Which term describes the process by which the attending physician reviews and signs the medical record to confirm its accuracy?

• A. Attestation
• B. Progress Notes
• C. Physical Examination
• D. Medical Record

Answer: (A)

Attestation is the formal act of the attending physician reviewing the medical record and signing off to confirm its accuracy and completeness. This signing creates accountability and shows that the chart reflects the care provided. It’s different from a progress note, which is the ongoing documentation of daily patient care; a physical examination, which describes the findings of the exam; and the medical record, which is the entire set of documents in the chart—the signing off is the action that confirms the chart’s correctness.