tci Medicare Compliance & Reimbursement - 2004 Issue 37

Long-Term Care: SNFs Hearing Mixed Messages On E-Signatures

Confused? Get the inside line from state surveyors.The use of electronic signatures for clinical records is gaining popularity in long-term care facilities. But the Centers for Medicare & Medicaid Service may not be keeping pace with change.A Sept. 9 memo to state survey directors (S&C-04-46) says that CMS has received repeated requests for authorization to use e-signatures on the minimum data set and the individual health record. However, current CMS requirements to retain hard copies are problematic to both facility staff members and reviewers."Conflicting messages exist in current CMS policy, as guidance requires the need...

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