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The physician (provider) should sign his/her legal signature (full name, including credential). Under Actual Chart Signature, the provider should indicate all possible ways that he/she would sign the medical record (initials, first initial/last name, etc.).
Medicare requires that the signature be a legible identifier for the provided/ordered services. The physicians signature can be in the form of either a handwritten signature or an electronic signature. Stamped signatures (i.e. rubber stamps) are not acceptable signatures.
I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.
The only acceptable data sources are hospital inpatient facilities, hospital outpatient facilities, and physicians. Plan sponsors are responsible for determining provider type based on the source of the data. Submit the required data elements from acceptable data sources ing to the coding guidelines.
Signature Requirements This includes orders and medical record documentation of all services provided. The signature must include the credentials of the individual and be dated. The method used shall be a hand written (may be faxed), or an electronic signature. Stamped signatures are generally not acceptable.

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Acceptable Signatures Electronic signatures usually contain date and timestamps and include printed statements (e.g., electronically signed by or verified/reviewed by) followed by the practitioners name and preferably a professional designation.
Medicare requires that services provided/ordered be authenticated by the author. The signature for each entry must be legible and should include the practitioners first and last name. For clarification purposes, we recommend you include your applicable credentials (e.g., P.A., D.O. or M.D.).
What is a RAF score? Risk Adjustment Factor (RAF) scores are part of the model used by CMS to estimate the associated cost of Medicare Advantage beneficiaries. The RAF score determines the amount paid by CMS to the health plan per beneficiary during the corresponding payment year.

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