Complying With Medicare Signature Requirements

June 18, 2018
 / 
Rick Gawenda
 / 

Documentation must meet Medicare’s signature requirements. If Medicare claims reviewers cannot validate the signatures, Medicare Administrative Contractors (MACs) deny the claim, assess an error, and begin recouping overpayments.

Questions I receive regarding signatures include the following:

  • How does CMS define a handwritten signature?
  • What if I use a scribe when documenting medical record entries?
  • What is required for a valid signature?
  • What should I do if I did not sign a medical record?
  • What if I signed the order or progress note but my signature is not legible?
  • What is a signature log?
  • Am I able to attest to my signature?
  • Do my signatures need to be dated?
  • What are the guidelines for using an electronic signature?

To get the answers to all of these questions straight from the Centers for Medicare and Medicaid Services, log into your Gold Member account or become a Gold Member and click

The content here is for members only log in here or sign up.


All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.

This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

  1. Good morning…for some reason it will not let me view this full article even though I am a gold member…I can go back and view the old articles in full but for some reason this article will not show up…thanks in advance for any assistance

    1. If you see the words: I hope you enjoyed this article. Thank you for being a Gold Member!, you are seeing the entire article.

  2. Rick,
    I believe we have a grasp on the requirements of getting the physician signature, but was wondering if there was specific guidelines for the PT signing their documentation?
    I believe they need their name and professional designation with a date, but not sure if they need to also include their license number?
    thanks

    1. The Medicare program and most insurance carriers do not require the license number be on their documentation. I have seen some state practice acts have that requirement though. I would suggest you review your state practice act for any special requirements it may have.

  3. Good morning, I am trying to access Medicare Medical Guidelines, would there be a printable version available.