Medicare Blog

how long should doctors office keep my medicare eob's

by Nola Balistreri Published 2 years ago Updated 1 year ago

Unlike medical bills, EOBs should be kept from three to eight years after your procedure, or indefinitely if you have a reoccurring condition.Oct 4, 2019

Full Answer

How long do you need to keep medical records?

Keep all medical bills and EOBs on file, comparing related items for accuracy. Securely store EOBs in chronological order for future reference. In the event of chronic or serious illness, keep EOBs for five years after the last treatment date, or seven years after you’ve claimed the medical tax deduction.

How long should your practice retain EOB Records?

Making EOB retention its own separate, seamless process is a wise choice for any practice, because when it comes to medical record retention, the question of “how long to keep” is a complicated one to answer. Federal law mandates that a provider keep and retain each record for a minimum of seven years from the date of last service to the patient.

How long should you keep an explanation of benefits form?

Even though it usually ends up housed within a patient’s chart, the explanation of benefits form (EOB) is not technically part of the medical record, and you’re not required to hang on to it very long. “We only keep EOBs for three years,” says Ann Crutchfield, a practice administrator at Rehabilitation & Electrodiagnostics PA in Tampa, Florida.

Is it worth it to keep medical EOBs?

Obviously, keeping medical EOBs is worthwhile for some period of time. What to do with it all and how long to keep these records will vary with your personal situation.

How long should I keep Medicare EOB's?

1. Keep medical EOBs in a file for one year. As the bills and EOBs for a medical service come in, match related items together, and address any discrepancies you detect. Examples might include double billing or your health insurance company overlooking the fact that you have met your deductible.

Should I keep my explanation of benefits?

When you or someone you are caring for is seriously ill, it is recommended that you keep EOBs for five years after the illness or condition is alleviated. If you or the patient is claiming or has claimed a medical deduction, keep the explanation of benefits for seven years.

How do I get Medicare EOBs?

claims:Check your Explanation of Benefits (EOB). Your Medicare drug plan will mail you an EOB each month you fill a prescription. ... Use Medicare's Blue Button by logging into your secure Medicare account to download and save your Part D claims information. ... For more up-to-date Part D claims information, contact your plan.

How long should I keep Explanation of Benefits?

Comparing your EOBs to your monthly statements is a good way to understand what you are being charged for, and it gives you another opportunity to look for overcharges. Unlike medical bills, EOBs should be kept from three to eight years after your procedure, or indefinitely if you have a reoccurring condition.

How long should I keep prescription receipts?

All other medical records, however, such as premium statements, physician or hospital bills, copies of prescriptions, only need to be kept for five years after treatment has ended, unless you have claimed items on your tax returns, in which case the supporting documents should be kept for seven years.

Does Medicare provide EOB's?

Each month you fill a prescription, your Medicare Prescription Drug Plan mails you an "Explanation of Benefits" (EOB). This notice gives you a summary of your prescription drug claims and costs.

Are Medicare EOBs available online?

Your explanation of benefits, also called an EOB, is an important tool to help you keep track of your plan usage. Every time you get a new Medicare medical or Part D prescription coverage explanation of benefits, you can save time and paper by signing up to view them online.

How do I get explanation of benefits?

After you visit your provider, you may receive an Explanations of Benefits (EOB) from your insurer. This is an overview of the total charges for your visit and how much you and your health plan will have to pay. An EOB is NOT A BILL and helps to make sure that only you and your family are using your coverage.

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How long do you keep EOBs?

When you or someone you are caring for is seriously ill, it is recommended that you keep EOBs for five years after the illness or condition is alleviated. If you or the patient is claiming or has claimed a medical deduction, keep the explanation of benefits for seven years. The bottom line is: hold on to any questionable EOBs or those ...

When to hold on to EOB?

When there is a problem or question with an EOB or a medical service listed on an EOB, hold on to that document at least until the issue is resolved and all parties have been notified of the resolution.

What is EOB in insurance?

The EOB details exactly what medical procedures or treatments you or someone on your health insurance underwent on specific dates . They list the codes for each treatment or item as well as a short description of what the service entailed. The EOB breaks down: Services/treatments provided to the patient.

What is an EOB bill?

The charges that are covered and the charges that are NOT covered by your insurance. It’s important to note that an EOB is not a bill, but a breakdown of how an insurance claim was paid on your behalf. If you see something on your EOB that doesn’t look right or isn’t accurate, contact your insurance company right away.

How long do you keep medical EOBs?

If, at the end of the year, you find you have paid enough in medical bills to qualify for the medical tax deduction, file the medical EOBs with your tax documentation, and keep for seven years. 3.

How to keep EOBs in a file?

1. Keep medical EOBs in a file for one year. As the bills and EOBs for a medical service come in, match related items together, and address any discrepancies you detect. Examples might include double billing or your health insurance company overlooking the fact that you have met your deductible. 2.

What is a health history?

Creating (or re-creating) a health history for yourself or someone under your care. Documenting billing errors – or even fraud. Ensuring that you are receiving the full insurance benefits to which you are entitled. Proving that you’ve met your annual deductible, if your health insurance policy has one .

