Same Day Encounters
February 2024
An encounter is a face-to-face contact between a patient of an FQHC and any health professional whose services are reimbursed under the Arkansas Title XIX (Medicaid) State Plan.
- Contacts with more than one health professional and multiple contacts with the same health professional that take place on the same day and at a single location constitute a single encounter except when the patient, after the first encounter, suffers illness or injury requiring additional diagnosis or treatment.
- A patient of the FQHC may have a separate family planning encounter during the same visit to the FQHC for a core service encounter; however, a family planning visit is not reimbursed separately when it takes place on the same day as a family planning surgical procedure.
- An FQHC encounter is not reimbursed separately on the same day as an obstetric or gynecologic procedure that the FQHC reports by CPT procedure code unless the encounter is for a different disorder or condition.