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[Music] hello and welcome to our video Medicare signature guidelines the objective of this video is to provide the Medicare provider community and understanding of the Medicare signature requirements to prevent claim denials Medicare requires that services provided or ordered are authenticated by the author the method used for authenticating shall be an electronic or handwritten signature CMS's definition of the handwritten signature is defined as a mark or a signed by an individual on a document to signify knowledge approval acceptance or obligation stamped signatures are not acceptable except when the author cannot physically sign in in accordance with the Rehabilitation Act of 1973 contractors who review Medicare claims include Medicare administrative contractors affiliated contractors comprehensive ere rate testing contractors recovery audit contractors program safeguard contractors and zone program integrity contractors these contractors are tasked with measuring detecting and correcting improper payments as well as identifying potential fraud in the fee-for-service Medicare program national government services encourages physicians and providers to verify that a legible signature is present on all Medicare Records during their quality check before the document is filed in the patient's permanent record unsigned documentation or lack of a test station will result in the denial of services providers will sometimes include a signature lock in the documentation they submit that lists the typed or printed name of the author along with credentials associated with initials or an illegible signature a signature lock is a typed listing of the provider of provider's identifying their name with a corresponding handwritten signature this may be an individual log or a group log a signature log may be used to establish signature identity as it needed throughout the medical record documentation the signature log might be included on the actual page where the initials or illegible signature are used or might be separate document but must be part of the patient's medical record claim reviewers will consider all submitted signature logs regardless of the date they were created and they are encouraged to file signature logs in an easily accessible manner to minimize the cost of future reviews where the signature log may be needed again here you see an example of an attestation statement providers may include this in the submitted documentation CMS does not require or instruct providers to use a certain form or format in order for an attestation statement to be considered valid for Medicare medical review purposes the statement must be signed and dated by the author of the medical record entry and contain the appropriate beneficiary information here are some examples of medical record types that require a signature dictated reports providers should proofread the dictation outpatient visits laboratory or diagnostic orders or requisitions if you are unable to obtain a copy of the physician's progress notes requesting the tests to be performed certificates of medical necessity treatment plan or plan of care treatment log notes initial evaluations or current revaluations inpatient visits if necessary obtain the signed copy from the hospital office...