For CMS Ruling A-0450 Interpretive Guidelines §482.24(c)(1) regarding authentication of electronic signatures…
The hospital must have a method to establish the identity of the author of each entry. This would include verification of the author of faxed orders/entries or computer entries.
The hospital must have a method to require that each author takes a specific action to verify that the entry being authenticated is his/her entry or that he/she is responsible for the entry, and that the entry is accurate.
Is anyone else having issues with the nursing staff (RN, LPN, RMA or CMA) entering the lab and DI orders - as verbally given to them or even copied from a written order and the orders being electronically signed by the provider, even though the provider didn’t enter or review the order?? Are we misunderstanding the actual ruling or how are other clinics getting around the electronic signature automatically entering?