Innovaare Compliance

MAY 26, 2022

On April 15, 2022, the Centers for Medicare & Medicaid Services (CMS) released potential fraud, waste and abuse (FWA) trending data collected from Medicare Advantage Prescription Drug Plans (plan sponsors) for fourth quarter 2021. The post CMS Reminder of Medicare Fraud, Waste and Abuse Vigilance appeared first on Inovaare.

Fraud 52

Fraud Medicare Medicare Medicaid 52

HIPAA Journal

MARCH 7, 2023

The cyberattack in question occurred on December 1, 2022. Hackers gained access to the medical groups’ IT systems, preventing access to certain servers on December 2, 2022. The attempted fraudulent activity occurred between December 2022 and February 2023, before being informed by the defendants about the data breach.

Fraud 106

Fraud Health Insurance HIPAA Doctors 106

HIPAA Journal

MARCH 21, 2023

ILS Identified the breach in July 2022 and determined unauthorized individuals had access to its network between June 30, 2022, and July 5, 2022. Affected individuals were offered complimentary credit monitoring services and security measures have been enhanced to prevent further data breaches.

Fraud 98

Fraud Health Insurance Medicaid Medicaid 98

HIPAA Journal

JUNE 15, 2022

Choice Health discovered on May 14, 2022, that an individual was offering a set of data that had allegedly been stolen from Choice Health. Choice Health determined that the database had been found and certain database files had been copied by an unauthorized individual on May 7, 2022. MCG Health Announces Data Theft Incident.

Ransomware 138

Ransomware Health Insurance Fraud HIPAA 138

HIPAA Journal

NOVEMBER 23, 2022

The attack occurred between January 26 and January 28, 2022, and while the attack was detected by the firm’s endpoint security solution shortly after the ransomware was executed, it was not possible to prevent the encryption of certain files on its network.

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Ransomware Fraud Licensing HIPAA 103

HIPAA Journal

APRIL 20, 2022

A comprehensive review of affected files was conducted, and that process was concluded on February 23, 2022. The notification letters state that credit monitoring, fraud consultation, and identity theft restoration services are being offered through Kroll for 12 months at no cost.

US Department of Health and Human Services 136

US Department of Health and Human Services Fraud HIPAA 136

HIPAA Journal

OCTOBER 17, 2022

Valle de Sol did not state in its notification letters when hackers gained access to its network, or for how long they had access, but did confirm that the unauthorized activity was detected on January 25, 2022. A comprehensive review was conducted of all files that may have been accessed, which was completed on July 18, 2022.

Health Insurance 113

Health Insurance Licensing Fraud HIPAA 113

HIPAA Journal

SEPTEMBER 29, 2022

On May 18, 2022, Choice Health learned that a Choice Health database was accessible over the Internet, with the investigation confirming the misconfiguration was caused by a third-party service provider. The exposed database was detected by Choice Health on May 14, 2022, with the theft of database files identified on May 18.

Health Insurance 105

Health Insurance Medicare Medicare Fraud 105

HIPAA Journal

NOVEMBER 7, 2022

On September 1, 2022, OakBend Medical Center discovered its systems had been compromised and files had been encrypted. The stolen data included names, contact information, dates of birth, and Social Security numbers. On August 19, 2022, Keystone Health discovered its network had been compromised. OakBend Medical Center.

HIPAA 94

HIPAA Fraud 94

HIPAA Journal

DECEMBER 8, 2022

The New York ambulance service, Empress EMS, is facing multiple class action lawsuits over a ransomware attack that was detected on July 14, 2022. Those files were stolen on July 13, 2022. According to databreaches.net, which contacted the Hive group, Empress EMS paid the ransom.

Ransomware 95

Ransomware HIPAA Fraud 95

Hall Render

FEBRUARY 25, 2022

On February 4, 2022, the Department of Health & Human Services Office of Inspector General (“OIG”) issued Advisory Opinion 22-02 protecting a children’s hospital’s donor-funded charity program (“Proposed Arrangement”). Your primary Hall Render contact.

Fraud 40

Fraud Hospitals Medicare Medicare 40

HIPAA Journal

MARCH 24, 2022

Notification letters started to be sent to affected individuals on March 15, 2022. Chelan Douglas Health District said it is unaware of any cases of identity fraud or other misuse of patient data. A representative for the health district said this was not a ransomware attack.

