Any user can be set up as someone who must or may have their encounter notes co-signed by another provider, for example a supervising physician. Co-signature requirements are set up on a per-user basis under Admin > Manage > Users.
Co-signature options are generally based on what is selected for that user for "Does this user require a co-signature when signing encounter notes."
* Optional configuration note: co-signature can be optional in general for a user, but required for any of that user's notes that contain specific CPT codes and/ or specific prescriptions or alternate plan items in the Plan. This would be set up by special request to Cerbo.
A default cosigner for a user can also be set in their user profile under Admin > Manage > Users.
When co-signature is requested, the note appears signed with a "Pending Co-Signature" label. The co-signature request appears in the designated cosigner's task list OR in the task list of every authorized cosigner if "Request Co-Signature From: Any Authorized Provider" is selected.
Cosigning a Note
Authorized cosigners in Cerbo are users who:
- Have a Role of Provider or have an NPI on file and
- Are not set to be able (or required) to request co-signatures.
That means that currently, providers can either be able to request co-signature OR they can be co-signers, but not both.
When someone cosigns a note, they can:
- Sign and leave the original signer as the provider of record for the encounter, with themselves as cosigner.
- Sign and take ownership, leaving the original signer as a cosigner.
- Sign and take ownership, removing the original signer from the encounter note signing record.
When the note is co-signed using options 1 or 2 above, it will show in the top right-hand corner both the signed date and user and the co-signed date and user. If option 3 is used, it would just show the cosigner as the note signer.
Co-signing cannot be undone. But if the note is unsigned, both the signature and co-signature will be cleared.
See also: Co-Signatures in MDHQ