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welcome to this tutorial on signature requirements medical record entries the information given in this training is correct as of august 2020 the most current information related to this topic can be found on the meridian and cms websites at the links listed on this slide per the internet only manual or iom scribes are not providers of items or services when a scribe is used by a provider in documenting medical record entries cms does not require the scribe to sign and date the documentation the signature of the treating physician or non-physician practitioner or npp on a note indicates that the physician or mpp affirms the note adequately documents the care provided reviewers are only required to look for the signature and date of the treating physician or npp on the note they wont deny claims for items or services because ascribe has not signed and dated the note refer to change request 10076 on our meridian website under medical review signature requirements and scribes for more in