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
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