Comparing: Co-Signature | Second Signature | Supervisory Signature

Purpose

Compare the following features: Co-Signature, Second Signature, and Supervisory Signature. 

Audience

Practice Administrators

Overview

There are multiple configurations available within DocNow that allow for multiple providers to interact with the same note. 

Summaries

Co-Signature

• Within DocNow providers have the ability to have notes co-signed. When users with specific credentials like NP or PA are associated with other providers who are MDs or DOs, the NP/PA users can request to have their notes co-signed.
• An example use case would be a supervising provider co-signing a certain percentage of a Physician Assistant's notes.
• Note Co-Signing Article

Second Signature

• When this permission is enabled, after the note has been signed a button shall be displayed at the top of the patient note with the text “Signature Request”. When a provider clicks “Request Signer” a drop down is displayed containing all Provider associated with that provider.
• An example use case would be a supervising provider providing second signatures on a Physical Therapist's notes.
• Admin Second Signer Article
• Provider Second Signer Article

Supervisory Signature 

• The Supervisory Signer functionality introduces a review and sign-off process for documentation and billing. When enabled, it restricts providers from directly signing and submitting their notes and charges.
• An example use case would be a supervising provider reviewing and signing the notes for a non-license clinician such as in an educational setting.
• Supervisory Signing Article

Comparison Table

	Signature	Note is Finalized & Uploaded	Charge Submission	Billing Provider	Note Editing	Required Configurations
Co-Signing	Original author's signature applied at time of supervisors' signing	At time of supervisor's signature	Submitted by supervisor or original author	Original author unless Split Billing is enabled	Supervisor may edit note	Appropriate Provider credentials Provider-Provider association
Second Signature	Original author's signature applied at time of original signing. Supervisor's signature added via addendum at time of their signing	At time of original author's signature	Submitted by original author	Original author	Supervisor cannot edit note	Company permission User permission
Supervisory Signature	Both note author's signature (stamped at time of their original submission) and supervisor's signature (stamped at time of signing) applied at time of supervisor's signature	At time of supervisor's signature	Submitted by supervisor or original author	Either original author or supervisor depending on configuration	Supervisor may edit note or send back to original author for further edits	Company permission User permission User billing permission Provider-provider association