A community of 30,000 US Transcriptionist serving Medical Transcription Industry

doc manually signing a letter or chart note - Ginger

Posted: Jul 14, 2010

I work for 9 specialty docs so I type a lot of letters. Two of the docs have me stamp their outgoing letters with their name. One doc has a manual signature line. Our physician insurance company representative was recently here doing an audit and said that is not legal and that the docs must sign each and every letter or at least initial them. Can you tell me if she is correct? Is there somewhere where I can actually get some documentation as to the proper procedure? I want to do right by my docs and keep them happy. Thanks gals.

I am not sure if it is legal or not. I know that with - sm

[ In Reply To ..]
electronic signatures, the doctor has to fill out some kind of form stating that he is allowing electronic signature and I am sure there is some "legaleze" in it concerning that sort of thing. It is kept on file at each and every hospital, clinic, etc. where he uses electronic signatures.

signature - magsnfla

[ In Reply To ..]
Ask the doctor's lawyer - or call the local chapter of the AMA. They will know. I worked for an interventional cardiologist and I used his signature stamp all the time - never a problem.

Electronic signatures - KRFan

[ In Reply To ..]
Joint Commission standards for hospitals require that the author of a document authenticates the document -- which does not allow an electronic signature or a stamped signature to be inserted by anyone without the physician/clinician having reviewed the content first. Such signatures are fine, as long as the person inserting them is the one who is legally responsible for the content: the doctor or other clinician, not the transcriptionist.

She's correct - New changes in the law

[ In Reply To ..]
Stamps will no longer be accepted as signatures for Medicare and I believe many insurance companies are following suit.

Similar Messages:

Feb 15, 2010

How do you add a cholesterol profile in a chart note? There are no headings being used. Do you do as below: CHOLESTEROL PROFILE: Total cholesterol: 182, LDL: 120, HDL: 82, Triglycerides: 75 ...

Mar 11, 2010

Gotta question - I work in-house for a group practice that oursources the transcription to a service, then I work as an editor for the final review before the paper copy goes for signature. The paper copies are faxed to the cc list of doctors on that note. The original is then scanned into an EMR, with the paper copy then shredded. There is talk of an electronic signature, but we're not there yet. So my question is this - what would be the best way to deal with ...

Nov 30, 2010

Could someone that is experienced please proofread the following Cardiology chart note for me. I would like to make sure the format is correct, and also if I could get some input on what ("Bardoto") rales could be. I would greatly appreciate some help. The patient has had 2 myocardial infarctions, and is essentially a cardiac cripple. His ejection fraction is quite low. Blood pressure 136/66, pulse 80, respirations 24, temperature 97.6. Heart: Regular sinus ...

Feb 07, 2011

Microscopic: Rare ______, (sounds like: abcelioe cells) occasional mucus. Rare WBCs, RBCs, and casts. is rare even right? The doctor has a thick accent... ...

Feb 09, 2011

that their current ad no longer promises an abundance of work ... finally .. truth in advertising! LOL Happy Days are here again ... lalalala ...

Feb 14, 2013

entering all these CCs, why are we required to do it? Aren't we by contract supposed to be paid for every character we type?? How are they getting away with this? I just spent over 10 minutes searching and entering CCs for about a 12-line report. So the majority of the time I spent on the report, I didn't even get paid for. ...

Jan 30, 2015

How is that even remotey fair? ...

Dec 20, 2009

A few weeks ago, for no reason that I can find, I cannot get the first letter of a sentence to be in all caps automatically, (unless I do it manually.) The same for the letter " I " by itself when typed. It was always automatic and now all of a sudden it is doing this and I cannot figure out how to change it back. Has anybody else had this problem, if so, how did you fix it? Thanks, appreciate the help ...

Dec 10, 2011

Anyone have any current info on Fast Chart, good, bad, ugly? Checked the Archives, not much recent info. Thanks! ...

May 29, 2014

Love the title of the presentation! ...

Oct 29, 2014

or just me? Thank goodness for MT Stars or I would be perpetually in the dark! Thanks ...

Mar 07, 2013

Does anyone work for Fast Chart and what can you tell me about them? ...

Sep 05, 2013

I want to sign the petition to stop offshoring, and also put it on my FB page for others to see, but I'm worried my company is monitoring this and will find a reason to fire me. Are others worried about this? ...

Oct 16, 2010

Google American Transcription Association and go to their website and they have a petition that you can sign that is against offshoring ...

Nov 28, 2013

Just in case the link doesn't work here it is... http://www.change.org/petitions/joint-commission-petition-the-joint-commission-to-develop-medical-transcription-and-documentation-standards This petition is very well written and will go straight to the Joint Commission. Thanks! ...

Mar 15, 2010

now that we all know they don't pay until they get paid. Someone there must not have read the company board before they made their job posting for today. I might need a job, but I don't work for free for anyone. Desperate times? You bet. Even worse is to be so desperate as to work for a company that has not paid even after 6 weeks have gone by with no guarantees that you will be paid in another 6 weeks. ******* DISCLAIMER ***************** Postings of thi ...

May 16, 2011

Do any of you have this problem? There are several us on one particularly account. They will either sign off 5-6 hours into their 8 hr shift (saying they've met their minimum quota)or sometimes on weekends just leave work not done til the next day. I have the last shift and have to stay until all docs are finished no matter how late. Therefore, I get "mop up" duty every day. Any helpful suggestions? Oh, by the way, they "cherry pick" the short reports and I get left with the extremely long ...

Sep 26, 2011

Just typed a letter to a peer review committee regarding a discrepancy in an operative report and a discharge summary. The doctor gave the explanation that it was simply a typographical error either from his mumbling or unclear dictation, and that the dx listed in the discharge summary did not make sense and he would not dictate that. Yes, he actually admitted it could have been from his mumbling. But, why didn't he catch that incorrect diagnosis when he signed the discharge sum ...

Aug 28, 2012

I got two Trojan Horse warnings when I signed in..the virus was blocked and it let me sign in...Anyone else? very weird ...

Jun 06, 2014

Just getting a chance to finally get hired!!! A requirement is to electronically sign documents swearing to confidentiality and another stating that "Additionally, as part of our contract with the Florida Department of Children and Families, we must ensure that each of our Independent Contractors meets the department's internal security and HIPAA confidentiality requirements. Are these normal to be signed by companies? ...

Oct 30, 2014

for the last two days it has been very slow at times loading and this morning it logged in very slowly. Not sure what is going on. ...

Mar 01, 2013

They have terrible accuracy and a lot of the US MT's are leaving because of the no work situation. I wonder if they regret ever signing the contract with India. I guess you get what you pay for ...

Feb 04, 2015

"DEP.Shell.Transcription" ? ...

Mar 02, 2010

Patiently waiting. ...

Mar 05, 2010

Did we just help them get rid of their backlog? ...

Aug 23, 2012

Just wanting to know if anyone has used Chart Net before and if so, did you like it? Also, is it compatible to Dictaphone ExText platform? ...

Nov 13, 2009

what all the different medical coder levels are? CCS, CCA, CPC, etc. What they are, how to get each one, where they can work, how much they make. Any info appreciated as it is very confusing. ...

Jun 12, 2010

Any info on this company? ...

Feb 06, 2011

Anyone know anything about Fast Chart? Thanks! ...

Aug 15, 2011

When you are using a SOAP Chart style, do you every use PHSYICAL EXAMINATION in the headings? I have a doctor that added it in today with his dictations. I have never used it before in a SOAP. Thanks ...