The Medicare Program Integrity Manual contains the guidance around signature requirements. They are found in chapter 3. 3.3.2.4 - Signature Requirements This material was also covered in the Part AB November 2025 webinar by Noridian entitled: Signature Requirements Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations. The information presented herein is for general informational purposes only and is accurate as of the date of publication.
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From the Noridian website: Examples of acceptable electronic signatures are, but not limited to: Chart ‘Accepted By' with provider's name ‘Electronically signed by' with provider's name ‘Verified by' with provider's name ‘Reviewed by' with provider's name ‘Released by' with provider's name ‘Signed by' with provider's name ‘Signed before import by' with provider's name ‘Signed: John Smith, M.D.' with provider's name Digitalized signature: Handwritten and scanned into the compute. ‘This is an electronically verified report by John Smith, M.D.' ‘Authenticated by John Smith, M.D.‘ ‘Authorized by: John Smith, M.D.‘ ‘Digital Signature: John Smith, M.D.‘ ‘Confirmed by' with provider's name ‘Closed by' with provider's name ‘Finalized by' with provider's name Note: ‘Signed but not read' is not acceptable Signature Requirement Questions...