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<strong>CMS</strong>-1403-FC<br />

continued to state that this would bring consistency to the<br />

Medicare Parts B and D programs, and reduce the need to<br />

create new storage capacity for paper prescription records.<br />

Response: Since Medicare is a Federal program that<br />

already requires a 7-year retention period from the date of<br />

billing, we disagree that this change will create a<br />

significant burden.<br />

Comment: One commenter stated that the extension from<br />

7 to 10 years would add a substantial recordkeeping burden.<br />

Response: We agree with this commenter and have<br />

revised this final rule with comment period to establish an<br />

ordering and referring record retention period as 7 years<br />

from the date of service.<br />

Comment: One commenter urged <strong>CMS</strong> to reconsider our<br />

position regarding maintaining ordering and referring<br />

<strong>document</strong>ation. In addition, this commenter stated that<br />

this change would constitute an unfunded mandate.<br />

Response: We disagree with this commenter that this<br />

change is an unfunded mandate because providers and<br />

suppliers are already required by <strong>CMS</strong>’ manual instructions<br />

to maintain ordering and referring <strong>document</strong>ation for<br />

7 years from the date of billing.<br />

316

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