Separate Signature Attestation For Free

?I, (print full name of the physician/practitioner), hereby attest that the medical record entry for (date of service) accurately reflects signatures/notations that I made in my capacity as (insert provider credentials, e.g., M.D.) when I treated/diagnosed the above listed Medicare beneficiary.

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.

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.?

It is customary to sign a deed, make a will or sign other written documents in the presence of a witness who also signs the document to attest to its contents and the authenticity of the party's signature.

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.).

Attestation is the act of witnessing the signing of a formal document and then also signing it to verify that it was properly signed by those bound by its contents. Attestation is a legal acknowledgment of the authenticity of a document and a verification that proper processes were followed.

Attestation: Attestation is confirmation that a photocopy is a true copy of an original document. The British Council will not be responsible for confirming the authenticity of the original certificate. Verification: Verification is the process of ensuring that original documents are genuine.

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.

Certain types of signatures (e.g., illegible signatures, initials) may require the addition of a ?signature attestation statement? or a signature log to the documentation to ensure the signature's authentication.

The certifier will then write or stamp the copy with the words: ?Certified to be a true copy of the original seen by me.? They will sign and date the copy, and write or stamp their: name. personal or professional address, and. qualification as an authorised certifier.