CMS issued a new Medicare Learning Network Medical Record Maintenance & Access Requirements (PDF) fact sheet. This fact sheet educates Medicare physicians, nonphysician practitioners, hospitals, other providers, and suppliers on the updated regulations, 42 Code of Federal Regulations (CFR) Section 424.516(f). It provides information about the updated documentation maintenance and access requirements for billing services rendered to Medicare patients. It also tells providers how long to keep the documentation and who is responsible for providing access.
Who is affected by the updated regulation?
- A Medicare provider or supplier that furnishes covered, ordered, certified, referred, or prescribed Part A or B services, items (including laboratory and imaging services), or drugs.
- A physician or, when permitted, an eligible professional who orders, certifies, refers, or prescribes Part A or B services, items, or drugs.
- The regulation requires a provider to maintain medical records for 7 years from the Date of Service (DOS). CMS recognizes that a provider may rely upon an employer or another entity to maintain these records. However, if the provider receives a medical records request, the provider is responsible for providing the medical records to CMS or one of Medicare contractors.
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