CMS encourages physicians to verify that a legible signature is present on all medical records during their quality check before the document is filed in the patient's permanent record. Unsigned documentation or lack of attestation will result in the denial of services.

Medicare requires that services provided/ordered be authenticated by the author. The method used for authenticating shall be a handwritten or electronic signature. CMS will permit the use of a rubber stamp for signature in accordance with the Rehabilitation Act of 1973, in the case of an author with a physical disability.

Did you know the MD signature is required on orders for laboratory services, diagnostic and therapeutic procedures, therapy treatment plans and physician progress notes? Also, if you notice the signature is illegible when asked to supply medical records, please include a signature key, signature page, or a document from the provider/physician or compliance officer that affirms the signature is indeed the providers/physicians. This signature document can be submitted routinely for all requests for medical records.

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