tci Part B Insider - 2013 Issue 16

Clip And Save: Consider This Sample Signature Attestation Lingo

Novitas Solutions, the Part B MAC for eight states, says that although CMS does not require you to use any particular format for attestations, the Office of Management and Budget has approved the following as an acceptable attestation if signed and dated by the medical record entry’s author: "I (print full name of the physician/practitioner)___, hereby attest that the medical record entry for ___(date of service)__accurately reflects signature/notations that I made in my capacity as ___(insert provider credentials, e.g. M.D.)__when I treated /diagnosed the above listed Medicare beneficiary.I do hereby attest that this information...

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