation. 90837: This code is appropriate for sessions lasting 53 minutes or longer. Do not use 99358, 99359 or 99417 with code 99202-99215. CPT - 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's … Time Component in E/M Section The time component will see the greatest change. So, CPT 99215 requires 40 to 54 minutes spent with the patient, so you cannot start to bill G2212 until 54 minutes plus 15 minutes, or until greater than 69 minutes is spent with the patient. 99202 Expand focus Expand focus Some insurers accept the G codes while others accept the CPT® codes for HSATs (95800, 95801 and 95806). Primary objectives of the CPT Editorial Panel revisions The CPT Editorial Panel took seriously the charge to create revisions to the E/M office visits and outlined four primary objectives to this important work: 99205 CPT® Code Description, Progress Notes, RVU… A collection of original medical humor, satire, memes and E/M coding lectures for physicians and other healthcare professionals. When using time for code selection, 60-74 minutes of the total time is spent on the date […] The CPT time standard applies to the new psychotherapy codes. MM4215, CR4215, Transmittal R788CP, CPT, code, consultation, 99241-99255 . However, 90833 is a time-based code and you cannot use time spent on the E&M service with time spent on psychotherapy. CPT 99499 is never to be used to interpolate between two levels of E/M service within a category or subcategory. In the office or other outpatient setting where an evaluation is performed, physicians and qualified nonphysician practitioners shall use the CPT codes (99201 – 99215) depending on the complexity of the visit and whether the patient is a new or established patient to that physician. CPT DESCRIPTION 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. least 15 minutes or more of time either with OR without direct patient contact on the date of the primary E/M service (either CPT® codes 99205 or 99215) . Generally speaking, the CPT time standards apply unless there are different instructions within the CPT guidelines for specific ... Actual length of session Code As Code Description 0-15 minutes Not reported - 16-37 minutes 90832 30 minutes 38-52 minutes 90834 45 minutes CPT stands for Current Procedural Terminology. DA: 16 PA: 33 MOZ Rank: 86 For example, the range of time listed for 99205 is 60-74 minutes. CPT codes for crises allow behavioral health … Therefore, if you were to use time to calculate CPT: 98960-98962, 99201-99205, 99211-99215, 99217-99220, 99341-99345, 99347-99350, FAQ 1) For the “Time” component, can I count the time my medical assistants spent checking in the patient? Primary care and other specialists may use CPT code 96127 when screening and assessing their patients, up to four times per year per patient. individual requirements of CPT codes 99202-99205, 99211-99215 (medically appropriate history and physical examination). Add-on code for time-based coding; can be billed in 15-minute increments.  90832: Choose this code for sessions that run between 16 and 37 minutes. Learner time is not counted. Procedure Code 99215 Reimbursement Rates – Medicare +90785 - Use the add-on code with 90853 for interactive group psychotherapy using play equipment, physical devices, language interpreter, or other mechanisms of communication 99201-99205 … Description Min Age Max Age Begin Date End Date Max Units Fee: 90785 Fee on File; No INTERACTIVE COMPLEXITY 0 999 07/01/2019 12/31/9999 1 13.08 90791 Before the March 2017 update to the OMFS, this kind of work was done on the provider’s own time and was not reimbursable. For these services, the time requirements are listed in the CPT code descriptor, and in … What Does CPT Code 99204 Mean? The 90791 code is used for psychiatric diagnostic evaluations without medical services. cpt/hcpcs codes included in range 99211 - 99215 cpt/hcpcs code cpt/hcpcs code description 99211 office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. The appropriate primary codes will only be 99205, which represents the longest time among the new patient codes, and 99215, which represents the longest time among the established patient codes New guidelines that will accompany +99XXX provide the rule that the code should not be reported for any time period less than 15 minutes. Medicare reimburses for procedure code 99215 at $183.19. Providers use Current Procedural Terminology (CPT) codes 99358 and 99359 to bill for prolonged services (like record review) that take place before or after physically seeing the injured worker. Established Patient E/M CPT ® Code Total Time . If the Provider-Patient face-to-face encounter is 21 minutes, select code 99214 since the time spent is closer to 99214 than 99213 as specified in CPT description. (see next slide for related ICD-10 codes… Codes CPT CY 2018 Non-facility payment rate Proposed CY 2019 Non-facility payment rates 99201 $45 $44 99202 $76 $135 99203 $110 99204 $167 99205 $211 CPT CY 2018 Non-facility payment rate Proposed CY 2019 Non-facility payment rates 99211 $22 … Time Component in E/M Section The time component will see the greatest change. Reimbursable CPT Code: CPT Code Description G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time … To get to the threshold time for billing code 99354 and two units of code 99355, add 30 minutes to the threshold time for billing codes 99354 and 99355. “outdated” and proposes to retain the codes but simplify the payment by applying a single-payment rate for level 2 through 5 office visits. 