Question

which of these documents will the patient not complete?

multiple choice

patient information form

medical history

encounter form

assignment of benefits

Explanation:

Analyze patient-completed intake documents

Using the Patient Intake Process and Assignment of Benefits knowledge points
During the patient registration and intake process, the patient is responsible for filling out and signing several administrative and clinical documents to establish their medical record and authorize billing.

• Patient information form: Completed by the patient to provide demographic and insurance details.
• Medical history: Completed by the patient to detail past illnesses, surgeries, family history, and current medications.
• Assignment of benefits: Signed by the patient to authorize their insurance company to pay the healthcare provider directly.

Identify the provider-completed document

Using the Encounter Form Documentation knowledge point
An encounter form (also known as a superbill) is a document used by clinicians and administrative staff to record the diagnoses (ICD codes) and procedures/services (CPT codes) performed during a patient's visit.

• Because it contains clinical determinations, diagnostic codes, and treatment charges, it is completed entirely by the healthcare provider and billing staff, not by the patient.

Answer:

• patient information form
• medical history
• encounter form (Correct answer)
• assignment of benefits