Electronic Signatures

Providers using electronic systems need to recognize that there is a potential for misuse or abuse with alternative signature methods. The individual whose name is on the alternative signature method and the provider bear the responsibility for the authenticity of the information being attested to. Physicians are encouraged to check with their attorneys and malpractice insurers concerning the use of alternative signature methods.

The following are examples of acceptable electronic signatures:

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 computer.
** ”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.
”Electronically approved by” with provider’s name.

The treating physician’s signature must be present in the documentation associated with all services submitted to Medicare. Medicare requires that the signature be a legible identifier for the provided/ordered services. The physician’s signature can be in the form of either a handwritten signature or an electronic signature. Stamped signatures (i.e. rubber stamps) are not acceptable signatures.