Organize Chart Attestation For Free

Attestation is a kind of testimony or confirmation. It is customary to sign a deed, make a will or sign other written documents in the presence of a witness who also signs the document to attest to its contents and the authenticity of the party's signature.

Attestation is a kind of testimony or confirmation. It is customary to sign a deed, make a will or sign other written documents in the presence of a witness who also signs the document to attest to its contents and the authenticity of the party's signature.

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.?

For medical review purposes, Medicare requires that services provided and/or ordered be authenticated by the author. The method used shall be a hand-written or an electronic signature. Stamp signatures are not acceptable.

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.?

In order to be considered valid for Medicare medical review purposes, your attestation statement must include the following elements: The printed full name of the physician or practitioner. Sufficient information to identify the beneficiary. Date of service. Signature and date by the author of the medical record entry.

?I _(print full name of the physician/practitioner)___ , hereby attest that the medical record entry for ___(date of service)__accurately reflects signature/notations that I made in my capacity as ___(insert provider credentials, e.g. M.D.)__ when I treated /diagnosed the above listed Medicare beneficiary.