If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Hi, Does anyone know where I can find in writing how long a provider has to sign off on their documentation (ie; 24-48-36 hours) before Medicare considers it a "late signature"?
What should I do if I haven’t signed an order or medical record?
Answer:
You may not add late signatures to medical records (beyond the short delay that occurs during the transcription process).
Medicare does not accept retroactive orders. If the practitioner’s signature is missing from the medical record, submit an attestation statement from the author of the medical record.
Your contractor may offer specific guidance regarding addenda to medical records. If the order is unsigned, you may submit progress notes showing intent to order the tests. The progress notes must specify what tests you ordered. A note stating
“Ordering Lab” is not sufficient. If the orders and the progress notes are unsigned, your facility or practice will be assessed
an error, which may involve recoupment of an overpayment.