Medicare Compliance & Reimbursement - 2021 Issue 1
Reader Questions: Illegible Signature?
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Article Overview
This reader Q&A addresses documentation support for an illegible surgeon signature and discusses the general use of a signature log or attestation statement in the medical record. It is relevant to coders, billing staff, and compliance teams working with Medicare documentation requirements and record validation practices.
Why This Topic Matters
Accurate signature validation can affect whether medical records are accepted as complete documentation. This article helps readers understand the types of supporting documentation that may be used to substantiate an illegible signature.
Article Sections
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Question
Introduces the documentation issue raised by a reader and frames the topic of illegible provider signatures.
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Answer
Summarizes the general forms of supporting documentation discussed for validating an illegible signature.
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Don’t miss
Adds a practical note about where supporting documentation may be kept within the patient record.
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Attestation statement
Describes the alternate documentation approach mentioned for supporting an illegible entry and notes the need for proper completion.
What You Will Learn
- The documentation issue related to illegible provider signatures
- General approaches for supporting signature identity in a medical record
- How supporting documentation may be maintained in the patient record
- The role of attestation statements in documentation validation
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Health information management professionals
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