.3. The physician evaluates a 68-year-old new patient who was admitted to Observation status earlier today. According to the family, the patient complained about headaches and blurred vision last week and then became confused and disoriented two days ago. The physician performed a comprehensive history and exam, at which time he noted decreased response to light in one eye and BP of 220/100, but the family denied any previously known or treated hypertension. Suspicious for increased intracranial pressure, medical decision making is listed as high complexity. The patient had a CAT scan of the brain without contrast that was positive for brain lesions. An A-scan bilateral ophthalmology biometry was then performed, and patient was sent to the radiology department for simple therapeutic radiology treatment planning. Although the patient has been admitted to Inpatient Observation, he isn't considered a hospital inpatient. How will the outpatient coder report these services?

Answers

Answer 1

Answer:

How will the outpatient coder report these services?

The 68-year-old new patient has been admitted to Inpatient Observation, he isn't considered a hospital inpatient, but CPT codes 99218-99220, need to be considered if this initial observation care, includes physician visits during the patient's stay in this status. By the other hand CPT codes 99234-99236, also includes observation or inpatient care, if the patient is determined to be in observation status or admitted to inpatient status and discharged that same day.

Explanation:

According to Medicare every patient who receives a service at the CAHs, shall get a Medicare Outpatient Observation Notice, no later than 36 hours after observation services as an outpatient begin.

The time frame when the doctor  orders “observation services” before deciding to be admitted to the hospital as an inpatient or discharged, is for the patiente to be considered an outpatient.


Related Questions

After which problem-solving stage should you take action?
A. defining the problem
B. evaluating information
C. gathering information
D. making a choice

Answers

Same. Gathering information

Answer:

C Gathering Information

Explanation:

Which statements correctly describe the skull?
Check all that apply.
The skull is fully developed at birth.
The skull protects the brain
The skull is also called the cranium
The skull is made up of one single bone.
The skull is made up of many bones.
DONE

Answers

Answer:

ANSWER: the skull protects the brain, the skull is also called the cranium, and the skull is made up of many bones

Explanation:

It’s going to be A!!!!

Put the stages of circulation in order by matching each stage with it number order. Begin with "first" and end with "last."

1. blood enters the right atrium
fifth
2. blood passes into the right ventricle
first
3. the pulmonary artery carries blood to the lungs
second
4. the pulmonary vein carries blood to the heart
last
5. blood passes into the left ventricle
third
6. the aorta pumps blood to the body
fourth

Answers

Answer:

See below

Explanation:

First Blood enters right atriumSecond Blood passes through right VentricleThird The pulmonary Artery carries blood to the lungs Fourth The pulmonary Vein carries blood to the heartFifth Blood passes into left VentricleLast The aorta pumps blood to the body

Answer:

1.) Blood enters right atrium

2.) Blood passes through right Ventricle

3.) The pulmonary Artery carries blood to the lungs

4.) The pulmonary Vein carries blood to the heart

5.) Blood passes into left Ventricle

6.) The aorta pumps blood to the body

Explanation:

sorry if I'm wrong

Do not allow legs to bow inward or outward" is an appropriate cue to give clients during which of the following movements?​

Answers

An expert level isolation exercise for abdominal muscles and hip is called hanging leg raise.In this exercise a persons hangs himself from a bar by using extended arms and then raises his leg parallel to the ground

Explanation:

Do not allow legs to bow inward or outward" is an appropriate cue to give clients during hanging leg raise exercise. This exercise helps in the development of muscle required for proper spinal posture.

Answer: lunge

Explanation: this is a questions from the ISSA exam. On page 290 of the textbook, it lists "ESSENTIAL TIPS TO AVOID COMMON MISTAKES" for lunges. Under that is "Do not allow the legs to bow inward or outward during any phase of the exercise". Be careful if you are here for ISSA answers. Most of the answers here are not supported by the text and are just someone's incorrect opinion.

what are bones called before birth?

Answers

The bones are called clavicle
Baby bones hdoekejeiekekkebdjdbeiebeir

2. secretes a hormone that inhibits the amount of sodium excreted and maintains
blood volume and pressure

Answers

Answer:

Adrenal Cortex is the correct answer.

Explanation:

Adrenal Cortex secretes a hormone that inhibits the amount of sodium excreted and maintains  blood volume and pressure.

