I was having this problem. Coder was printing clinical summary after coding chart then forwarding note to Dr for review. Dr would have to "preview" but not print clinical summary prior to signing off on the note. All this must be done within the 2 or 3 day period allotment per CMS guidelines, which are also given by AC. Maybe my question to you should be, are you signing off on the note right after printing the clinical summary or are you forwarding it to yourself for further review? I have seen that the person/Dr who has "signing" privileges often has to make sure everything is in order before signing the note in order for it to register on the MU report and MU Wizard per visit.
