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.
HIPAA, the Health Insurance Portability and Accountability Act, was enacted by the U.S. Congress in 1996, and became effective July 1, 1997.This act is a grouping of regulations that work to combat waste, fraud, and abuse in health care delivery and health insurance.re-existing conditions may not be imposed if group coverage was effective for 12 months and not longer than 63 days elapsed between coverage. If such coverage was for less than 12 months, than pre-existing conditions may be imposed for only that portion of the 12 months that were not covered.