It is mandatory for medical directors to sign on at least 30% of charts in specific states. However the function to do so in BLVD is limited. There needs to be either a "send to medical director" button at the end of every chart created or a pop up box asking if you want to send this to medical director when you are submitting your chart. I know there is a way to make a chart mandatory for sign off; however, I don't need to send every chart to my MD and my MA does not know which chart to open/start due to this. So either all charts are getting sent or none.