Get Physician Statement Form 2020-2024

With only a few exceptions, Medicare requires that the providing and/or ordering practitioner authenticate the services in the medical record. The method used shall be a handwritten or electronic signature.

Emergency Transports A PCS is not required if the transport is an emergency transport. The patient's diagnosis and whether the transport is documented as an 'emergency' due to the patient's condition is not relevant to this determination.

The PCS must: Be signed and dated by the patient's attending physician. The signature of the medical professional completing the PCS must be legible/ readable (or accompanied by a typed or printed name name) and include credentials. The prefix “Dr.” is a title and not a credential.

CMS regulation states that verbal orders must be dated, timed, and authenticated promptly by the ordering practitioner or by another practitioner who is responsible for the care of the patient. The receiver of a verbal order must date, time, and sign the verbal order in ance with hospital or clinic policy.

Medicare requires that services be authenticated by the persons responsible for the care of the beneficiary. The treating physician's/non-physician practitioner's (NPP's) signature on a note indicates that the physician/NPP affirms the note adequately documents the care provided.

Electronic signatures: Electronic signatures should contain date and timestamps and include printed statements, e.g., “electronically signed by,” or “verified/reviewed by,” followed by the practitioner's name and preferably a professional designation.