Having a Supervising Physician Review a Note

Some states require a supervising or collaborating physician to review and attest to notes written by a PA or NP. SigmaMD supports two ways to do this today. Both require the physician to be added as a Team Member of your practice.

Note: Once a note is signed, only the clinician who signed it can edit it. A physician cannot add an addendum to a note someone else has signed. See Editing Signed Notes.

Option 1: The physician adds a separate attestation note

Use this when you sign your own notes and the physician reviews a sample of them afterward.

1. Sign your note as usual.
2. The physician opens the patient's chart and creates a new note.
3. In the note, the physician references the encounter (for example, the visit date) and adds their attestation, such as: "I have reviewed the chart note and agree the prescription(s) written by the APRN are appropriate."
4. The physician signs their note.

Your original note keeps your signature, and the attestation is saved in the chart under the physician's name.

Option 2: The physician signs your unsigned note

Use this when the physician should sign the note itself.

1. Write your note, but don't sign it. Leave it as a draft.
2. The physician opens the patient's chart and opens your draft note.
3. The physician reviews the note, adds any attestation text, and clicks Sign.

Keep in mind: The note is recorded as signed by the physician. Their name appears as the signer in the notes list, in the note, and on the PDF. Your name stays on the note as its creator in the Sources tab. Until the physician signs it, the note stays an unsigned draft.