About the ads

other drs signing off on your chart

Discussion in 'Optometry' started by optisforme, Sep 22, 2012.

  1. SDN is a nonprofit organization. Services are made possible through the generous support of SDN members and sponsors. Thank you.
  1. optisforme

    optisforme

    Joined:
    Nov 7, 2006
    Messages:
    24
    SDN 5+ Year Member

    SDN Members don't see this ad. (About Ads)
    Just wanted to know if anyone knows of any laws on another dr signing off on your chart without actually seeing the patient because you are not credentialed with the insurance the patient has. I had a Dr sign off on my charts and only performed NCT, autorefractor, and ask CC because I was not credentialed with the insurance companies and she was. I don't think I even had Medicare at that point and I know under some law as long as the Dr has Medicare there is a 1 to 2 month grace period to bill the patient under another Dr's name. I am a licensed optometrist. Any feedback would be helpful! Thanks!
  2. 362.04

    362.04 SDN Mentor SDN Advisor

    Joined:
    Jun 12, 2007
    Messages:
    187
    Status:
    Optometrist
    SDN 5+ Year Member
    I'm not an expert, but I believe the appropriate fashion is for the doctor who actually saw the patient sign the chart and the "senior" doc "endorse/sign" the chart. This is like (but not necessarily similar) to a resident and attending physician relationship.
  3. CL Doc

    CL Doc

    Joined:
    Nov 22, 2011
    Messages:
    172
    Status:
    Optometrist
    I would expect a licensed optometrist to know the law.
  4. VA Hopeful Dr

    VA Hopeful Dr Senior Member

    Joined:
    Jul 28, 2004
    Messages:
    5,725
    Status:
    Attending Physician
    Physician SDN 10+ Year Member
    Maybe your state is different, but there are no laws about that sort of thing where I am (medicine or optometry).
  5. 362.04

    362.04 SDN Mentor SDN Advisor

    Joined:
    Jun 12, 2007
    Messages:
    187
    Status:
    Optometrist
    SDN 5+ Year Member
    I think the intent of the question wasn't a question of the practice or scope of optometry but whether the process would comply with insurance contracts for documentation to support a claim submission. Does the doctor who saw the patient have to be the same doctor who submits the claim? Can a doctor delegate the authority to submit a claim if the examining and signing doctor is not credentialed with that medical plan?
  6. Jason K

    Jason K

    Joined:
    Jun 10, 2011
    Messages:
    1,137
    Location:
    Somewhere other than Chicago
    Status:
    Optometrist
    SDN 2+ Year Member
    CMS does not allow for any grace period on a non-credentialed doc, as far as I know. You can have a non-credentialed doctor perform whatever he or she wants, but the signing doctor must be credentialed and must perform the required number of exam elements, and certain history components must be done by the signing doctor.

    That's not to say that credentialed docs don't sign off for non-credentialed docs, but with EMR now recording who is signed in during exam periods, an auditor will know (or at least could claim) that someone other than the signing doc did the required elements.

    CMS, other medical insurers, and even vision insurers are starting to get much more aggressive with their auditing tactics.
    Last edited: Sep 23, 2012
  7. KHE

    KHE Senior Member SDN Advisor

    Joined:
    Jun 14, 2005
    Messages:
    3,107
    Status:
    Optometrist
    Optometrist SDN 7+ Year Member
    Is there something in particular that you're concerned about?
  8. optisforme

    optisforme

    Joined:
    Nov 7, 2006
    Messages:
    24
    SDN 5+ Year Member
    My boss manages multiple offices and keeps putting me in an office no one wants to work at but that's where she happens to be and says that I have to be there for the time bring bc I am not credentialed with insurances yet so she needs to sign my charts. I just wanted to check if that was an excuse to put me there or if what she was doing was right. I'm fairly new so didn't want her to think she could take advantage of me.

Share This Page


About the ads