tci Medicare Compliance & Reimbursement - 2021 Issue Q2

Reader Question: Know This Important Fact on Scribes

Question: We just started having one of our medical assistant’s act as a scribe for a physician with a broken hand. Does Medicare require the medical assistant to sign the medical record when she is documenting for the provider? North Carolina Subscriber Answer: No, the Centers for Medicare & Medicaid Services (CMS) does not expressly require scribes to sign or date documentation — and that’s because “scribes are not considered providers of items or services,” notes CR 10076 of the Medicare Program Integrity Manual. Medicare claims reviewers are only required to look for the treating...

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