99201: New guidance is to use 99202 for times beginning at 15-29 minutes and 99205 to advance in 15-minute increments for 60-74 minutes. PART 9: Reach and Defend Hard-to-Get 99215 claims (and the $150 per visit) September 16, 2020 at 1pm ET Each year it gets harder and harder to qualify for and get paid for the highest level of office visit code (99215). +99354 Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour (List separately in addition to code for office or other The 90785 code can’t be used in conjunction with: Psychotherapy for crisis codes (90839-90840) Family psychotherapy codes (90846, 90849, 90847) E/M (evaluation and management) service where no psychotherapy service is reported. The Key Components - History, Examination, and Medical Decision Making - must be considered in determining the appropriate code (level of service) to be assigned for a given visit. 90832: Choose this code for sessions that run between 16 and 37 minutes. CPT® 2021 significantly alters office and other outpatient E/M coding by deleting low-level code 99201, revising the descriptors of 99202-99215, and providing extensive new guidelines. Description Included CPT® Code(s) Request Type Approval Duration Evaluate and Treat Specialty Referral 99202–99205, 99211–99215, 99241–99245 P1 180 days for ADSMs 365 days for non-ADSMs Evaluate Only Specialty Referral 99202–99205, 99211–99215, 99241–99245 P3 180 … Improve revenue compliantly by billing CPT code mid-level office visits correctly. Guidelines for CPT 90833 did not change. Category: medical health surgery. Code Description T1015 Clinic visit/encounter, all inclusive ... medical decision making of moderate complexity (physician time approximately 45 minutes) 99205 Office or other outpatient visit for the evaluation and management of a new patient; comprehensive history ... CPT Procedure Codes Subject to the Legislated Visit Limit Time spent performing separately reported services other than the E/M service is not counted toward the time to report 99205, 99215, and prolonged service time. b. CPT code 99201 will be deleted in 2021, as the MDM for 99201 is identical to 99202, and there was no need for duplicate codes. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. For 2014, HCPCS code G0463 replaces CPT codes 99201-99205 (new patient visit) and 99211-99215 (established patient visit), and is assigned to APC 0634. The Medicare has assigned a status indicator of invalid to code 99417, and developed a HCPCS code to replace it, G2212. The latest ones are on Mar 16, 2021 § Update of time spent with patient § New description for 99202 –Office or other outpatient visit for the evaluation and ... (List separately in addition to codes 99205, ... § CPT® codes 92992 and 92993 being deleted as of 12/31/2020. This section lists the new eyecare-related CPT codes that are effective January 1, 2021. ( use in conjunction with 99354 ) To get an idea of the frequency of use of this code among sub-specialists, nephrologists used this level of care for 32% of consults performed in the office during that same year … 99205 Cpt Code Description Time can offer you many choices to save money thanks to 25 active results. CPT codes for crises allow behavioral health … The time spent must exceed 15 min-utes more than the minimum time designated in the code (ie, 60 min + ≥ 15 min [≥ 75 min] for code 99205, According to the CPT manual, 90791 is an “integrated biopsychosocial assessment, including history, mental status, and recommendations.”. The code 99204 is used to denote a new patient in the particular office in which the coder is working. It was created in 2013, along with 90792, to replace the former psychiatric diagnostic evaluation codes 90801 and 90802. 99211 Time component removed 99212 10-19 minutes 99213 20-29 minutes 99214 30-39 minutes 99215 40-54 minutes . 90834: Select this code for sessions that are 38 to 52 minutes long. time listed in the highest code in the code set (eg, 99205, 99215). In general, the CPT codes range from 99201 to 99499 indicates evaluation and management. Guidelines for Magellan providers reporting prolonged services codes 99417 and G2212 CPT 99205, Level 5, new patient Total time required for reporting 99205 only 60-74 minutes 99205 x 1 99417 (or G2212)* x 1 89-103 minutes 99205 x 1 The 99245 represents the highest level of care for consultations taking place in the office. Notes. 