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.
Under HIPAA a physician has 30 days to provide the patient or the patientâs representative with a copy of the requested medical records; however, if the medical records are not maintained or are not accessible on-site, then a physician has 60 days to provide the records.he records can be requested by a patient, the patientâs parent (if a minor) or legal guardian, or, with patient authorization, by another physician or any person authorized by the patient.