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This tutorial covers signature requirements for medical record entries. The information is accurate as of August 2020, with the most current updates available on Meridian and CMS websites. Scribes are not considered providers of items or services. When a scribe is used in documenting medical records, their signature is not required. The treating physician or non-physician practitioner's signature on a note affirms the care provided. Reviewers only need to look for the signature and date of the treating physician or NPP on the note, claims won't be denied if a scribe hasn't signed. Check out Change Request 10076 on the Meridian website for more details on signature requirements and scribes.