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November 15, 2013

Attestation Requests

The Centers for Medicare & Medicaid Services (CMS) sets forth guidelines regarding signature requirements in medical records for medical review purposes. The CMS Medicare Program Integrity Manual (Pub. 100-08), chapter 3, section, instructs Medicare contractors, including CGS, as follows:

“. . . the reviewer shall contact the person or organization that billed the claim and ask them if they would like to submit an attestation statement or signature log with 20 calendar days. The 20 day timeframe begins once 1) the contractor makes an actual phone contact with the provider or 2) the date the request letter is received by the post office”.

CGS will NOT consider attestations that are submitted to us upon request if:

  • There is NO associated medical record entry
  • The attestation statement is from someone other than the author of the medical record entry in question
    • In cases where two individuals are in the same group, one may not sign for the other in medical record entries or attestation statements
  • Patient information is missing
  • Missing provider’s full name (e.g., Dr. Smith is not acceptable; Dr. Joe Smith is)
  • Provider’s name does not match the name on file
  • Attestation is not legible

For further guidance, please refer to:

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