These hormones are controlled by another part of the endocrine system which is known as the pituitary gland. Doctors recommend diet that is high in proteins and carbohydrates which would help the adrenal cortex to get stronger.

I hope the answer is helpful.

Thanks for asking

Equipment such as chafing dishes, steam tables and heated cabinets designed to hold foods hot should at least keep food temperatures at _____ or hotter:

Answers

Answer:

90 degrees ferinheit

Equipment designed to hold food hot should keep foods at 140°F or hotter to prevent bacterial growth and the risk of foodborne illness. Chafing dishes, steam tables, and heated cabinets are used to maintain these temperatures, and foods should be covered when served to retain heat.

Equipment such as chafing dishes, steam tables, and heated cabinets designed to hold foods hot should at least keep food temperatures at 140°F or hotter. This temperature ensures that food is held above the danger zone in which bacteria can rapidly multiply, which is between 40°F and 140°F. It's crucial to maintain food out of this range to minimize the risk of foodborne illness.

When serving food, it's important to keep it covered to minimize exposure and retain the temperature. For hot foods like soups, chili, and stews that might be transported, using an insulated container pre-warmed with boiling water can help maintain the temperature above 140°F until it's time to serve. This practice is essential for food safety and helps ensure that foodborne diseases are prevented.

According to the food plate, grains should make up the largest portion of our diet. Grains are which nutrient

Answers

Answer:

Explanation:Grains and grain products are important sources of energy, carbohydrate, protein and fibre.also its rich in vitamin, tho it lacks vitaminA, Cand B12

Which of these is a controllable risk factor for disease?
A. Age
B. Poverty
C. Climate
D. Sleep habits

Answers

Answer:

D. Sleep habits

Explanation:

You are able to control sleep habits.

Poverty is a risk factor for disease that is controllable. The correct option is B.

What is poverty?

It is a condition in which one is unable to obtain even the most basic necessities of life, such as food, clothing, and shelter.

An individual is considered unfortunate if he is unable to meet his basic needs, but the individual can control the risk by using natural materials found in nature.

Thus, the correct option is B.

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What is netiquette?
A. An online fishing game.
B. Being polite and using good manners when in the cyber community.
C. The act of using the Internet to embarrass others.
D. A post that shoes pictures without their premission.

Answers

Answer:

B. Being polite and using good manners when in the cyber community.

Explanation: Etiquette is the customary code of polite behavior in society or among members of a particular profession or group. Netiquette is the words Net & Etiquette combined

B is the right answer

suppose you've been assigned to work on a project with three students you don't know.how might this affect your perception of doing the project

Answers

not talking enough being shy not being able to communicate I don’t know
Your classmates might not do anything and you might be stuck doing everything or your classmates might be too talkative or you might be to shy to talk to them.

1) List and define ten (10) medical terms pertaining to the Integumentary System.

Note: Medical terms are the ones that you are able to break down into prefix, word root, and suffix. Do not mistakenly select anatomical terms or body organs or systems. Do not post combining forms only (i.e. adeno = gland; pathy = disease = adenopathy = gland disease). You should write full medical terms.

Answers

As we all know Integumentary system as defined in Medical science is system of skin, hair, nails, glands and nerves. It helps to protect skin.

Explanation:

Integumentary system makes up as barrier for our skin against external infections. It works with other systems of our body for proper internal functioning. The medical terms pertaining to Integumentary system areDermatology- Derma means skin and logy means study. Dermatology is the study of skin related disorders.Dermatologist- health care professional expert in treating skin disorders.Dermis- Derm is skin and dermis is the layer of skin below epidermis containing blood vessels.Epidermis- Epi means upon. Epidermis is the topmost layer of the skin without any blood vessels.Melanin- Melan means black. Melanin with reference to Integumentary system refers to black pigment of skin or hair.Liposuction- Lipo means fat or adipose tissue and suction means removal or sucking out. Liposuction is medical procedure of sucking out excess fat.Carcinoma- Carci is cancer and oma is tumour. Carcinoma is cancer of skin cells.Keratin- Kerat is hard tissues or cells in skin. Keratin is a proteinaceous component of epidermis, hair and nails.Melanocytes- Melano is black and cyte means cells. Melanocytes are melanin producing cells in body.Lunula- Luna refers to moon. Lunula refers to the moon shaped areas at the base of the nails.

