5FFSG, 5CFSG: Missing or Illegible Provider Signature

Reason for Denial
This claim was fully or partially denied because there were missing or illegible provider signature(s) and a signature log or provider attestation was not received.

How to Avoid This Denial

• A physician’s order or document indicating physician’s intent must be submitted for review with the request for copies of medical records
• A legible signature is required on all documentation necessary to support orders and medical necessity
• A signature log or provider attestation must be submitted for review timely (within 20 calendar days) when requested. The 20-day timeframe begins once the contractor makes an actual phone contact with the provider, or the date the request letter is received by the post office.
• Medicare requires that services provided/ordered be authenticated by the author. The method used shall be a handwritten or an electronic signature. Stamp signatures are not acceptable.

References

• Code of Federal Regulations, 42 CFR — Section 410 
• CMS Manual System, Pub 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 80.6.1 (PDF)
• CMS Manual System, Pub 100-08, Medicare Program Integrity Manual, Chapter 3, Section 3.3.2.4 (PDF)
• MLN Matters article MM 6698 Revised (PDF)