A Legible Medical Record and Authentication Matters


Medicare requires that services provided and/or ordered be authenticated by the original author. Signatures in the medical record must be clearly visible after each entry. If the signature is illegible, review contractors will accept a signature log or attestation statement to determine the identity of the author of a medical record entry. The method used must be hand-written or an electronic signature. Stamped signatures are not acceptable and if you do not have a signature log currently in place, it may be created at any time. Please view the "Complying with Medicare Signature Requirements Fact Sheet" for additional signature requirements. 

 





Last Updated: 06/06/2021