Rules for dictation and sign off.

nneecole

Networker
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I have scoured the Medicare website and manuals. I can seem to find a clear answer as to how long a physician has to dictate and sign a office note/dictation after the patient is seen. Can anyone help me??? Please and thank you!
 

thomas7331

True Blue
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To my knowledge, Medicare has never said specifically how long a provider has to sign a record. The guidance is that late signatures should not be added "beyond the short delay that occurs during the transcription process". Some payers do have specific requirements though - our local Medicaid plan, for example, requires all documentation to be signed within 30 days of the date of service.

Here's a good link with some frequently asked questions about signature requirements:

https://www.cms.gov/Outreach-and-Ed...gnature_Requirements_Fact_Sheet_ICN905364.pdf
 
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