Determining and Controlling Body Composition
Practice
Active
The real advantage to hydrostatic weighing is that it
A. can be done anywhere with no equipment
B. gives one of the most accurate measurements of body fat
c. uses calipers to measure body fat
Please select the best answer from the choices provided.

Answers

The real advantage to hydro static weighing is that it gives one of the most accurate measurements of body fat.

Explanation:

Hydro static weighing is a technique that is used to measure the fat of human body. The measurement uses the principle of Archimedes. The principle states that every body displaces an equal amount of water when it is immersed in a water.

It is based on the fact that  the force called buoyant force that is exerted by water on the body that is immersed in water will be same as the weight of water that is being displaced by the body.Hence, hydro static weighing helps in the accurate determination of the body fat.

Final answer:

Hydrostatic weighing offers accurate measurements of body fat by comparing a person's weight in and out of water, correcting for various factors for precision.

Explanation:

The correct answer to the question is B. Hydrostatic weighing gives one of the most accurate measurements of body fat. This method of measuring body composition involves weighing a person both outside and while fully submerged in water. It is advantageous because bone and muscle have a higher density than water, compared to fat, allowing for a precise estimation of a person's fat mass. This technique requires specialized equipment, including a large water tank, and precise measurements to correct for factors such as residual lung air and the weight of a metal object the subject might hold to sink.

At which location would blood with a low oxygen content and a high carbon dioxide content be found

Answers

Answer:

Blood with low oxygen content can be found in the pulmonary arteries whereas blood in high oxygen levels can be found in the pulmonary veins.

The blood enter the heart from the left side through the pulmonary veins which consist of high oxygen content. After circulating throughout the body, the blood carried from the right side of heart to the lungs through pulmonary arteries with low oxygen content, due to the circulation.

Final answer:

Venous blood has low oxygen and high carbon dioxide content after delivering oxygen to tissues and absorbing cellular waste. It travels through deoxygenated veins back to the heart and lungs for reoxygenation.

Explanation:

Blood with a low oxygen content and a high carbon dioxide content is typically found in the venous blood. This type of blood has already circulated through the body, delivering oxygen to tissues and picking up carbon dioxide, a waste product of cellular respiration. As the blood returns to the heart, it contains a high concentration of carbon dioxide and a low concentration of oxygen. It is then pumped to the lungs where it releases carbon dioxide and picks up oxygen during gas exchange. The oxygen is transported in the body primarily by binding to hemoglobin within the erythrocytes, which then carry it through the deoxygenated veins in the lower torso, and elsewhere in the cardiovascular system, back to the heart.

What other virus entered with the others, but was not easily detected in osmosis Jones.

Answers

Final answer:

In the movie 'Osmosis Jones', the virus that entered but wasn't easily detected was Thrax. The situation adds to the representation of the immune system's struggle to eliminate harmful pathogens in reality.

Explanation:

In the movie 'Osmosis Jones', apart from other viruses, a deadly virus named Thrax made its way in but was not easily detectable. Thrax, being deadly and powerful, was able to elude Osmosis Jones for a good portion of the story because of his cunning and adaptability.

This concept is often associated with the real-world immune system and its constant battle to detect and remove harmful viruses and bacteria in real life.

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Viruses are unique infectious agents distinct from bacteria, first discovered when Dmitri Ivanowski used a filter to demonstrate that tobacco mosaic disease could be transmitted without visible bacteria.

Viruses were first identified due to their ability to pass through filters that could remove bacteria visible under a microscope - demonstrating that they were not merely very small bacteria but a new type of disease-causing agent. The key discovery was made possible using the Chamberland-Pasteur filter. It wasn't until after the experiment of Dmitri Ivanowski, who in 1892 transmitted tobacco mosaic disease to healthy plants using filtered extracts, that discovery and detection of viruses advanced significantly.

This groundbreaking discovery led to the understanding that viruses are a new form of infectious agents capable of causing disease. These agents could pass through filters meant to trap bacteria, indicating that they were much smaller and of a different nature than previously known pathogens.

Write a hypothesis about the effect of a strong odor on earthworm behavior. Use the "if . . . then . . .
because . . . ” format, and be sure to answer the lesson question, "How is earthworm behavior affected by external stimuli?”

