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What are Encounters?

M
Written by MedScout Support

Encounters are procedures and/or diagnoses for the same patient, on the same day, with the same provider. This can span across multiple claims.

Examples:

  • Procedure + Diagnosis: MRI scans on patients WITH a prostate cancer diagnosis.

  • Procedure + Procedure: Left heart cath with coronary angiography WITH a bypass graft imaging.

How do I create an Encounters code set?

  • When creating a new code set, use 'Encounters' rather than 'Total Claims'

  • Add a combination of both procedure and diagnosis codes

  • You can also EXCLUDE codes or groups of codes as part of an Encounters search

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