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Thread: Signatures required for encounter forms?

  1. #1

    Question Signatures required for encounter forms?

    AAPC: Back to School
    Our physicians (all providers) do their chart notes after seeing a patient, then "code" their encounters on a separate form that is submitted to coders for review and code entry into our practice management system.
    The forms are filed and saved, but are not part of pt. charts.

    Is a provider signature required on the encounter forms?

  2. #2
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    In my opinion, the fee tickets, encounter forms, etc., are just billing tools, not permanent medical records. As such, I wouldn't necessarily require a signature, unless you are posting a charge directly from the fee ticket (not recommended). The best case is to code from the complete, signed documentation, though, which is the permanent medical record, and use the forms as just a reference.
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  3. #3
    Join Date
    Apr 2007
    Louisville, KY


    I would concur that because encounter forms are not part of the patient record, there is no signature requirement.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  4. #4


    Thank you! I appreciate your responses.

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