Results 1 to 4 of 4

Physician delegates to sign off their charts notes

  1. Default Physician delegates to sign off their charts notes
    New Call-to-action
    I need help!

    Since our physicians are so busy they suggested that we assign delegates to sign off their charts notes. The CMS guidelines for signature requirements does not really mentioned delegates, is this even legal to assign someone to sign off their chart notes? I do not really agree with their suggestions but if there are guidelines out there that I do not know please share them with me.

    Thank you in advance

    Josephine

  2. #2
    Default
    No one can sign the provider's notes except the provider himself.

    I would think the reason it's not in the guidelines is because it is so obvious that it doesn't even need to be included.

  3. #3
    Default
    Your gut instinct is correct. Besides being unethical, a provider can get in big trouble if they sign off someone else's note (except for Incident-To rules, which is a different scenario).

    I read about a provider who didn't finish several medical notes before they left their practice. The practice had to write each and single one of the unsigned notes off for this exact reason. Even the Chief Medical Officer couldn't legally touch these notes.
    "When you have exhausted all possibilities, remember this: You haven't!"
    -Thomas Edison

  4. #4
    Default
    Quote Originally Posted by CatchTheWind View Post
    I would think the reason it's not in the guidelines is because it is so obvious that it doesn't even need to be included.
    That's always the problem, some think that because its not mentioned that its up to interpretation. They don't understand that just because it doesn't say you cant do something that it automatically mean that you can.
    It can be easily inferred that signature means you are attesting that the information in the record is correct. That's impossible to do if you were not present.

    Even though it doesnt mention delegates, its pretty clear


    https://www.cms.gov/Outreach-and-Edu..._icn905364.pdf


    How does CMS define a handwritten signature?
    A mark or sign by the ordering or prescribing physician or NPP on a document signifying knowledge,approval, acceptance, or obligation.

    What if I use a scribe when documenting medical record entries?
    Regardless of who writes a medical record entry, you must sign the entry to authenticate it adequatelydocuments the care you provided or ordered. It is unnecessary to document who transcribed the entry.
    It seems clear only the person who actually provided the service can sign off on it.
    CRC (2018), CPC-P-A (2016), COC-A (2016), CPC-A (2015), PAHM (2010)
    Contract/Fee Specialist - Remote

    20 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

Similar Threads

  1. MD left practice, can Chief Medical Officer sign notes?
    By arrana in forum Compliance General Discussion
    Replies: 2
    Last Post: 04-12-2018, 05:16 AM
  2. OP Notes: Is Rendering Physician Required to be listed on notes??
    By ewilliams941@gmail.com in forum Auditing General Discussion
    Replies: 2
    Last Post: 03-13-2016, 03:45 PM
  3. time limit for physician to sign off?
    By jenmagee in forum Compliance General Discussion
    Replies: 0
    Last Post: 07-11-2012, 09:22 AM
  4. Physician provided codes/incomplete charts
    By dpenning in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-01-2010, 09:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.