FM3
CMS-Required Outcome
CMS-required outcome
The system supports the provider appeals by providing a financial history of the claim along with any adjustments to the provider's account resulting from an appeal.
Default metrics
- Records must be retained for a minimum of 3 years for fiscal records, 5 years for records related to cost reports, 6 years for medical records of covered entities, and 10 years for managed care records (or greater if required under State laws) – periods are measured from the date of closure of all related actions for a given record.
- Pass/Fail that the state can demonstrate that 100% of records were retained for the appropriate number of years indicated above.
Regulatory sources