Wiki Unsigned progress note

RABBIT2020

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Are there any justified circumstances for which a claim/charge/invoice should be generated when there is an unsigned provider note.

There was one day when the EMR was down for a few hours. The provider started his note but never signed it.
I must coded the cpt from the little snippet of information that information received from upper management stated that it is ok to code due to downtime... no signature required.

Is this acceptable?
 
Even if the EMR was down, the provider can and should sign the note when possible. The signature is what makes the note final. What if the provider started the note, then EMR was down and information needed to be added/deleted/changed???
In a situation like this, particularly if signing significantly later, it may be appropriate for the physician to add a something like "Due to EMR downtime issues, note is being signed on this later date." so there is an explanation if anyone were to question the signing delay.
In my healthcare organization, we do NOT code anything that is unsigned.
 
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