CMS Revises Policy on the Use of Rubber Stamp Signatures

The Centers for Medicare & Medicaid Services has issued Change Request 8219 which amends the signature requirement policy to permit a rubber-stamped signature on Medicare documentation in instances where the author has a physical disability that prohibits him/her from producing a handwritten signature.

Several years ago, CMS revised their signature policy to prohibit the use of a rubber stamp signature on any Medicare documentation. However, in order to be consistent with the Rehabilitation Act of 1973, CMS is revising the signature policy to accommodate those individuals with physical disabilities that require the use a rubber stamp to sign documents. The author will be required to submit proof of the disability for medical review purposes.

The CMS Program Integrity Manual, chapter 3, section 3.3.2.4 – Signature Requirements – now includes an exception to the rubber stamp signature prohibition.

3.3.2.4 – Signature Requirements

For medical review purposes, Medicare requires that services provided/ordered be authenticated by the author. The method used shall be a handwritten or electronic signature. Stamped signatures are not acceptable.​

EXCEPTION 4: CMS would permit use of a rubber stamp for signature in accordance with the Rehabilitation Act of 1973 in the case of an author with a physical disability that can provide proof to a CMS contractor of his/her inability to sign their signature due to their disability. By affixing the rubber stamp, the provider is certifying that they have reviewed the document.

To view the transmittal click here.

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