Question

select all that apply

what information listed on encounter forms should be updated by the medical specialist?

procedure codes
abn waivers
diagnosis codes
payers coverage

Explanation:

Analyze the purpose of encounter forms

Using the Encounter Form Documentation knowledge point

An encounter form (also known as a superbill, fee slip, or charge slip) is a preprinted document used in medical offices to record clinical and financial data about a patient visit. It contains lists of the most common services, procedures, and diagnoses handled by the practice, along with their corresponding medical codes.

Identify components requiring periodic updates

To ensure accurate billing, compliance, and reimbursement, the medical specialist must periodically update the medical codes listed on the encounter forms. These codes are updated annually by official coding bodies:

• Procedure codes (CPT/HCPCS) are updated annually (effective January 1st).
• Diagnosis codes (ICD-10-CM) are updated annually (effective October 1st).

Evaluate the remaining options

• ABN waivers (Advance Beneficiary Notice of Noncoverage) are separate legal forms signed by Medicare patients before receiving services that Medicare may not cover. They are not components listed on a standard encounter form that require routine updates by the specialist.
• Payer's coverage refers to an individual patient's insurance benefits and policy details. This information is verified during registration/eligibility checks and is recorded in the patient's electronic health record (EHR) or practice management system, not updated on the practice's master encounter forms.

Answer:

• Procedure codes (Correct answer)
• ABN waivers
• Diagnosis codes (Correct answer)
• Payer's coverage