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Ransomware Fraud Hospitals HIPAA 122

HIPAA Journal

AUGUST 2, 2023

Notification letters will be sent to the affected individuals in the coming weeks and credit monitoring, fraud consultation, and identity theft restoration services will be offered. A third-party data review company was provided with the files on December 22, 2022, and provided the results of the analysis to SHS on May 16, 2023.

Licensing 71

Licensing Electronic Medical Records Ransomware Health Insurance 71

Healthcare Law Blog

DECEMBER 12, 2022

Now, almost three years later, governmental entities have focused their attention on telehealth services and the potential for fraud and abuse. On October 13, 2022 , Health and Human Services (“HHS”) Secretary Xavier Becerra renewed the COVID-19 PHE and the PHE is now set to expire on January 11, 2023. Notable Updates. Looking Forward.

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COVID-19 Fraud Telemedicine Public Health 52

Hall Render

DECEMBER 6, 2022

The $5,000 limit is adjusted annually for inflation and will increase from the 2022 limit of $5,270 to $5,702 beginning January 1, 2023 for the 2023 calendar year. If you have any questions or would like any additional information about this topic, please contact: Gregg M. COVID-19 Blanket Stark Waivers Continue (for now).

COVID-19 40

COVID-19 Hospitals Overpayments Overpayment 40

HIPAA Journal

JANUARY 10, 2023

An external investigation into credit card fraud pointed to Captify Health as the source of a data breach. The affected individuals were then identified and contact information was verified, and breach notification letters were sent on December 16, 2022.

HIPAA 97

HIPAA Doctors Fraud Compliance 97

HIPAA Journal

NOVEMBER 16, 2022

According to the breach report filed with the Maine Attorney General, it took until October 3, 2022, to confirm that an unauthorized third party had accessed the email system, which included sensitive information of its members. Notification letters were sent to affected individuals on October 31, 2022.

HIPAA 83

HIPAA Licensing Health Insurance Fraud 83

Healthcare Law Blog

MARCH 3, 2023

On December 29, 2022, President Biden signed into law the Consolidated Appropriations Act, 2023 (the “Act”), [1] a $1.7 Department of Health and Human Services Office of Inspector General Special Fraud Alert issued in July 2022, which urged practitioners to exercise caution when entering telemedicine arrangements. [11]

Fraud 52

Fraud Nurses Telemedicine COVID-19 52

HIPAA Journal

MAY 10, 2023

Contact information was then verified, and notification letters were sent on May 1, 2023. McPherson Hospital – Ransomware Attack McPherson Hospital in Kansas has recently issued notification letters to 19,020 patients to alert them about a July 2022 ransomware attack. The unauthorized access was traced to a former employee.

Hospitals 93

Hospitals Ransomware Health Insurance Fraud 93

HIPAA Journal

SEPTEMBER 28, 2022

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. Reiter Affiliated Companies Reports June 2022 Cyberattack. The attack was detected on July 4, 2022, when certain systems were made unavailable. million patients.

Electronic Medical Records 73

Electronic Medical Records Ransomware Fraud HIPAA 73

YouCompli

JANUARY 18, 2023

Featured speakers : Eric Gold , Chief, Massachusetts Attorney General’s Office Healthcare Division; Jennifer Goldstein , Managing Attorney, Medicaid Fraud Division, Massachusetts Attorney General’s Office; and Steven Sharobem , Assistant US Attorney, District of Massachusetts. Priorities for Massachusetts’s Medicaid Fraud Division.

Fraud 52

Fraud COVID-19 Compliance Medicaid 52

Hall Render

MARCH 11, 2022

HHS: What cybersecurity means for healthcare in 2022. Rothman Orthopaedics Florida to add physicians, locations in 2022. Healthcare Trends: What’s Happening in 2022? Kentucky clinic owner sentenced to 10-plus years for fraud. 12 physicians sentenced to prison for $250M billing fraud. Congress’ $1.5

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

HIPAA Journal

JANUARY 24, 2023

Another lawsuit has been filed against CommonSpirit Health over its 2022 ransomware attack and data breach that alleges the nation’s largest catholic health system failed to implement reasonable and appropriate safeguards to prevent unauthorized access to sensitive patient data. An earlier lawsuit was filed in the U.S.

Ransomware 55

Ransomware Fraud HIPAA Hospitals 55

Healthcare Compliance Blog

FEBRUARY 3, 2022

They are scheduled to appear in court on March 14, 2022. Bassett stated, “Vaccination fraud is a serious crime. To report vaccine-related fraud in New York contact the New York State Department of Health by calling 833-VAX-SCAM (833-829-7226) or emailing STOPVAXFRAUD@health.ny.gov.

