Download Support Tool Mistakes happen. Unintentional errors that include unsigned notes or notes that are not signed in a timely fashion are inevitable in a busy office. Because signatures are a requirement, once the error is found, it’s critical to correct it, learn from it, re-train, and check again. A Signature Log is a very…
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Download Support Tool One of the most effective ways to ensure compliance is to perform periodic self-audits. These important self-checks are even a requirement of an office compliance program. By performing a retrospective review of a sampling of signed visits, you will establish a baseline of your current compliance with the signature guidelines. Download, review…
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Medicare Signature FAQ’s Q: What is required for a valid signature? A: Services provided or ordered must be authenticated by the ordering practitioner Handwritten or electronic signatures (stamped signatures are not acceptable) Legible Signatures Q: What should I do if I haven’t signed a medical record? A: You cannot add late signatures to medical records (beyond the…
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Meeting Signature Requirements Like many of the Medicare Administrative Contractors (MACs), National Government Services (NGS) report they have experienced an increasing number of Comprehensive Error Rate Testing (CERT) errors due to “signature requirements” not being met. Medical Providers are not signing orders or certification/recertification forms. All types of providers are failing to sign office visit notes. Medicare…
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One of the most important elements of a complete medical record is the name and signature of the provider of service. Medicare has set the standard for all payers on what is required to confirm the medical record and validate who provided the service. Most other payers follow the same guidelines as Medicare. This training…
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Download Reference Documents Medicare publishes helpful documents and alerts to keep providers in the know about important topics. Included here are several documents that relate specifically to documentation of Chiropractic care and medical necessity. These tools relate to the elements of Chiropractic documentation and the overall rulebook for Medicare policy, The Benefit Policy Manual. Download,…
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