Title: (Optional) Record information from the encounter form, applying the appropriate codes for billing purposes and insurance claims.
Course: Medical Administration (14153-18) > Section: Managing Office Activities

Recording should include

- using American Medical Association’s Current Procedural Terminology (CPT)
- using International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
- using medical terminology
- entering data into medical records manually and electronically
- adhering to office policies regarding the release of information.