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If I bill by magnetic tape, diskette, or computer pin-fed invoices, must the patient sign the MA invoice?

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If I bill by magnetic tape, diskette, or computer pin-fed invoices, must the patient sign the MA invoice?

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Response: No, you may use the words “Signature Exception” in the Recipient’s Signature field of the invoice. However, providers must obtain the recipient’s signature on an Encounter Form (MA 91), unless the provider is not required to obtain the recipient’s signature. The situations in which the provider is not required to obtain the recipient’s signature are: • When billing for inpatient hospital, short procedure unit, nursing home, or emergency room services provided by an independent physician. • When billing for services which are paid in part by another third party, such as Medicare or Blue Cross. • When billing for services provided to a recipient who is unable to sign because of a physical condition. • When billing for services provided to a recipient who is physically absent, such as laboratory services, reading an X-ray, reading an EEG or performing case management services. • When resubmitting an invoice which was previously rejected. In all of the above situations, you must

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