Answers

Answer: If an earthworm is exposed to a strong odor, then it will back away from the odor because it will think that the odor is a sign of danger.

Explanation: It relates the worm to danger and they have to move away from danger or else they will get eaten.

Answer:

Sample Response: If an earthworm is exposed to dry conditions, then it will retreat to a moist place because its skin needs to stay moist for the earthworm to survive.Explanation:

A physiological or psychological dependence on a drug is?
A. illegal Drugs
B. Addiction
C. Overdose
D. Substance Abuse​

Answers

Answer is B


Happy to help
The answer is B an Addiction

Community Issue:
_ Litter
What…
What factors contribute to the problem?
What type of service might be most helpful to people affected by the issue

Where does the issue have the greatest impact?
Where can you find people working on it?

Answers

Answer:

What factors contribute to the problem?

A- Several factors contribute to littering for example lack of awareness among people about the harms of littering, lack of education, lack of trash cans provided by the government on the streets to reduce the act of littering along with carelessness and unwillingness of an individual to make an effort.

What type of service might be most helpful to people affected by the issue?

A- The people who are effected by littering should be provided by cheap health care services so they can tackle with diseases transferred through stale litter. The government can make an effort to clean the areas so the people can live a healthy life away from hazards of piled up litter. Awareness must also be provided to avoid further littering.

Where does the issue have the greatest impact?

A- The greatest impact of littering is on the health of animals and humans. Plastic littering is also harmful for the environment as it does not decompose and increases pollution. Humans and animals can catch multiple sicknesses due to pilled up rotten litter.

Where can you find people working on it?

A- Social organizations and NGO's are at work in order to reduce littering. They have made a considerable change buy making effected areas litter free and creating awareness for the betterment of future.

What should you consider when choosing the type of eye protection you use?

Answers

Answer:

You should consider if the fully cover your eyes, thickness, clearness, if they fog easily or not, grip so they won't slip off.

Answer:

The types of hazards you expect to encounter.

Explanation:

Which is a symptom that is typical in people who have cancer?

Answers

Sores that do not heal (B)

Cancer is a group of diseases with a wide range of symptoms that can vary depending on the type of cancer, its stage, and its location in the body.

While there is no single symptom that is universal to all types of cancer, some common symptoms that may be typical in people with cancer include:

1. **Unexplained Weight Loss**: A sudden and unexplained loss of weight, especially if it is significant, can be a symptom of various types of cancer.

2. **Fatigue**: Persistent and unexplained fatigue or weakness can be a symptom of cancer, often due to the body's immune response to the disease.

3. **Pain**: Pain at the site of the tumor or in other parts of the body can be a symptom, especially as cancer progresses.

4. **Changes in the Skin**: Skin changes, such as darkening, jaundice (yellowing of the skin and eyes), or unusual moles, can be indicative of skin or other types of cancer.

5. **Changes in Bowel or Bladder Habits**: Persistent changes in bowel or bladder habits, such as blood in the stool or urine, can be a symptom of colorectal or urinary tract cancers.

6. **Difficulty Swallowing**: Difficulty or pain when swallowing may be a symptom of throat or esophageal cancer.

7. **Persistent Cough or Hoarseness**: A long-lasting cough or hoarseness may be indicative of lung or throat cancer.

It's important to note that these symptoms can also be caused by other, non-cancerous conditions. However, if someone experiences persistent or concerning symptoms, it's advisable to seek medical evaluation to determine the underlying cause. Early detection and diagnosis of cancer can improve the chances of successful treatment.

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The ability to maintain physical independence throughout your life is called

Answers

functional health

Explanation:

i think this is the answer you will just have to check the answer choices

The following are all negative influences except which?


people who use you for something


people who pressure you


people who respect you


people who do not listen to you

Answers

People who respect you

lack one or more of the essential amino acids

Answers

Answer & Explanation:

A food protein that contains all the eight essential amino acids (nine for children) in the right proportion is termed a complete protein. On the other hand, a food protein that lack one or more of the essential amino acid is called an incomplete protein.

Memories are "context-dependent." This means _____.

memories are often attached to a surrounding or situation
imagination helps recall memories
context requires prior events to recall memories
it takes seven different locations to remember information

Answers

The correct answer would be option C, context requires prior events to recall memories.

Memories are context dependent. This means context requires prior events to recall memories.

