Medical Record

Solving the Medical Records Puzzle, Part I: Identifying Retention Requirements

Records retention is challenging for healthcare entities. The requirements are complex and there is a lack of harmony among state, federal, and accreditation requirements. State and federal regulations identify different documents you must maintain in a patient’s medical record and mandate different retention periods for the medical record. Federal law typically requires the retention of…

Compliance

Poor Records Management May Lead to OIG Exclusions

The Office of Inspector General (OIG) has broad authority to exclude a healthcare organization from participating in federal healthcare programs (e.g. Medicare, Medicaid). Although exclusions commonly arise from violations of the False Claims Act and Anti-Kickback Statute, there are many other violations that could lead to a permissive exclusion. For instance, the OIG can request…