I am wondering if there is any hard rule about a physician signing off on a progress note before it’s complete.
I have an issue of receiving encounter forms and notes( it’s a paper-based clinic) that may have the encounter form fully filled out and signed, but missing dx, exam, and ros in the note. The notes are usually signed, though.
I may be searching it the wrong way, but I thought the signatures were meant to indicate the physician has authenticate what was done during the visit.