encounter form

en·coun·ter form

(en-kown'tĕr fōrm)
A service form also called a superbill that lists health care procedure codes completed during a patient's office visit.

en·coun·ter form

(en-kown'tĕr fōrm)
A service form also called a superbill that lists codes for health care procedures.
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References in periodicals archive ?
Data collected from 900 prescriptions during the study period was entered in detailed indicators encounter form which was transferred to a master chart later subjected to the analysis.
The reasons for increase in time were too many details in the patient encounter form, lack of proficiency in computer use and ergonomics of office.
As part of a quality assurance review of athlete education on the importance of follow-up, participants of the 2011 Ironman 70.3 Syracuse (Syracuse, NY) who visited the designated finish line medical tent were evaluated by medical staff using a standardized encounter form which requested the athlete's follow-up contact information, as well as a checkbox to indicate their willingness to participate in our telephone follow-up at approximately three months after the event [IRB 294979-2].
This cloud-based online system included a comprehensive previsit questionnaire completed by patients, as well as an encounter form to be completed by the clinician with patient input during the visit.
As each patient arrives, have your receptionist time-stamp the "encounter form" that goes back with the patient's chart.
If you use the American Academy of Family Physicians' (AAFP) Medicare Initial Preventive Physical Examination Encounter Form, (17) consider replacing its entry for hearing loss with this simple question (See "Medicare preventive exam: Where the AAFP encounter form falls short" on page 476).
By cross checking the CPT and diagnosis codes on the encounter form that you saved from the office visit with what is listed on the EOB, you can determine what procedures were covered and how much money, if any, you owe.
The 7 POS indicators were computed based on the services provided to patients as noted on the encounter form and are listed in Table 5.
The Daily Encounter Form measures health consultant new or continuing activities that are documented in CFOC standards (AAP, APHA, & the National Resource Center for Health and Safety in Child Care, 2002; APHA & AAP, 1992).
Although the study, "Documenting Patient encounters during a humanitarian assistance mission to Guatemala," showed that a revised, forced-choice patient encounter form alleviated the problems of illegibility and nonstandard language often found in free-text forms, there were still problems because this method did not successfully link diagnostic data with treatment and prescription information, and often diagnoses were miscoded.
The appendices have been reorganized to be more accessible and intuitive, and the text is now supplemented by an online collection of additional education tools, faculty development resources, and an electronic teaching encounter form for mobile devices or personal computers for recording and remembering interactions with learners.
We also have developed an evidence-based well-child encounter form for our electronic medical records.