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The purpose of a physician's signature in a medical record or operative report is to clearly identify who ordered and provided supplies or services for the patient. It also serves as a testament that the services he or she provided were accurately and fully documented, reviewed, and authenticated.

No, stamped signatures are not acceptable. Medicare requires services provided/ordered/certified be authenticated by the persons responsible for the care of the beneficiary. Only handwritten or electronic signatures are acceptable.

Medicare requires that services provided/ordered be authenticated by the author. The signature for each entry must be legible and should include the practitioner's first and last name. For clarification purposes, we recommend you include your applicable credentials (e.g., P.A., D.O. or M.D.).

All entries in the medical record must be dated, timed, and authenticated, in written or electronic form, by the person responsible for providing or evaluating the service provided. entry. This would include verification of the author of faxed orders/entries or computer entries.

HIPAA permits health care providers to disclose to other health providers any protected health information (PHI) contained in the medical record about an individual for treatment, case management, and coordination of care and, with few exceptions, treats mental health information the same as other health information.

CMS regulation states that verbal orders must be dated, timed, and authenticated promptly by the ordering practitioner or by another practitioner who is responsible for the care of the patient. The receiver of a verbal order must date, time, and sign the verbal order in ance with hospital or clinic policy.

Electronic signatures: Electronic signatures should contain date and timestamps and include printed statements, e.g., ?electronically signed by,? or ?verified/reviewed by,? followed by the practitioner's name and preferably a professional designation.

The minimum required elements include; the name of the primary surgeon and assistants procedures performed and description of each procedure findings any estimated blood loss, any specimens removed, and the post operative diagnosis. Represents the most recent date that the FAQ was reviewed (e.g. annual review).