I just received a letter from our carrier medical director discussing signatures. The CERT contractors are denying claims for records received without a legible signature. The CMD letter states, "The Centers for Medicare & Medicaid Services (CMS) has a long-standing published requirement that a legible, valid signature (identifier) must be present on all substantiating documentation for claims billed to Medicare." It goes on to identify "not acceptable" signatures including: 1.) Illegible, unrecognized handwritten signatures or initials; 2.) unsigned "typewritten" progress notes with a typed name only; 3.) unverified or unauthorized electronic signatures, 4.) no indication of the rendering physician/practitioner.
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