HIPAA Journal

JUNE 28, 2023

Individuals that have suffered identity theft, medical fraud, tax fraud, other forms of fraud, and other actual misuses of their personal information, can submit claims for documented, unreimbursed extraordinary losses that are reasonably traceable to the data breach of up to a maximum of $5,000.

Hospitals 76

Hospitals Fraud Licensing HIPAA 76

HIPAA Journal

DECEMBER 19, 2022

A review of the files on the compromised servers confirmed that protected health information such as patient names, dates of birth, Social Security numbers, driver’s license numbers, health insurance information, and diagnosis and treatment information had been exposed. The DOL and the U.S.

Fraud 91

Fraud Licensing HIPAA Health Insurance 91

Verisys

NOVEMBER 8, 2023

Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies.

Fraud 97

Fraud HIPAA Medicare Medicare 97

HIPAA Journal

MARCH 25, 2022

Ultimate Care said no reports have been received that indicate there has been any misuse of patient information; however, as a precaution against identity theft and fraud, individuals whose Social Security numbers were impacted have been offered complimentary one-year memberships with a credit monitoring service.

Health Insurance 104

Health Insurance Licensing Ransomware Fraud 104

HIPAA Journal

SEPTEMBER 9, 2022

Those emails contained patient information such as names, dates of birth, Social Security numbers, medical information, health insurance information, driver’s license numbers, and state ID numbers. The information exposed varied from patient to patient. Notification letters were sent to all affected individuals in August.

Licensing 96

Licensing Health Insurance Fraud HIPAA 96

HIPAA Journal

SEPTEMBER 8, 2022

Notification letters were sent to affected individuals in August and information was provided on the steps that individuals can take to reduce the risk of identity theft and fraud, but it would appear that credit monitoring and identity theft protection services are not being offered. Gateway Diagnostic Imaging and Radiology Ltd.

Fraud 94

Fraud Health Insurance Ransomware HIPAA 94

HIPAA Journal

NOVEMBER 23, 2022

Affected patients had their names, birth dates, patient numbers, Social Security numbers, financial account numbers, and/or health insurance information exposed.

Ransomware 103

Ransomware Fraud Licensing HIPAA 103

HIPAA Journal

FEBRUARY 14, 2023

Hackers gained access to Umass Memorial Health’s email environment between June 24, 2020 and January 7, 2021, as a result of responses to phishing emails. Claims may also be submitted for extraordinary losses up to a maximum of $5,000, which can include documented, unreimbursed losses to fraud and identity theft.

Fraud 88

Fraud Licensing Health Insurance HIPAA 88

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services.

Ransomware 79

Ransomware Electronic Medical Records Licensing Health Insurance 79

HIPAA Journal

FEBRUARY 15, 2023

The attack was detected and blocked by Electromed on June 16, 2021, and the forensic investigation confirmed that files were accessed – and potentially stolen – that included customers’ first and last names, mailing addresses, medical information, and health insurance information.

Ransomware 81

Ransomware Fraud Licensing Health Insurance 81

HIPAA Journal

MARCH 22, 2023

The plaintiff and class members now face an increased risk of identity theft and fraud as their private information is now in the hand of cybercriminals. The lawsuit was filed on March 15, 2023, by the law firm Milberg Coleman Bryson Phillips Grossman PLLC on behalf of plaintiff, Samuel Lee.

HIPAA 91

HIPAA Fraud Licensing Health Insurance 91

HIPAA Journal

JULY 4, 2023

MMC said it was unable to determine whether files were accessed or removed from its network; however, the parts of the network that were accessed contained files that included the protected health information of 559,000 patients. Many of the individuals affected were minors.

Medicaid 72

Medicaid Medicaid Health Insurance Licensing 72

HIPAA Journal

SEPTEMBER 12, 2023

Schneck Medical Center has agreed to pay a penalty of $250,000 to resolve alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) and state laws and will implement additional safeguards to prevent further data breaches.

HIPAA 85

HIPAA Ransomware Health Insurance Fraud 85

HIPAA Journal

SEPTEMBER 8, 2022

Notification letters were sent to affected individuals in August and information was provided on the steps that individuals can take to reduce the risk of identity theft and fraud, but it would appear that credit monitoring and identity theft protection services are not being offered.

Fraud 69

Fraud Health Insurance Ransomware HIPAA 69

HIPAA Journal

APRIL 15, 2022

The incident involved the exposure and potential theft of the protected health information of 318,400 patients, including names, addresses, birth dates patient account numbers, medical record numbers, health insurance information, testing, diagnostic, treatment, and claims information.

Electronic Medical Records 111

Electronic Medical Records HIPAA Health Insurance Fraud 111

HIPAA Journal

JULY 20, 2022

While data theft could not be determined, the affected email accounts contained the protected health information of patients of 19 of its hospitals, including names, birth dates, health insurance information, Social Security numbers, driver’s license, and healthcare data.

Fraud 108

Fraud Licensing HIPAA Health Insurance 108

Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. States also can revoke agents’ licenses. But they have only 60 days after discovering the fraudulent enrollment to do so.

