Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
March 27, 2018


Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More


Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More


OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

No Rubber Stamp on the Rubber Stamp Signature

 
July 3, 2013:

Regina Magnani, RHIT, Clinical/Technical Editor

Medicare will now accept rubber stamp signatures—but only from those with a physical disability hindering their ability to use a handwritten or electronic signature.

The rubber stamp exception to the provision requiring, for medical review purposes, a handwritten or electronic signature on authorizations for services provided or ordered was included in a May 17, 2013, transmittal for the Medicare Program Integrity Manual, Publication 100-8. The exception is in accordance with the Rehabilitation Act of 1973 and applies to someone with a physical disability who can provide proof to a CMS contractor of his/her inability to sign due to disability. By adding the rubber stamp signature, the provider is certifying that he/she has reviewed the document.

Chapter 3, section 3.3.2.4 of Pub. 100-08 outlines the physician signature requirements for medical review purposes that apply to Medicare claim review by Medicare administrative contractors (MACs), the comprehensive error rate testing (CERT) contractor, and zone program integrity contractors (ZPICs). These contractors, along with recovery audit contractors (RACs), review claims and medical documentation providers submit to measure, detect, and correct improper payments in the fee-for-service (FFS) Medicare program.

For medical review purposes, Medicare requires that services provided or ordered be authenticated by the “author.” The three existing exceptions to the requirement that signatures be handwritten or electronic are outlined below:

  • Certifications of terminal illness for hospice. Facsimiles (faxes) of original written or electronic signatures are acceptable.
  • Those circumstances, such as orders for some clinical diagnostic tests, for which an order does not need to be signed, when there is medical documentation (e.g., a progress note) by the treating physician that he/she intended that the clinical diagnostic test be performed. The documentation showing the intent that the test be performed must be authenticated by the author via a handwritten or electronic signature.
  • Other regulations and the Centers for Medicare and Medicaid Services’ instructions regarding conditions of payment related to signatures (such as timeliness standards for particular benefits) take precedence. For medical review purposes, if the relevant regulation, NCD, LCD, and CMS manuals are silent on whether the signature needs to be legible or present and the signature is illegible/missing, the reviewer shall follow the guidelines in Pub. 100-08 to determine the identity and credentials (e.g., MD, RN, etc.) of the signer. When the relevant regulation, NCD, LCD, and CMS manuals have specific signature requirements, those requirements take precedence.

Stamped signatures are allowable only for physically disabled authors.

Note that these requirements may differ from the conditions of participation (COPs), which are not conditions of payment.

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.

Promo code

Have a promotional source code? Enter it here:


What is this?
Shop our catalog
Request or check out the electronic version of our latest catalog.

Medical Coding Books Winter 2018 Catalog