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Cigna Accumulator Issues

Our office recently contacted Cigna about claims that were showing processing to patient deductable; according to the representative the patient did meet their deductable, but Cigna's "accumulator" was having techincal issues and the claims would be sent back for reprocessing. This patient had already met their deductable for the year. 

All medical billers and provider offices need to track this information for each patient to ensure that the carrier is processing the claims accordingly.

Compliance with the HIPAA Omnibus Final Rule

In continuing compliance with the HIPAA Omnibus Final Rule, all providers will need to meet the September 23, 2013 deadline by updating internal policies; some are but not limited to:

• Uses and Disclosures
• Individual Rights to Authorize or Restrict Disclosure of PHI
• Covered Entity Duties
• Notifications of Modifications to NPP

To read more about Compliance with the HIPAA Omnibus Final Rule, we recommend checking out the following sources:

• ABA Health eSource, "HIPAA Omnibus Final Rule Modifies Notice of Privacy Practices Requirements for Covered Entities"
  
  
• American Medical Association, "The Health Insurance Portability and Accountability Act (HIPAA) Omnibus Final Rule Summary"
  
  
• U.S...