tci Part B Insider - 2015 Issue 19

Where There Is A Rule, There Are Exceptions

Although Medicare’s signature regulations are set in stone, there are specific exceptions when you can override them, as follows: Exception 1: Facsimiles of original written or electronic signatures are acceptable for the certifications of terminal illness for hospice. Exception 2: There are some circumstances for which an order does not need to be signed. For example, orders for clinical diagnostic tests are not required to be signed. The rules in 42 CFR 410 and the Medicare Benefit Policy Manual, chapter 15, section 80.6.1, state that if the order for the clinical diagnostic test is unsigned, there...

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