ACA 71

ACA Health Insurance Licensing Governance 71

Compliancy Group

MARCH 8, 2023

The Medicare Exclusion Database can trace its roots to 1996, when HIPAA (Health Insurance Portability and Accountability Act) was signed into law. HIPAA authorized the OIG to provide guidance to the healthcare industry, to prevent fraud and abuse, and to promote high levels of ethical and lawful conduct.

Medicare 52

Medicare Medicare Fraud HIPAA 52

HIPAA Journal

FEBRUARY 16, 2023

The investigation confirmed hackers had access to, and potentially stole, the protected health information of patients such as names, Social Security numbers, driver’s license information, dates of birth, health insurance, medical treatment information, and financial account information.

HIPAA 90

HIPAA Fraud Licensing Health Insurance 90

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

HIPAA Journal

JULY 27, 2023

The stolen information included names, addresses, email addresses, dates of birth, Social Security numbers, government identification ID numbers, driver’s license numbers, payment/financial institution information, health insurance providers, medical treatment information, medical diagnoses, medications, medical images, and lab test results.

Ransomware 52

Ransomware Fraud Licensing Health Insurance 52

HIPAA Journal

APRIL 25, 2023

On February 13, 2023, NationsBenefits confirmed that the data compromised in the attack included protected health information such as name, address, phone number, gender, date of birth, health insurance number, medical ID number, Social Security number, date(s) of service, medical device or product purchased, and provider/caregiver name.

Health Insurance 81

Health Insurance Public Health Ransomware Fraud 81

HIPAA Journal

DECEMBER 7, 2022

In some cases, Social Security numbers, driver’s license numbers, or financial account information, were also exposed. Salud Family Health said impacted employees and patients have been offered free credit monitoring and identity fraud protection services.

COVID-19 Vaccine 81

COVID-19 Vaccine COVID-19 Department of Veterans Affairs Licensing 81

HIPAA Journal

MAY 25, 2022

SAC Health said it is unaware of any actual or attempted misuse of patient data as a result of the break-in; however, as a precaution against identity theft and fraud, affected individuals have been offered complimentary credit monitoring services. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 124

Ransomware Fraud HIPAA Licensing 124

HIPAA Journal

APRIL 18, 2023

The information in the compromised email account included full names, home addresses, dates of birth, medical and treatment information, health insurance information, and billing and claims information, with some individuals also having their Social Security numbers, financial account information, and driver’s license numbers compromised.

HIPAA 77

HIPAA Fraud Licensing Health Insurance 77

MedTrainer

AUGUST 31, 2023

It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law in the United States that protects patients’ health information, and ensures its confidentiality and availability.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

APRIL 22, 2024

While adherence to these guidelines is voluntary, organizations implementing effective compliance programs are better equipped to identify and address potential compliance risks, mitigate fraud and abuse, and uphold the integrity of healthcare programs and services. Ensure compliance with licensing agreements and software usage terms.

Compliance 52

Compliance HIPAA Licensing Fraud 52

HIPAA Journal

NOVEMBER 15, 2022

At least five complaints have now been filed in the U.S. One lawsuit took issue with Somnia Inc.

HIPAA 81

HIPAA Fraud Licensing Health Insurance 81

HIPAA Journal

SEPTEMBER 28, 2022

Wolfe Clinic said names, addresses, birth dates, Social Security numbers, diagnostic information, and health insurance information were potentially compromised. At the time of issuing notifications, Wolfe Clinic had not received any reports of identity theft and fraud related to the Eye Care Leaders data breach.

Electronic Medical Records 73

Electronic Medical Records Ransomware Fraud HIPAA 73

HIPAA Journal

AUGUST 31, 2023

It is also providing credit monitoring, fraud consultation, and identity theft restoration services for a year.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

HIPAA Journal

SEPTEMBER 9, 2022

Those emails contained patient information such as names, dates of birth, Social Security numbers, medical information, health insurance information, driver’s license numbers, and state ID numbers. The information exposed varied from patient to patient. Notification letters were sent to all affected individuals in August.

Fraud 52

Fraud Licensing HIPAA Health Insurance 52

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 52

Compliancy Group

SEPTEMBER 27, 2023

Sensitive Information Stolen The investigation revealed that personal information such as: Full names Social Security numbers Financial account details Passport numbers Medical records Health insurance policy information Dates of birth Credit or debit card information These had been removed from Lakeland’s network.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

Compliancy Group

MARCH 25, 2024

A comprehensive due diligence checklist will cover areas such as licensing requirements, contractual agreements, fraud prevention measures, and risk management protocols. Financial Compliance: Safeguarding Resources Financial stability is vital for sustaining high-quality healthcare services.

Due Diligence 52

Due Diligence Compliance Informed Consent Fraud 52

MedTrainer

JANUARY 26, 2024

Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

HIPAA Journal

NOVEMBER 17, 2022

Salud Family Health said affected employees and patients have been offered free credit monitoring and identity fraud protection services, and security policies and procedures are being reviewed and will be updated to protect against future cyberattacks. New York-Presbyterian Hospital Discovers Breach Affecting up to 12,000 Patients.

Ransomware 79

Ransomware Health Insurance Hospitals Fraud 79

HIPAA Journal

APRIL 1, 2022

Catholic Health said the compromised information included patient names, provider names, dates of birth, dates of service, health insurance information, and/or medical record numbers.

Fraud 128

Fraud HIPAA Licensing Health Insurance 128