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Face to Face Certification StatementPatient name: Date of birth: Date of Encounter: For Medicare/Medicaid patients: I certify/recertify that this patient is confined to his/her home (and meets home
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How to fill out date of encounter

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Start by entering the numerical day of the encounter.
02
Next, enter the name of the month in either its numerical or written form.
03
Finally, enter the full numerical year of the encounter.

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Date of encounter refers to the specific date when an event or interaction took place.
Healthcare providers, facilities, and organizations are required to file the date of encounter for proper documentation and billing purposes.
Date of encounter can be filled out by entering the exact date in the designated fields on the relevant forms or electronic health records systems.
The purpose of date of encounter is to accurately record when a healthcare service, treatment, or consultation occurred for patient care and billing purposes.
The date of encounter must include the specific date, time, and location of the healthcare service or treatment provided.
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