Can you keep medical records on a computer?

In both of the above situations, you can keep the medical records on paper or scanned onto a computer based on your preference. If you keep paper files, keep them out of areas where they can get wet, e.g., a basement floor. If you go the electronic route, be sure to back up your data reliably.

Can you get cartons of paperwork from Medicare?

A person with multiple medical conditions can quickly acquire cartons of paperwork from Medicare, doctors’ offices, and health insurance companies. It’s helpful to start with what medical EOBs prove: The services the doctor, hospital, or other healthcare entity has provided. The amount the doctor, hospital, or other healthcare provider has billed ...

How long do you have to keep patient records?

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’re a Medicare managed care program provider, CMS requires that you retain the patient records for 10 years.”.

Is the EOB part of the medical record?

Even though it usually ends up housed within a patient’s chart, the explanation of benefits form (EOB) is not technically part of the medical record. You’re not required to hang on to it very long.

How long do physicians have to keep records?

Physician practices are required to keep records at least 10 years from the date that the records were created. Ga. Code Ann. § 31-33- 2 (a) (1) (A) and (B) (i)

How long do you have to keep medical records?

While there is no specific law for record retention at physician practices, hospitals are required to keep an adult patient's records for no less than 5 years after the visit date. For patients under the age of 18, records are to be retained by the hospital for 5 years or until the patient is the age of majority plus 3 years (21 years old), whichever date is later. 902 Ky. Admin. Regs. 20:016 11.2

How long do doctors keep medical records in Tennessee?

Tennessee. By law, most healthcare providers must keep records for no less than 10 years after a patient's last visit. If the patient is a minor, doctors must keep records for at least 10 years after the final office visit or until the child is 19 years old, whichever is longer. Tenn.

Can I request a copy of my medical records?

As a patient, you are allowed to request a copy of your medical records at any time. In some cases, the medical records requested may be dated and you might even wonder if the records are still on file. The length of time required for a facility to hold onto your medical records varies by state.

Does HIPAA require a doctor to keep a chart?

Does HIPAA Have A Say? According to the Department of Health and Human Services, the HIPAA Privacy Rule has no requirements on medical record retention at a doctor's office. How long a doctor is required to keep a chart is based on what each state's legislation decides.

How long do you have to keep medical records?

However, the Health Insurance Portability and Accountability Act (HIPAA) of 1996 administrative simplification rules require a covered entity, such as a physician billing Medicare, to retain required documentation for six years from the date of its creation or ...

What is the importance of medical records?

Using a system of author identification and record maintenance that ensures the integrity of the authentication and protects the security of all record entries is a good practice.

Do providers have to have a medical record system?

Providers must have a medical record system that ensures that the record may be accessed and retrieved promptly. Providers may want to obtain legal advice concerning record retention after CMS-required time periods.

Does Medicare require a medical record?

The Medicare program does not have requirements for the media formats for medical records. However, the medical record needs to be in its original form or in a legally reproduced form, which may be electronic, so that medical records may be reviewed and audited by authorized entities.

How long does a debt stay on your credit report?

Depending on your jurisdiction and/or type of debt, they typically only report it on your credit (if they are reporting at all) for 7 years. Even if you pay and settle the account, it will still be reported on your credit report for 7 years. The difference is how it is reported.

Is user133466 a reliable person?

They can report that "user133466 is a super reliable person who always pays debts on time". They can say " user133466 is a flake who pays, but takes a while to pay ". Or they can say " user133466 is a bad person to provide services before collecting money, because user133466 don't pay bills ".

Can bill collectors contact you?

They can only contact you in certain ways, they must respond to you in certain ways, and they have limits on what they can say, who they can say it to, and when they can say it. There are protections from mean or vicious bill collectors, but that doesn't sound like who you are dealing with.

Keep It Simple – Keep EOBs Separate

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Even though it usually ends up housed within a patient’s chart, the explanation of benefits form (EOB) is not technically part of the medical record. You’re not required to hang on to it very long. “We only keep EOBs for three years,” says Ann Crutchfield, former practice administrator at Rehabilitation & Electrodiagnostics P…
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Regulations & Record Retention

  • State law guides how long to keep medical records in most cases, but federal and other requirements come into play as well. HIPAA and CMS criteria for medical record retention can vary. According to a CMS podcast, “HIPAA 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 …
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Notable Exceptions Include

  1. Caring for minors? State rules vary, but keep their records at least two years after they reach the “age of majority” (twenty in most states) or even longer.
  2. 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’s employment plus 30 years, althou...
  1. Caring for minors? State rules vary, but keep their records at least two years after they reach the “age of majority” (twenty in most states) or even longer.
  2. 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’s employment plus 30 years, althou...
  3. Treating veterans? Stash their charts for a long time – 75 years. If a patient was not mentally competent at the time of treatment, keep the records indefinitely.
  4. Lawsuit? Also save medical records indefinitely for any patient involved in litigation.

Clear, Purge Or Destroy

  • 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 security breaches or HIPAA violations, even if you lock your server in a back room at your practice. Options to destroy PHI on electronic media include disintegration, pulverization, melting, incinerating, or shredding, accordi…
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