{"id":16371,"date":"2015-03-17T11:55:13","date_gmt":"2015-03-17T15:55:13","guid":{"rendered":"http:\/\/www.poweryourpractice.com\/?p=11299"},"modified":"2025-10-21T14:24:48","modified_gmt":"2025-10-21T14:24:48","slug":"shelf-life-can-you-delete-or-destroy-old-records-eobs","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/shelf-life-can-you-delete-or-destroy-old-records-eobs\/","title":{"rendered":"Shelf Life: Can You Delete or Destroy Old Records &#038; EOBs?"},"content":{"rendered":"<p><i>Madelyn Young contributed to this post<\/i><\/p>\n<p>When I went for a recent annual checkup, my doctor came into the room carrying a tablet on top of a folder of paper records.<\/p>\n<p>I asked about the paper files, and she said her medical practice keeps them and will rely on electronic health records going forward. This hybrid paper-past, digital-future approach didn\u2019t seem very efficient. It also got me to wondering about the shelf life of paper or electronic medical records.<\/p>\n<p><!--more--><\/p>\n<p>Whether you\u2019re still working with paper records or an EHR, you\u2019re undoubtedly housing a huge amount of patient data. What can you toss, what must you keep, and what should you save for just a little while longer?<\/p>\n<p>Read on to get the facts on EOB and medical record retention.<\/p>\n<h4>Keep it Simple \u2013 Keep EOBs Separate<\/h4>\n<p>Even though it usually ends up housed within a patient\u2019s chart, the explanation of benefits form (EOB) is not technically part of the medical record. You\u2019re not required to hang on to it very long.<\/p>\n<p>\u201cWe only keep EOBs for three years,\u201d says Ann Crutchfield, former practice administrator at <span style=\"text-decoration: underline;\">Rehabilitation &amp; Electrodiagnostics PA<\/span> in Tampa, Florida. \u201cA few years back we added a searchable scanner to our copier\/printer, and all EOBs and other billing records are scanned. After 90 days, my billing staff <strong>destroys the originals<\/strong>. Less worries about how long to keep!\u201d<\/p>\n<p>Making EOB retention its own separate, seamless process remains a great strategy. When it comes to medical record retention, the answer to \u201cHow long to keep?\u201d can get complicated.<\/p>\n<h4>Regulations &amp; Record Retention<\/h4>\n<p>State law guides how long to keep medical records in most cases, but federal and other requirements come into play as well.<\/p>\n<p>HIPAA and CMS criteria for medical record retention can vary. <a href=\"https:\/\/www.cms.gov\/Outreach-and-Education\/Outreach-and-Education.html\" target=\"_blank\" rel=\"noopener\">According to a CMS podcast<\/a>, \u201cHIPAA rules require a Medicare Fee-For-Service provider to retain required documentation for six years from the date of its creation or the date when it last was in effect, whichever is later. CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report. And if you\u2019re a Medicare managed care program provider, CMS requires that you retain the patient records for 10 years.\u201d<\/p>\n<p>Therefore, many practices aim to save records and other personal health information (PHI) for 10 years to comply with these requirements.<\/p>\n<h4>Notable exceptions include:<\/h4>\n<ul>\n<li>Caring for minors? <strong><a href=\"http:\/\/www.texmed.org\/template.aspx?id=1556\">State rules vary<\/a><\/strong>, but keep their records at least two years after they reach the \u201cage of majority\u201d (twenty in most states) or even longer.<\/li>\n<li>Treating a workplace injury? The Occupational Safety and Health Administration stipulates you hang on to medical records for at least the duration of the employee\u2019s employment plus 30 years, although OSHA also <strong>includes a few exceptions<\/strong>.<\/li>\n<li>Treating veterans? Stash their charts for a <em>long<\/em> time \u2013 <strong><a href=\"http:\/\/www.va.gov\/vhapublications\/RCS10\/rcs10-1.pdf\">75 years<\/a><\/strong>. If a patient was not mentally competent at the time of treatment, keep the records indefinitely.<\/li>\n<li>Lawsuit? Also save medical records indefinitely for any patient involved in litigation.<\/li>\n<\/ul>\n<h4>Clear, Purge or Destroy<\/h4>\n<p>Proper disposal of old data remains a great strategy to protect patient confidentiality. Destroy or delete old records past their retention deadline to reduce potential <strong>security breaches or HIPAA violations<\/strong>, even if you lock your server in a back room at your practice. Options to destroy PHI on electronic media include <a href=\"http:\/\/www.hhs.gov\/ocr\/privacy\/hipaa\/enforcement\/examples\/disposalfaqs.pdf\"><strong>disintegration, pulverization, melting, incinerating, or shredding<\/strong><\/a>, according to HHS.<\/p>\n<p>\u201cThe more data you push through the pipes, the more likely you\u2019ll spring a leak somewhere,\u201d Jason Straight said as managing director of Kroll\u2019s Cyber Security and Information Assurance unit. \u201cDocument retention and data security are inextricably linked.\u201d<\/p>\n<p>There\u2019s no reason to leave any patient information \u2013 especially data that\u2019s unnecessary to keep \u2013 vulnerable to compromise. Another tip: keep documented records of all PHI destruction.<\/p>\n<p>So comb through your old charts, dig through your electronic data and destroy what you no longer need to retain.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Madelyn Young contributed to this post When I went for a recent annual checkup, my doctor came into the room carrying a tablet on top of a folder of paper records. I asked about the paper files, and she said her medical practice keeps them and will rely on electronic health records going forward. This [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":43247,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36,69],"tags":[251,234,252,253,254,255],"class_list":["post-16371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patients","category-show","tag-destroying-medical-files","tag-eobs","tag-medical-record-retention","tag-medical-records","tag-personal-health-information","tag-phi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Shelf Life: What You Need to Know about Medical Record Retention<\/title>\n<meta name=\"description\" content=\"How long to keep EOBs and medical records? 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