Explanation:

Context dependent memories are the memories that are dependent on the context when the memory was encoded or retrieved before. People usually forget the actual words, but they recall the context of the whole situation, which gets stick to their memories and help them in retrieving that memory.

Context dependent memories must require prior events to recall memories. For example, if a person has lost his keys at his workplace, then he would likely to search the keys on the same place from where he got the keys before by recalling the situation.

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Web browsers allow advertisers to customize ads from a consumer’s Internet browsing history. How is this an advantage and a disadvantage to the consumer?

Answers

Answer with Explanation:

Web browsers allow advertisers to customize ads from a consumer's internet browsing history with the help of "cookies" and other tracking devices online.

It has both an advantage and a disadvantage on the consumer's end. As an advantage, it helps consumers find the perfect product or service that they have been looking for online. It helps people with their browsing experience and guides them in being directed to the product or service that they want thus, saving more time.

On the contrary, it can also be a disadvantage on the consumer's end. Since information from the browsing history has been saved, it can be troublesome for the consumer if she wants to control her spending. It can be tempting to buy the products or services which she doesn't really need because it keeps on reminding her while she's browsing.

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Which of the following is a risk associated with texting?
A. People use texting to troll the internet.
B. It is easy to misunderstand txt messages.
C. There is no possible way to communicate clearly when texting.
D. There are no risks associated with texting.

Answers

Answer:

A

Explanation:

B, texting isn’t the internet, so not A, and it is possible to communicate clearly sometimes, so not C, but misunderstanding is an issue, so not D

what is the last sense to leave the human body​

Answers

Answer:

hearing

Explanation:

Remember: hearing is thought to be the last sense to go in the dying process, so never assume the person is unable to hear you. Talk as if they can hear you, even if they appear to be unconscious or restless.

Studies have shown that eyewitness testimony is very reliable, even in boring situations. A. True B. False

Answers

Answer:

false

Explanation:

since when an eyewitness experiences something very stressful they do not tend to remember much or leave out valuable details

Which illness can you get from food handlers who haven't washed their hands?
O botulism
O E. coli infection
salmonellosis
gastroenteritis

Answers

E. coli infection is correct

Answer:

gastroenteritis

Explanation:

I think

what is the first step to manage stress?

A - Identification if chronic sources of stress

B - Recognition of having too much stress

C - Identification of acute sources of stress

D - Acceptance of common life stressors

Answers

Answer:

Explanation:

B

Final answer:

The first step in managing stress is recognizing that you have too much stress. Symptoms such as feeling overwhelmed, trouble sleeping or frequent headaches can indicate high stress levels. Once recognized, other stress management strategies can be implemented.

Explanation:

The first step to manage stress is B - Recognition of having too much stress. It serves as the preliminary phase, where you become aware that the level of stress you are encountering is above what is considered normal or healthy. Common symptoms might include feeling overwhelmed, experiencing trouble sleeping, or having frequent headaches.

Recognizing these symptoms early and acknowledging their root cause is vital for stress management. Once you've identified that you're under too much stress, you can then move onto other steps like identifying chronic or acute sources of stress and working towards their reduction or elimination.

