Home Health & Hospice Week

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Consider This Sample Signature Attestation Lingo

Medicare Administrative Contractor Novitas Solutions 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 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."

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