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In order to be considered valid for Medicare medical review purposes, an attestation statement must be signed and dated by the author of the medical record entry and must contain sufficient information to identify the beneficiary.

Definition of an Attestation Statement: In order for an attestation statement to be considered valid for Medicare medical review purposes, the statement must be signed and dated by the author of the medical record entry and contain the appropriate beneficiary information.

I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.?

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 provided.

For medical review purposes, Medicare requires that services provided and/or ordered be authenticated by the author. The method used shall be a hand-written or an electronic signature.

Provide the facts or information to which you attest. Depending on your reasons for writing, this may be a sentence, or it may stretch to several pages. Stick to the facts, and keep your writing as clear and concise as possible using active voice.

I attest that, to the best of my knowledge and belief, all information in the above referenced data reported is accurate and complete. I have personal knowledge that some of the information in the above referenced data reported is not accurate or not complete.