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Why did the Federalists believe the addition of the Bill of Rights was unnecessary to the Constitution? Which statements are true for a protein whose genetic sequence has 11 codons?Select all that apply.1.) It starts with an arginine amino acid.2.)One start codon and one stop codon are used for its synthesis.3.)The piece of genetic code used for its production contains 11 codons.4.)The stop codon codes for methionine.WILL MARK YOU BRAINLIEST Using your knowledge of the modern United States, write a paragraph explaining how society's interpretation of natural rights has changed over time. What differences do you notice between 1787 and today? What groups have different rights? What do these changes suggest about the Enlightenment concept of natural rights? Your response should be at least five sentences long. Assignment 3.1 Supply and Demand g Define market. How will geography affect the market? Assume that you sell in the market for Blu-ray players. What is the most important thing in this market? When I decided that I would volunteer for the park clean-up project, I went about trying to convince my friends to do the same. I had not expected to meet with such resistance. My friends thought I was nuts to spend a Saturday cleaning up other people's trash. So, I went alone. Never in my wildest dreams did I realize what a rewarding experience this would be.Which BEST describes the author's purpose for his reflective essay?A.to describe a meaningful experienceB.to persuade readers to volunteerC.to explain a decision-making processD.to describe an opinion about volunteering Atomic hydrogen produces well-known series of spectral lines in several regions of the electromagnetic spectrum. Each series fits the Rydberg equation with its own particular n value. Calculate the value of n (by trial and error if necessary) that would produce a series of lines in which: (a) The highest energy line has a wavelength of 3282 nm. (b) The lowest energy line has a wavelength of 7460 nm. Thrasymachus thought that "might makes right" because _______. a. justice is defined by whoever has the most power b. people need to have a powerful ruler c. ethics is generally relative to the observer d. strength is always a good thing Compare and contrast General and Classic Strain Theory Sara got a 70%, 64%, and 83% on her first three tests. What must she get on her 4th test if she wants to get a final average of 75%?Show your work, please. Choose two selections from this unit:The Ramayana by Valmiki"My Father Writes to My Mother" by Assia Djebar"Another Evening at the Club" by Alifa Rifaat"The Happy Man" by Naguib Mahfouz "The Swimming Contest" by Benjamin Tammuz"The Womens Baths" by Ulfat al-IdlibiLike the Sun by R. K. Narayan What did you learn about the role of women in the societies described in your selections from this unit? In two well developed paragraphs that begin with TAG (title, author, genre), describe how the women from two of the selections listed above cope with the conflicts they encounter, citing textual evidence to support your claims. An important tool in archeological research is radiocarbon dating, developed by the American chemist Willard F. Libby.3 This is a means of determining the age of certain wood and plant remains, and hence of animal or human bones or artifacts found buried at the same levels. Radiocarbon dating is based on the fact that some wood or plant remains contain residual amounts of carbon-14, a radioactive isotope of carbon. This isotope is accumulated during the lifetime of the plant and begins to decay at its death. Since the half-life of carbon-14 is long (approximately 5730 years),4 measurable amounts of carbon-14 remain after many thousands of years. If even a tiny fraction of the original amount of carbon-14 is still present, then by appropriate laboratory measurements the proportion of the original amount of carbon-14 that remains can be accurately determined. In other words, if Q(t) is the amount of carbon-14 at time t and Q0 is the original amount, then the ratio Q(t)/Q0 can be determined, as long as this quantity is not too small. Present measurement techniques permit the use of this method for time periods of 50,000 years or more. HELP ASAP. PLEASE RN. TY.In tug of war, when one team moves toward the other, what can be said about the forces? Fifty-five and one-half percent of shareholders in a fast food chain are under 40. If 91,00 shareholders, how many are 40 and over? Compare the impacts these two organizations have had on the federal bureaucracy. How has each helped shape the activities and identity of the executive branch? Which do you think has had a greater impact on the bureaucracy? Provide evidence to support your opinion. Your answer should be polynomial standard form polynomial in standard form (c+8)8c+2)= Examine this information carefully. Angles Sides30 degrees 4 cm60 degrees 3 cm90 degrees 5 cmWhat kind of triangle would these measurements make?A. acute scalene triangleB. right scalene triangleC. right isosceles triangleD. acute isosceles triangle Barker (2014) describes ________ as a nation's system of programs, benefits, and services that help people meet those social, economic, educational, and health needs that are fundamental to the maintenance of society. This feature on Earth forms underground. This one seen here was formed from water flowing through layers of limestone rock underground. What is this feature called? A)cavern B)canyon C)pothole D)underground spring QUESTION 3What steps are involved in creating hydroelectric power?Water falls through a channel to a reservoir where it turns a turbine to generate electricity.Water flows into the reservoir where the generator is located. The generator turns, which causes the turbine to transform electricity.Water flows past a paddle that turns a generator attached to a turbine, and this creates electricity.Water falls from a reservoir through a channel to a turbine. The water turns the turbines, which allows the generator to make electricity. Consider this function for cell duplication where the cells duplicate every minute.f(x) = 75(2)xDetermine what each parameter in the function represents.A)The 75 is the initial number of cells, and the 2 indicates that the number of cells doubles every minute.B)The 75 is the initial number of cells, and the 2 indicates that the number of cells increases by 2 every minute.C)The 75 is the number of cells at 1 minute, and the 2 indicates that the number of cells doubles every minute.D)The 75 is the number of cells at 1 minute, and the 2 indicates that the number of cells increases by 2 every minute.