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CMS 1500 Box 31 Provider signature Requirements

 

 

A recent review of rejected claims shows that omission of the provider signature in Item 31of the CMS-1500 claim form is one of the most common reasons for rejected claims.

 

Provider signature requirements are discussed in the Introduction to Medicare Billing Guide and the Instructions for 1500 Claim Form guide.

 

In Item 31 enter the signature of the provider or their representative and either the 6-digit (MM/DD/YY)or 8-digit (MM/DD/CCYY) date, or the alpha-numeric date (e.g. January 1, 2008) the claim form was signed.

 

The following signatures are acceptable:

 

• Physician or other practitioner’s signature
• The statement “signature on file” printed or typed
• Signature of an authorized employee
• Incident to services must be signed by the ordering physician or non-physician practitioner that is supervising the services. When the ordering or non-physician practitioner is not supervising the service, the signature of the physician or Nonphysician practitioner providing the direct supervision is required.

 

The signature may be entered:

 

• Manually/Handwritten

• Typewritten

• By stamp-facsimile or block letters

• By computer

 

For Electronic claims you must type "Y" for Yes in the "“Prv Sig" field (Loop 2300 2-130-

CLM06).

 

For either OnSTAFF 2000 or Intellect:

The current entry date will print from Utility --►Set Up --►Clinic <Current Entry Date>.

 

And

 

If Utility --► Insurance <Provider Name (Y/N/X/Z)> = X or Z, the Utility --► Provider

<Name> will print.

 

02/14/2008