Wiki Help!

[FlocksofSwans]

Hello I am trying to find any information or guidelines as to what is or is not acceptable for co-signing. My provider is co-signing charts done by another physician, simply stating that they examined the patient and agreed with the above notes and assements. I am not sure if this is allowed or not but I need guidelines. I am terrible at research please help

 

[sdelth4284]

I would start with the CMS website and search there for regulations or guidelines.

 

[mitchellde]

Hello I am trying to find any information or guidelines as to what is or is not acceptable for co-signing. My provider is co-signing charts done by another physician, simply stating that they examined the patient and agreed with the above notes and assements. I am not sure if this is allowed or not but I need guidelines. I am terrible at research please help

Why would your provider be signing a different physicians notes? You cannot bill a physician using a different physician NPI, in other words incident to. So what is the motivation?

 

[teresabug]

if 2 providers in the same group are rounding on a patient, they can combine their documentation for the appropriate E/M code. If a resident sees a patient, the supervising physician must also examine the pt and document his findings. I agree with Deborah. There is no reason for one MD or DO to have to co-sign another MD or DO's chart note.

 

[mat5508]

Per CMS, the provider who orders/performs the service must authenticate the service. Here is a link to a good fact sheet from CMS

http://www.cms.gov/Outreach-and-Edu...gnature_Requirements_Fact_Sheet_ICN905364.pdf

Maria

 

[FlocksofSwans]

thank you for the responses. the cms guideline is helpful, not exact to our situation but I am taking it to my DQM for further direction. thanks!