Medical Record - Authentication Date/Time
Must signatures and dates on documentation such as verbal orders, histories and physicals, consultations, and discharged summaries, also include the time of the signature and dating?
If the required timeframe defined by the organization specifies a signature within a specified number of hours, then the signature and date must include the time of the signature and dating to ensure compliance.
Last updated on April 11, 2016
Manual: Behavioral Health
Chapter: Record of Care Treatment and Services RC