During warmer months, heat from warm air is transferred to the heat exchanger and into the fluid. As it moves through the pipes, the heat is dispersed to the rocks, soil, and groundwater. The pump is reversed during the colder months. Heat energy stored in the relatively warm ground raises the temperature of the fluid. The fluid then transfers this energy to the heat pump, which warms the air inside the building.
While individual states generally govern how long medical records are to be retained â 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 was in effect, whichever is later.
Nebraska hospitals must keep medical records in original, microfilm, or other approved copy form for at least 10 years following discharge. In the case of minors, Nebraska hospitals must keep the record until three years after the age of majority. Intermediate care facilities must keep medical records for at least as long as the resident remains at the facility and five years thereafter, or in the case of a minor, five years after the resident reaches the age of majority. Health clinics must maintain client records for not less than five years.