General Category > General Questions

EOB's

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DMK:
Then federal law will apply.

PMRNC:
I think in another post you said you were in NJ .. if this is a NJ Provider:
NJ is generally 10 years.. could even be 20 depending:

Just a little tip.. I know NJ very well.. don't ever rely on info over phone.. often in NJ the right hand does NOT know what the left hand is doing.



N.J. Admin. Code § 13:35-6.5(b)

Adult patients
10 years following the most recent
discharge.


Minor patients
10 years following the most recent
discharge or until the patient is 23 years of
age, whichever is longer.

Discharge summary sheets (all)
20 years after discharge.
N.J. Stat. Ann. § 26:8-5 (2008

Billing2:

--- Quote from: DMK on November 06, 2013, 04:18:59 PM ---Then federal law will apply.

--- End quote ---

Yes, it's for NJ.

You have to keep medical records, they said for 7-10 years. But not EOB's. They even ask way do I even print them all out don't I just upload them.

The funny part is, they said you waste a lot of paper. I said yes, but it keeps my logging family with a job.:)

As always THANK YOU all for your help.

PMRNC:
Here's what I've always followed after consulting with my attorney a few years ago on this very issue. My attorney told me that if the original filing system kept EOB's in separate files they could be treated as "NOT part of the medical record".  If the office's policy was to keep EOB's with the patients record then it was a part of the record.  There are two sets of laws on this, one is for the "medical record" and the other is "patient billing file" which is defined by NJ as: Patient Billing File Includes: Admission Form (Copy), verification documentation, insurance company correspondence, detailed billing list, and uniform bill. 

It boils down to what is considered a part of the record for both billing and treatment (HIPAA)

Another issue is audit's. I consider ANYTHING my clients sent me as my source documents. When going back and forth with this you will see 7 years, 6 years, 10 years for medical records, but again NJ defines both a medical record and billing record. With that in mind and the advice of my attorney I go for the 10 years. I live by mom's age old advice  "Rather be safe that sorry".   I actually scan my EOB's now to an external hard drive. That is an acceptable form of retention. When I hit the 10 year mark for clients is when I destroyed what I had at that point (through proper disposal means).  Then I started the scanning process so it saves me space. :)

 

BBSpecialists@aol.com:
We scan everything into an external hard drive - our file cabinets could not keep up, and that way when a provider calls and wants specific info it is at our finger tips and we don't have to flip through pages and pages of EOB's to find it.

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