Question

select all that apply

what information is included on the encounter form?

diagnosis and procedure codes
follow up appointment to be scheduled
patient food or drug allergies.
patients prior balance due

Explanation:

Identify the purpose of an encounter form

Using the Encounter Form Documentation knowledge point
An encounter form (also known as a superbill) is a document used in medical offices to record details about a patient's visit, primarily for billing and scheduling purposes. It acts as a bridge between the clinical encounter and the billing process.

Evaluate each option based on standard documentation

Using the Encounter Form Documentation knowledge point

• Diagnosis and procedure codes: Correct. These are the core elements of an encounter form (ICD and CPT codes) used to document the services rendered and the reasons for them.
• Follow up appointment to be scheduled: Correct. Encounter forms typically include a section indicating when the patient needs to return for their next visit.
• Patient food or drug allergies: Incorrect. Allergies are clinical data documented in the patient's medical chart/EHR, not on the financial/billing encounter form.
• Patient's prior balance due: Correct. Encounter forms often display financial information, including any outstanding balances, to facilitate point-of-service collections.

Answer:

• Diagnosis and procedure codes (Correct answer)
• Follow up appointment to be scheduled (Correct answer)
• Patient food or drug allergies.
• Patient's prior balance due (Correct answer)