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Thread: Physician's signature on HPI form

  1. #1
    Join Date
    Apr 2007
    Posts
    21

    Default Physician's signature on HPI form

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    We utilize forms the patient updates when they come in to the office for follow up visits which contain ROS and PFSH information. The Guidelines state "A ROS and/or a PFSH obtained during an earlier encounter does not need to be re-recorded if there is evidence that the physician reviewed and updated the previous information." I am trying to insist all my physicians personally sign and date the form as "evidence." However, one physician is insisting on utilizing a signature stamp. He states he uses it for all his scripts and orders, why can't he use it for the ROS form. Can anyone give me a web site that addresses the need for a personal signature rather than a signature stamp? I feel a stamp can be used by anyone, but he wants documentation that proves he must personally sign the form.
    thanks
    Elaine, CPC

  2. #2
    Join Date
    Apr 2007
    Location
    Swainsboro/Statesboro, GA
    Posts
    753

    Default CMS Manual

    According to the Medicare Program Integrity Manual, Chapter 3, Section 4.1.1B, rubber stamps are not secure and there are consequences if a provider continues to use them.

    I would suggest you check with the FI for your area as well as your Carrier or MAC. The Georgia FI will not accept rubber stamps as a signature on therapy certifications. "Rubber signature stamps are not acceptable as physicians’ certification/recertification on therapy claims nor are they acceptable even if they are initialed by the physician."

    Good luck!
    Freda

  3. #3
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    "The purpose of this notice is to provide guidance to providers/suppliers and Medicare contractors on the use of stamped signatures. Note that stamped signatures are not acceptable on any medical record."



    http://www.cms.hhs.gov/MLNMattersArt...ads/SE0829.pdf

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