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This tutorial covers signature requirements for medical record entries, with information accurate as of August 2020. Current details can be found on the Meridian and CMS websites. According to the Internet Only Manual (IOM), scribes are not considered providers and are not required to sign and date medical documentation. The signature of the treating physician or non-physician practitioner (NPP) confirms that the documentation reflects the care provided. Reviewers only need to verify the signature and date of the treating physician or NPP, and claims will not be denied due to a lack of a scribe's signature. For further information, refer to Change Request 10076 on the Meridian website regarding medical review, signature requirements, and scribes.