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This tutorial covers signature requirements for medical record entries as of August 2020. Current information can be found on the Meridian and CMS websites. According to the Internet Only Manual (IOM), scribes are not considered providers of items or services. When a scribe documents medical records for a provider, CMS does not necessitate the scribe's signature or date. The treating physician's or non-physician practitioner's (NPP) signature affirms that the documentation reflects the care provided. Reviewers only need to confirm the signature and date of the treating physician or NPP and will not deny claims based on the lack of a scribe's signature. For further details, refer to Change Request 10076 on the Meridian website.