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Printed Date: 9/22/2015
A scribe can be a non-physician practitioner (NPP), nurse or other appropriate personnel designated by the physician/NPP to document or dictate on their behalf. A scribe does not have to be an employee of the physician/NPP.
Scribes are not providers of items or services. When a scribe is used by a provider in documenting medical record entries (e.g. progress notes), the Centers for Medicare & Medicaid Services (CMS) does not require the scribe to sign/date the documentation. The treating physician’s/NPP’s signature on a note indicates that the physician/NPP affirms the note adequately documents the care provided.
The Medicare Administrative Contractor (MAC) is only required to look for the signature (and date) of the treating physician/NPP on the note. Services shall not be denied for items or services because a scribe has not signed/dated a note.
Reference: CMS Change Request (CR) 10076/Transmittal 713 (PDF, 79 KB)
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Last Updated: 02/05/2018