Timeframes for Retaining Patient Medical Records

13125 - Timeframes for Retaining Patient Medical Records (Rev. 23, Issued: 12-03-15, Effective: 12-03-15, Implementation; 12-03-15) Retain copies of patient medical records as follows: Approved Reviews Retain patient medical records for at least 90 days from the date review is completed. Negative Determinations Retain patient medical records for initial denial determinations, DRG assignment changes, and confirmed quality concerns for 12 months from the date review is completed. Reconsideration Determinations Retain patient medical records for at least four years after the date of the QIO reconsideration determination notice or the time period for completion of litigation and for filing all appeals whichever is the later as defined in 42 CFR 478.36.