An order from a provider for a patient to see a specialist or to obtain specific medical services
Referrals
Has not received services form the provides or the same group ( and same specialty) within 3 years - includes known complaint/ condition (60 min)
New patient
What is included on the encounter form?
Reason for the visit & what was done during the visit.
Current procedural Terminology codes that identify medical services and procedures performed by a provider.
CPT Codes
New, or establised patient for a specidies complain at highest coding level, multiple complaints, injuries, or worsening chronic conditions ( 45 to 60 min)
Comprensive
What can be used to verify a patient's visit identification.
Driver's license
International Classifications of Disease, 10th revision, Clinical Modification (ICD-10-CM) codes based on the provider's diagnosis ( why the patient is in need of medical services.)
Diagnosis codes
Medically necessary 24 hr. ( 20 min)
Urgent
What type of form is used for fee- for -service. Medicare beneficiaries when the services may not be covered.
Advance Beneficiary Notice of No coverage.
Aging Report
A report that lists outstanding balances that have not been paid by either the patient or the insurance payer.
Other entities
Encounter Form
A record of the diagnosis and procedures covered during the current visit; also known as superbill.
Name all types of office visits
New patient, Established patient, comprehensive, preventive care, urgent, other entities