4.1/5 (415 Views . An E/M CPT code (99201-99205, 99211-99215, 99241-99245) may be reported with CPT ® codes 95249-95251 if documentation supports the medical necessity of a significant and separately identifiable evaluation and management service performed the same date as the CGM service (s). CPT codebook. CPT CODE AND DESCRIPTION MD Psychologist and Psychoanalyst Nurse Other Mental Health Licensed Providers Facility 90801 Initial Evaluation 225 191 158 158 158 90802 Interactive Initial Evaluation 225 169 158 158 158 90804 Individual therapy 20 – 30 min 125 94 88 88 88 Prolonged Outpatient E&M Billing: Code 99417 Total Duration of a New Patient Office or Other Outpatient Service (use with 99205) Codes In such cases, additional reimbursement is available for a prolonged service in excess of the time allocated to 99205 (60 to 74 minutes) or 99215 (40 to 54 minutes). beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to CPT codes 99205… Since the current psychotherapy codes are not for a range of time, like the old ones, but for a specific time, the CPT “time rule” applies. The average time physicians spend face-to-face with a code 99203 is 30 minutes. unit of service is a measure of time (e.g., per 15 minutes, per hour). Posted December 29, 2020. Evaluation and management CPT® coding is a set of a highly complex rules that must be mastered for physicians to accurately submit charges for services provided. On an absolute percentage basis, in 2010, CPT® code 99215 was being billed 5% of the time, up from 3% of the time ten years previously. the complete list of CPT codes and their RVUs.) Origins: 1) CPT 99417 was created by the AMA. Key Words . (99205, 99215), a new CPT code was added in 2021. Code Description T1015 Clinic visit/encounter, all inclusive ... medical decision making of moderate complexity (physician time approximately 45 minutes) 99205 Office or other outpatient visit for the evaluation and management of a new patient; comprehensive history ... CPT Procedure Codes Subject to the Legislated Visit Limit Procedure code and Description. individual requirements of CPT codes 99202-99205, 99211-99215 (medically appropriate history and physical examination). The total minutes associated with each code in range 99202-99205 and 99212-99215 will change. Consultation Services Current Procedural Terminology (CPT) Codes 99241-99255 . Reimbursable CPT Codes: CPT Code Description G2212 You must go over the maximum time for CPT 99205/99215 by 15 minutes before you can use this code. Tracking down all the CPT codes for 2021 can be time consuming and overwhelming. The Current Procedural Terminology (CPT) code 99306 as maintained by American Medical Association, is a medical procedural code under the range-New or Established Patient Comprehensive Nursing Facility Assessments. S ome ophthalmologists devote an extraordinary amount of time to an eye exam — as much as an hour or more. If using either code, only report it with codes 99205 and 99215, use only clinician time, and use it only when time is used to … 99202 15-29 minutes 99203 30-44 minutes 99204 45-59 minutes 99205 60-74 minutes . CPT ® Code Description for 99417 . (For services 75 minutes or longer, see Prolonged Services 99354) The AMA developed CPT ® code 99417 for 15 minutes of prolonged care, done on the same day as office/outpatient codes 99205 and 99215. Nevertheless, the AMA introduced a new prolonged visit add-on code, 99417, to report additional time beyond the total time to use in conjunction with either Code 99205 or Code 99215. The American Medical Association’s 2018 CPT manual contains a full description of, and detailed instructions for using, code 99483. Effective January 1, 2021 CPT code 99417 and HCPCS code G2212 are used to report prolonged services with CPT codes 99205 and 99215 only. CPT code 99205: Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. The total time for each code has been described as a range of times for each separate service code. If the total time spent with the patient exceeds the total allotted time for the 99205 or 99215, you can report the additional time using the new CPT Code 99417 (in each additional 15 minute increment). CPT Codes for 2021, Simplified + E&M Documentation Updates. E/M code 99205 is used to report office or other outpatient visit for the evaluation and management of a new patient, and requires 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. cpt/hcpcs codes included in range 99201 - 99205 cpt/hcpcs code cpt/hcpcs code description 99201 office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making. This page includes the following topics and synonyms: E/M New Outpatient Visit, E/M New Office Visit, CPT 99201, CPT 99202, CPT 99203, CPT 99204, CPT 99205. CPT® Code Categories Category Description Criteria RO Example I Describes procedures and services • Widely accepted and ... new patient 99201-99205 ... History Exam Decision Time 99201 Focus Focus Straight 10 min. The Check out our guide to Psychiatric CPT codes here! As the descriptor specifies, the appropriate primary lead codes are: 99205, which represents the longest time among the new patient codes, and 99215, which represents the longest time among the established patient codes. The full descriptor is: “Prolonged office or other outpatient evaluation and management service(s) (beyond the Impact on clinic visits Instead of being reimbursed based on the acuity of the patients or the types of hospital/nursing services rendered, all clinic visits will now be paid at a single rate. If the time is more than half the time of the code (i.e., for 90832 this would be 16 minutes) then that code can be used. Code 99205 is a code for new patient office or other outpatient services. Do not use 99358, 99359 or 99417 with code 99202-99215. CPT codes 90846 and 90847 represent psychotherapy services for the treatment of mental disorders. CPT ® Code Description for 99417 99417-Prolonged