What is “encounter” in medical billing?

Encounter in Medical Billing

An encounter refers to a patient’s visit to a healthcare provider, during which medical services are provided and documented.

Encounter in Medical Billing Explained

In medical billing, an encounter is a key event that generates a claim. It refers to any interaction between a patient and a healthcare provider where services are provided, such as a doctor’s office visit or a hospital stay. Encounters are documented in medical records and coded for billing purposes.

For example, a patient’s visit to their primary care physician for a check-up is considered an encounter and is billed accordingly.

Learn more about common acronyms and abbreviations in Medical billing glossary.

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