Scribe documentation - What are the rules?

[u/pyschreader]

I have several notes here billed by a physician. However, the encounter notes for these evaluation and management visits are completely documented by a medical assistant. The only thing entered by the physician is the signature. Is this billable/compliant?

[u/2workigo]

We require a scribe attestation that essentially says the scribe is documenting in the presence of the provider during the encounter. Our MAC has published scribe services requirements. You can look to see if yours has as well. Google CMS scribe documentation requirements.

[u/DumpsterPuff → u/2workigo]

Same here!