Which patient records should be kept for 10 years?

Asked by: scraper  |  Last update: September 24, 2026
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Patient records that must be kept for 10 years generally include adult patient medical records, obstetrical records, and pediatric records, depending on state laws and specific billing mandates. However, the exact retention requirement is dictated by a patchwork of state laws and federal programs.

Which patient records will be kept for 10 years?

The Centers for Medicare & Medicaid Services (CMS) requires records of healthcare providers submitting cost reports to be retained for a period of at least five years after the closure of the cost report, and that Medicare managed care program providers retain their records for ten years.

What records must be kept forever?

Keep Forever

  • Birth certificate or adoption papers.
  • Social Security cards.
  • Valid passports and citizenship or residency papers.
  • Marriage licenses and divorce decrees.
  • Military records.
  • Wills, living wills, powers of attorney, and retirement and pension plans.
  • Death certificates of family members.

What documents need to be kept for 7 years?

Business federal tax returns: According to the IRS, tax returns should be kept for three to seven years, depending on the situation. But if you don't file a return, the IRS recommends keeping records indefinitely. Keep federal tax returns, including payroll tax records, for seven years to stay on the safe side.

What records need to be kept for 6 years?

The vast majority of financial and accounting records relating to your company must be kept for at least 6 years after the end of the financial year or accounting period they relate to. For example, records for an accounting period ending on 31 March 2026 must be kept until 31 March 2032.

Pathology Lab: Tissues, reports and slides stored for 10 years

23 related questions found

What is the 7 year rule?

The 7 year rule

No tax is due on any gifts you give if you live for 7 years after giving them - unless the gift is part of a trust. This is known as the 7 year rule.

Can I get hospital records from 50 years ago?

While HIPAA protects a patient's right to privacy and medical information for up to 50 years after the patient's death, state laws on the duration of time that clinicians must retain medical records vary from state to state.

What is the golden rule in medical record documentation?

The golden rule is: “If it isn't documented, it didn't happen.” It means every service, procedure, test, or consultation billed must be properly documented in the patient's medical record. This ensures accurate coding, claim approval, and regulatory compliance.

Why are medical records kept for 7 years?

Medical record retention rules vary by state, but most facilities must store records for 5–11 years—and longer for minors. Storing records supports continuity of care, legal compliance, billing accuracy, and patient access to their health information.

Do I need to keep old checkbook registers?

Keep old check registers for 1 to 7 years. Retain them for 1 year for general budgeting and dispute resolution, and 7 years if the records support tax deductions or business expenses.

Which records should be kept indefinitely?

What Documents You Should Keep Forever

  • Birth certificates and adoption papers.
  • Social Security cards.
  • Passports and citizenship/residency papers.
  • Marriage licenses and divorce decrees.
  • Death certificates of family members.
  • Military discharge and service records.

What documents should you never destroy?

Documents You Should Never Shred

  • Birth certificates, Social Security cards, passports, and citizenship or residency papers.
  • Adoption papers, marriage licenses and divorce decrees.
  • Military documents and pension paperwork.
  • Wills, powers of attorney, trust documents, and death certificates.

What mandates how long patient records must be retained?

HIPAA itself does not specify how long patient health information (PHI) must be retained. Instead, each state sets its own medical record retention period. When that state-mandated period expires, PHI must be destroyed or disposed of in full compliance with HIPAA's Privacy and Security Rules.

How long should HIPAA records be retained?

HIPAA compliance records must be retained for a minimum of six years.

What is a lifetime clinical record?

It represents a clinical database or a centralized data warehouse for patient records. The goal of an LCR is to provide patients with access to their medical history. This helps them make more informed decisions about their health, such as what tests they should get or medications they should take.

What happens to your medical records after 10 years?

What Patients and Families Should Know. Medical records aren't kept forever. Hospitals often retain them for 7–10 years, but timelines vary by provider, state law, and record type. Pediatric and electronic records may be stored differently—and can still be lost, purged, or archived without notice.

What is a 7 year retention policy?

A 7-year retention policy dictates that specific organizational, financial, and employment records be stored securely for seven years before being safely destroyed. This timeframe is the recognized best practice for mitigating audit risks, meeting federal tax guidelines, and ensuring compliance with regulatory requirements.

How far back do hospitals keep medical records?

Not all states follow the same rules. For example, California hospitals must keep adult records for at least 7 years after discharge. For minors, they must keep records for 7 years or until the child turns 18, whichever is longer.

What are the 5 C's of medical record documentation?

5 C's of Clinical Documentation

  • Clarity. ‍ Clarity is one of the most essential components of clinical documentation. ...
  • Conciseness. ‍ Medical records should be created in a manner that they are easily digestible to everyone who reads them. ...
  • Completeness. ‍ ...
  • Confidentiality. ‍ ...
  • Chronological Order. ‍

What are the top 5 denials in medical billing?

Top 10 Denials in Medical Billing

  • Missing or Incomplete Patient Information (CO 16) ...
  • Incorrect Patient Eligibility or Coverage (CO 109) ...
  • Duplicate Claims (CO 18) ...
  • Lack of Prior Authorization (CO 197) ...
  • Invalid or Unsupported Diagnosis Code (CO 167) ...
  • Invalid or Unsupported Procedure Code (CO 181) ...
  • Non-Covered Services (PR 96)

What are the 4 rules of healthcare?

Beneficence, nonmaleficence, autonomy, and justice constitute the 4 principles of ethics. The first 2 can be traced back to the time of Hippocrates “to help and do no harm,” while the latter 2 evolved later.

Can I get 20 year old medical records?

To obtain decades-old medical records, start by contacting the original healthcare providers or hospitals directly. If unavailable, request records from state health departments or use the National Archives for military or railroad medical files.

What are red flags for a doctor?

These red flags mean it's time to rethink the relationship with your primary care doctor:

  • You and your doctor don't mesh.
  • Communication between you and your doctor is challenging.
  • Your doctor isn't available.
  • Your doctor speaks in complicated medical jargon.
  • Your doctor doesn't advocate for you.

What do hospitals do with old medical records?

Doctors and hospitals take lots of precautions when destroying records in order to be HIPAA compliant. This includes shredding, burning, pulping, or pulverizing the records until they are no longer readable and cannot be reconstructed.