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List the three items of information included in an encounter form superbill

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Final answer:

An encounter form superbill includes patient demographics, encounter details, and coding information.

Step-by-step explanation:

An encounter form superbill is a document used in medical practices to record important information about a patient's visit, including three key items of information:

  1. Patient demographics: This includes the patient's name, contact information, date of birth, and insurance details.
  2. Encounter details: This includes the date and time of the visit, the reason for the visit, and any procedures or services rendered during the encounter.
  3. Coding information: This includes the CPT (Current Procedural Terminology) codes and ICD (International Classification of Diseases) codes used to bill the patient's insurance company for the services provided.
User Paparazzo
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Items of information included in an encounter form superbill include: name and address of medical practice, NPI number, patient's name, patient's chart number, date and time of visit, CPT codes for common procedures in office, and diagnosis narrative.

Also included on form are referral information, payment information, and provider. Superbill or a charge slip is a list of the most commonly performed procedures and diagnoses used in the practice.

User Mik Jagger
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