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COVID-19 Vaccine COVID-19 Nursing Homes Nurses 59

Healthcare Law Blog

JULY 25, 2022

On July 20, 2022, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) issued a Special Fraud Alert warning physicians and other practitioners to exercise caution when entering into telemedicine arrangements that have certain suspect characteristics. for more than $1.2

Telemedicine 52

Telemedicine Fraud Compliance 52

Health Law Advisor

NOVEMBER 15, 2022

The continued focus on telehealth fraud and enforcement. Please contact Amy Lerman or Audrey Davis with questions. General telemental/telebehavioral provisions across the 50 states plus the District of Columbia and Puerto Rico. COVID-19’s impact on telehealth at the state and federal levels.

COVID-19 52

COVID-19 Fraud Telemedicine 52

Hall Render

APRIL 29, 2022

Healthcare deals decline 34% in Q1 2022: 8 things to know from KPMG. More than 400 nursing home closures projected for 2022: report. Doctor overseeing coronavirus testing at BWI accused of health-care fraud. Hospitals’ Early 2022 Finances. Owners Of Behavioral Health Companies Sentenced For Medicaid Fraud.

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40

HIPAA Journal

JULY 27, 2023

Malone was employed by Norton Healthcare between 2015 and 2022 and claims her sensitive information was stolen and attempts have already been made to misuse that information. District Court on behalf of plaintiff Lanisha Malone and similarly situated individuals who had their sensitive data stolen in the attack.

Ransomware 52

Ransomware Fraud Licensing Health Insurance 52

Hall Render

JANUARY 28, 2022

Federal officials arrest nursing home owner charged with more than $3M in Arkansas Medicaid fraud. More Civil, Criminal Charges for Former Skyline CEO Accused of Tax and Medicaid Fraud. David Ige focuses on healthcare, economic recovery goals in 2022 State of the State address. UMaine School of Nursing receives $1.5M

Nursing Homes 40

Nursing Homes COVID-19 US Department of Health and Human Services Nurses 40

HIPAA Journal

JANUARY 16, 2023

A final fairness hearing has been scheduled for May 24, 2022. Patients were notified about the data breach in May 2021. In June 2021, a lawsuit – Charlie et al. Rehoboth McKinley Christian Health Care Services had argued that there was no actionable duty to protect the plaintiffs’ data, but U.S. District Court Judge Steven C.

Fraud 95

Fraud Health Insurance HIPAA Hospitals 95

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. Department of Health and Human Services Office of Inspector General (2022, June 6). Get Certified.

US Department of Health and Human Services 52

US Department of Health and Human Services Nursing Homes COVID-19 Medicare 52

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. Department of Health and Human Services Office of Inspector General (2022, June 6). Get Certified.

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Nursing Homes Medicare 52

Hall Render

JANUARY 7, 2022

No Surprises Act” takes effect in 2022, limiting unexpected medical bills. Empower Healthcare to pay $1 million penalty in Medicaid fraud settlement. fraud case in Arkansas. Number of COVID Patients in CT Hospitals Grows, Healthcare Workers Contacting Virus. more in Medicaid payments in 2022. Former N.J.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

HIPAA Journal

MARCH 11, 2022

The data breach in question was reported by Logan Health in February 2022, with its investigation confirming unauthorized individuals had access to its system between November 18, 2021, and November 22, 2021.

HIPAA 110

HIPAA Health Insurance Medical Billing Fraud 110

HIPAA Journal

AUGUST 17, 2022

The forensic investigation determined the PHI of 640,000 individuals had been exposed and potentially stolen in the attack, including names, contact information, birth dates, Social Security numbers, health insurance information, medical information, and other types of data. All claims must be submitted no later than September 16, 2022.

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Ransomware Fraud HIPAA Health Insurance 72

HIPAA Journal

MAY 18, 2023

Recently, Murfreesboro Medical Clinic & SurgiCenter in Tennessee halted operations for two weeks while recovering from a cyberattack, and a 2022 survey indicated 25% of healthcare organizations would be forced to temporarily halt operations in the event of a ransomware attack.

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Ransomware Fraud HIPAA Health Insurance 70

HIPAA Journal

DECEMBER 20, 2022

Work Health Solutions, a San Jose, CA-based occupational health services provider, has confirmed that the protected health information of 13,157 individuals has been exposed and potentially obtained by unauthorized individuals who had access to an employee email account between February 16, 2-022 and March 24, 2022.

Health Insurance 87

Health Insurance Licensing Hospitals Fraud 87