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Last Modified: 9/3/2022 Location: FL, PR, USVI Business: Part A, Part B

Signature guidelines -- 20-day timeframe for additional documentation requests

Medicare claim review contractors (CRC), including the Comprehensive Error Rate Testing (CERT) contractors and recovery audit contractors (RAC), are tasked with measuring, detecting, and correcting improper payments in the Medicare fee-for-service (FFS) program. These contractors review claims and medical documentation submitted by providers.
Previous language in the Program Integrity Manual (PIM) required a “legible identifier” in the form of a handwritten or electronic signature for every service provided or ordered. MLN Matters article MM6698 updated these requirements and added e-Prescribing language.
In situations where the guidelines in the PIM instruct a medical reviewer to contact the billing provider to request an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within 20-calendar days.
The 20-day timeframe begins when:
The reviewer makes actual phone contact with the provider, or
The reviewer’s request letter is received by the U.S. Postal Service

Signature log

A signature log lists the typed or printed name of the author associated with initials or an illegible signature. The signature log may be included on the actual page where the initials or illegible signature are used or may be a separate document. Medical reviewers will encourage the listing of credentials in the log; however, CMS has instructed reviewers not to deny a claim for a signature log that is missing credentials.

Signature attestation statement

The author of the medical record entry must sign and date the attestation statement in order to be considered valid for Medicare medical review purposes. The attestation statement must contain the appropriate information to identify the beneficiary in question.

Provider assistance

First Coast has implemented faxination accounts to assist providers with meeting these requirements and expedite this process. First Coast will provide you with these important numbers upon request for a signature log or attestation statement.

Additional information

For additional information regarding signature requirements, please refer to these resources:
MM6698 external pdf file
Source: CR 6698
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.