article thumbnail

Pharma Sales Rep Pleads Guilty to Healthcare Fraud and Criminal HIPAA Violations

HIPAA Journal

A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Ritson identified the patients through the medical practice of Dr. Frank Alario.

Fraud 61
article thumbnail

Arizona Man Sentenced to 54 Months in Criminal HIPAA Violation Case

HIPAA Journal

An Arizona man has been sentenced to 54 months in jail for aggravated identity theft and criminal violations of the Health Insurance Portability and Accountability Act (HIPAA). Rico Prunty pleaded guilty to aggravated identity theft and criminal HIPAA violations for accessing and disclosing patients’ protected health information.

HIPAA 57
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Judge Denies Class Certification in CareFirst Data Breach Lawsuit

HIPAA Journal

District Court Judge has denied class certification in a long-running legal battle against CareFirst BlueCross BlueShield over its 2014 data breach that affected 1.1 The post Judge Denies Class Certification in CareFirst Data Breach Lawsuit appeared first on HIPAA Journal. million plan members.

Fraud 92
article thumbnail

Asante Discovers 9 Years of Unauthorized Medical Record Access by a Physician

HIPAA Journal

An investigation was launched when the unauthorized access was detected which revealed the unauthorized access had been occurring over a period of 9 years, starting in 2014. The post Asante Discovers 9 Years of Unauthorized Medical Record Access by a Physician appeared first on HIPAA Journal.

article thumbnail

HIPAA Enforcement by State Attorneys General

HIPAA Journal

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). million individuals and for delayed breach notifications.

HIPAA 97
article thumbnail

Contract Class Certified in CareFirst Data Breach Lawsuit 9 Years After Legal Action was Initiated

HIPAA Journal

A lawsuit against CareFirst BlueCross BlueShield that was filed in response to a 2014 data breach has had a contract class certified by a federal judge, 9 years after legal action was initiated. In June 2014, hackers gained access to CareFirst systems, which contained the data of around 1.1

Fraud 69
article thumbnail

Health Provider News – April 1, 2022

Hall Render

OCR Announces Four HIPAA Enforcement Actions. Fraud plagues California’s hospice industry, audit finds. over MassHealth fraud. UPMC begins payments to 66,000 employees affected by 2014 data breach. Hospital, long-term care groups again petition Becerra to extend COVID-19 public health emergency. for VA EHR project.