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.
The final version of the HIPAA Privacy regulations were issued in December 2000, and went into effect on April 14, 2002. Normally, rules go into effect 60 days after publication in the Congressional Record. Due to a glitch, the rules did not go into effect until April 14th instead of in February of 2001. A two-year grace period was included; enforcement of the HIPAA Privacy Rules begins on April 14, 2003. Related Terms: Administrative Simplification; American Health Information Management Association.