Is a facsimile worksheet S, signature page with encryption code, required for ECR files?

All electronically submitted files must be accompanied by Worksheet S (computer generated), which must electronically print the date and time the electronic file was encrypted and replicate the encryption coding in the ECR file parallel and to the left of the officer or administrator of provider(s) signature block. The purpose of the encryption coding is to give further assurance to the integrity of the ECR file beyond the date and time stamp requirement. The Worksheet S must also contain the penalty and certification statements attesting to the validity of the data submitted to the fiscal intermediary (Part I) and the data required in the settlement summary (Part II).

The signature block of the officer or administrator must contain an original signature. A facsimile or stamped copy of the signature is unacceptable. More.

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