Dating and signing diagnostic test orders
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It is to be unique to the individual, and not reassigned nor reused by someone else.
Furthermore, measures should be in place to protect the 'links' between electronic health information and signatures which prevent unapproved alteration through removal, copying or transfer.
To avoid unnecessary payment denials, rejections or overpayment situations, we strongly urge providers to check with their technical staff or software vendors to verify their current record-keeping and signature processes are in compliance with CMS instructions.
Software/hardware should meet or exceed industry standards to avoid compromising the integrity of documentation and signatures.
Exception 3: Other regulations and the CMS’ instructions regarding conditions of payment related to signatures (such as timeliness standards for particular benefits) take precedence.
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In order to be considered valid for Medicare Medical Review purposes, your attestation statement must include the following elements: when I treated/diagnosed the above listed Medicare beneficiary.
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