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This tutorial discusses signature requirements for medical record entries, with information accurate as of August 2020. For the most up-to-date information, refer to the Meridian and CMS websites. According to the Internet Only Manual (IOM), scribes are not considered providers. When a scribe documents entries, CMS does not mandate their signature or date. Instead, the signature of the treating physician or non-physician practitioner (NPP) affirms the documentation of care provided. Reviewers only need to verify the signature and date of the treating physician or NPP; claims will not be denied solely based on the absence of a scribe's signature. For further details, consult Change Request 10076 on the Meridian website.