office or other outpatient evaluation and management service(s) beyond the minimum required time of the primary procedure which has been selected using total time, requiring total time with or without direct patient contact beyond the usual service, on the date of the primary service, each 15 minutes of total time … Private payers may set their • CPT codes 99415 and 99416 are used when a prolonged evaluation and management (E/M) service is provided in the office or outpatient setting that involves prolonged clinical staff face - to-face time beyond the typical face-to-face time of the E/M service, as stated in the code description. Simplified for office or other outpatient services to only use medical decision making (MDM). Beginning with CPT 2021, except for 99211, time alone may be used to select the appropriate code level for the office or other outpatient E/M services 9/9/2019 3 • 1992 Evaluation and Management (E/M) codes introduced by the Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA). (This code’s description will support use in 15-minute intervals and will be available for use only with CPT code 99205 and 99215.) 99205 60‐74 minutes 99215 40‐54 minutes We recommend that the provider document the total time spent in the encounter along with a brief summary of ... code may be added to the main code of 90837. 99205. For example, 99214 CPT code has a time of 25 minutes, and 99213 has a time of 15 minutes. One is for use with Medicare patients (G2212) and the other is a CPT code (99417). • CPT codes are used by Medicare and commercial insurance for billing. For more detail, visit the The Current Procedural Terminology (CPT) code 99214 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient Office or Other Outpatient Services. Level 5, new patient evaluation and management (E/M) code 99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. 99203 Cpt Code Description Time Coupons, Promo Codes 04-2021. Guidelines for CPT 90833 did not change. E/M code 99205 is used to report office or other outpatient visit for the evaluation and management of a new patient, and requires 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other physicians,... Time alone must be the basis for coding. CPT code 99483 can only be used with an ICD-10 code related to dementia or mild cognitive impairment. I am not a certified coding expert, but I have studied this stuff for years and have a great grasp on the E/M process. 90846 or 90847: Choose these codes for 26 minutes or more of family psychotherapy. Because 99215 is the longest E/M code for established patients (40 minutes), modifier -21 will allow you to bill for extra time. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter 99213 90837: This code is appropriate for sessions lasting 53 minutes or longer. CPT stands for Current Procedural Terminology. The CPT code E/M level assignment will depend on the MDM level or overall time spent on the date. 99205: Office or other outpatient visit for the E/M of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision-making. Rather the next lower code for which all criteria are met is the appropriate choice. Office or Other Outpatient CPT Codes 99202-99205 (New Patient) and 99212-99215 (Established Patient) ¹ contact; first hour (use in conjunction with time-based codes 99201-99215, 99241-99245, 99301-99350 ) +99355 each additional 30 min. The E/M codes recognize five types of presenting problems that are defined as follows: ... 99205 Comprehensive Comprehensive High Complexity Three Key Components New Patient E/M Matrix ... “HPI is a chronological description of the development of the patient’s Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's … ";s:7:"keyword";s:31:"99205 cpt code description time";s:5:"links";s:1492:"<a href="https://royalspatn.adamtech.vn/71p88/acoustic-instruments-list">Acoustic Instruments List</a>,
<a href="https://royalspatn.adamtech.vn/71p88/prince-alexander-ferdinand-of-prussia">Prince Alexander Ferdinand Of Prussia</a>,
<a href="https://royalspatn.adamtech.vn/71p88/50th-birthday-powerpoint-presentation">50th Birthday Powerpoint Presentation</a>,
<a href="https://royalspatn.adamtech.vn/71p88/you-tube-nathan-evans-sea-shanties">You Tube Nathan Evans Sea Shanties</a>,
<a href="https://royalspatn.adamtech.vn/71p88/roof-mounted-exhaust-fans-residential">Roof Mounted Exhaust Fans Residential</a>,
<a href="https://royalspatn.adamtech.vn/71p88/having-procedures-for-opening-and-closing-a-workplace">Having Procedures For Opening And Closing A Workplace</a>,
<a href="https://royalspatn.adamtech.vn/71p88/patagonia-ski-jacket-sale">Patagonia Ski Jacket Sale</a>,
<a href="https://royalspatn.adamtech.vn/71p88/magnific-popup-vanilla-js">Magnific Popup Vanilla Js</a>,
<a href="https://royalspatn.adamtech.vn/71p88/kieffer-moore-fifa-21-career-mode">Kieffer Moore Fifa 21 Career Mode</a>,
<a href="https://royalspatn.adamtech.vn/71p88/daring-greatly-audiobook-length">Daring Greatly Audiobook Length</a>,
<a href="https://royalspatn.adamtech.vn/71p88/disadvantages-of-nanotechnology-in-environment">Disadvantages Of Nanotechnology In Environment</a>,
<a href="https://royalspatn.adamtech.vn/71p88/narrative-inquiry-dissertation-proposal">Narrative Inquiry Dissertation Proposal</a>,
";s:7:"expired";i:-1;}