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The information gathered by ancillary staff (i.e., registered nurse, licensed practical nurse, medical assistant) may be used as preliminary information but needs to be confirmed by the physician. The ancillary staff may write down the HPI as the physician dictates and performs it.

Signature Attestations Statement. Page 1. Medicare requires that services be authenticated by the persons responsible for the care of the beneficiary. The treating physician's/non-physician practitioner's (NPP's) signature on a note indicates that the physician/NPP affirms the note adequately documents the care

Electronic signatures should contain date and timestamps and include printed statements (see below) followed by the practitioner's name and preferably a professional designation. The e-signature line includes the author's e-signature, full name, credentials, date, and time of e-signing.

Only the physician or NPP that is conducting the E/M service can perform the HPI. This is considered physician work and not relegated to ancillary staff. The exam and medical decision making are also considered physician work and not relegated to ancillary staff.

CMS orders the RADV-eligible contract population by payment year risk score and divides the population into three equal-size strata (equal in terms of the number of beneficiaries in each stratum). 4. CMS randomly selects sixty-seven (67) enrollees from each of the three strata.

RADV refers to Risk Adjustment Data Validation, which is the process of verifying diagnosis codes submitted for payment with the support of medical record documentation. RADV aims at increasing auditing activity consistent with an emphasis to reduce payment errors.To get started with RADV audits, call 1-800-670-2809.

In order for a signature to be valid, the following criteria are used: Services that are provided/ordered must be authenticated by the author. Signatures shall be handwritten or an electronic signature.Medical record entries completed by a scribe must be authenticated by the treating physician's/non-physician's (