HIPAA Journal

JUNE 8, 2023

Alvaria explained that the ransomware attack occurred on November 28, 2022, and steps were immediately taken to contain the attack and prevent further unauthorized access to its network. The post Alvaria Confirms November 2022 Hive Ransomware Attack appeared first on HIPAA Journal.

Ransomware 52

Ransomware Fraud HIPAA Health Insurance 52

The Health Law Firm Blog

NOVEMBER 29, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. By George F.

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

The Health Law Firm Blog

DECEMBER 19, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. By George F.

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

The Health Law Firm Blog

OCTOBER 14, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. By George F.

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

The Health Law Firm Blog

NOVEMBER 7, 2022

Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations. Centene owns and operates Sunshine State Health Plan, d/b/a Sunshine Health, in Florida. By George F.

Fraud 52

Fraud Medicaid Medicaid Overpayments 52

HIPAA Journal

DECEMBER 23, 2022

It has been another bad year for healthcare data breaches, with some of the biggest HIPAA breaches of 2022 resulting in the impermissible disclosure of well over a million records. In addition to the high number of data breaches, 2022 stands out for the sheer number of healthcare records breached, which currently stands at 49.8

HIPAA 81

HIPAA Ransomware Health Insurance Compliance 81

HIPAA Journal

MARCH 30, 2023

A lawsuit has been filed against the digital marketing agency, Rise Interactive Media & Analytics, over a cyberattack in which the protected health information of approximately 54,500 patients of Edgepark Medical Supplies was compromised.

Health Insurance 94

Health Insurance Fraud HIPAA 94

Kaiser Health News

APRIL 16, 2024

The push began after March 2022, when a special enrollment period for low-income people became available, opening up a year-round opportunity to enroll in an ACA plan. “Unfortunately, there’s so much fraud that legitimate agents who are really trying to help people are also being pushed out.”

ACA 138

ACA Health Insurance Governance Medical Billing 138

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 115

Health Insurance Licensing Fraud HIPAA 115

HIPAA Journal

SEPTEMBER 30, 2022

The plaintiffs alleged the security failures were in violation of the Health Insurance Portability and Accountability Act, although the lawsuit was filed over the violation of state laws. The plaintiffs also took issue with how Magellan Health handled the data breach and the delay in issuing notifications.

Fraud 94

Fraud HIPAA Health Insurance 94

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 110

Fraud Health Insurance HIPAA Doctors 110

HIPAA Journal

MARCH 21, 2023

The lawsuits are currently pending in the District Courts in Arkansas and were filed in response to two data breaches that were discovered in 2022. MRHS discovered unauthorized access to its computer systems on November 8, 2022, and determined hackers had exfiltrated files from its systems more than a year earlier on October 30, 2021.

Hospitals 70

Hospitals Fraud Health Insurance HIPAA 70

HIPAA Journal

AUGUST 5, 2022

In a substitute breach notification, First Choice explained that unusual activity was detected within its technological environment on March 27, 2022. Affected individuals were notified about the breach by mail on August 1, 2022, and have been offered complimentary identity theft protection services through IDX.

Electronic Medical Records 91

Electronic Medical Records Health Insurance Fraud HIPAA 91

HIPAA Journal

SEPTEMBER 29, 2022

Humana has recently announced that the protected health information of 22,767 individuals has potentially been compromised in a security incident and data breach at one of its business associates – Choice Health – which Human used to sell Medicare products on its behalf.

Health Insurance 108

Health Insurance Medicare Medicare Fraud 108

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. The lawsuit was filed by Joseph G.

Fraud 102

Fraud Health Insurance Medicaid Medicaid 102

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 86

HIPAA Licensing Health Insurance Fraud 86

HIPAA Journal

SEPTEMBER 7, 2022

The Morristown, VT-based healthcare provider, Lamoille Health Partners, is facing a class action lawsuit over a June 2022 ransomware attack that affected almost 60,000 of its patients. The attack was detected on June 13, 2022, with the investigation confirming the attackers gained access to its network the previous day.

HIPAA 105

HIPAA Ransomware Fraud Health Insurance 105

HIPAA Journal

SEPTEMBER 9, 2022

That process concluded on June 24, 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.

Licensing 100

Licensing Health Insurance Fraud HIPAA 100

HIPAA Journal

DECEMBER 19, 2022

Avem Health Partners, an Oklahoma City-based provider of administrative and technology services to healthcare organizations, has recently started notifying its healthcare clients about a data breach that occurred at one of its vendors, 365 Data Centers. Department of Labor (DOL) on August 24, 2022. The DOL and the U.S.

Fraud 94

Fraud Licensing HIPAA Health Insurance 94

HIPAA Journal

OCTOBER 18, 2022

According to the breach report sent to the HHS on October 3, 2022, unauthorized individuals gained access to its email environment which contained patient information. Suspicious email account activity was detected on June 1, 2022, and immediate action was taken to secure the account. Eventus WholeHealth Announces Email Account Breach.

Fraud 97

Fraud HIPAA Health Insurance Governance 97

HIPAA Journal

JUNE 15, 2022

The South Carolina-based health insurance company, Choice Health, now part of Alight Solutions, has recently announced that the protected health information of some of its members has been obtained by an unauthorized individual. That issue meant the database could be accessed over the internet without authorization.

Ransomware 139

Ransomware Health Insurance Fraud HIPAA 139

HIPAA Journal

MAY 1, 2023

One Brooklyn Health, a New York City-based network of three acute care hospitals – Brookdale Hospital Medical Center, Interfaith Medical Center, and Kingsbrook Jewish Medical Center – is facing a class action lawsuit over a data breach that was discovered in November 2022. More than 235,000 patients were affected.

Health Insurance 56

Health Insurance Fraud HIPAA Hospitals 56

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 72

Licensing Electronic Medical Records Ransomware Health Insurance 72

HIPAA Journal

AUGUST 4, 2022

Unusual activity was detected within its email environment on June 1, 2022. Notification letters were therefore sent to all individuals whose protected health information was present in the affected email accounts. Notification letters were sent to affected individuals on July 22, 2022.

Health Insurance 78

Health Insurance Fraud HIPAA 78

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.

Ransomware 107

Ransomware Fraud Licensing HIPAA 107

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 87

HIPAA Ransomware Health Insurance Fraud 87

HIPAA Journal

APRIL 15, 2022

A lawsuit has been filed against the in-home respiratory care provider, SuperCare Health, over a cyberattack and data breach that was reported to the Department of Health and Human Services on March 28, 2022. In 2021, the law firm was involved in 23 incidents, and 58 lawsuits were filed in response to those breaches.

Electronic Medical Records 115

Electronic Medical Records HIPAA Health Insurance Fraud 115

HIPAA Journal

MAY 10, 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. Notification letters were sent in early May, almost 10 months after the attack. The unauthorized access was traced to a former employee.

Hospitals 96

Hospitals Ransomware Health Insurance Fraud 96

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 84

Health Insurance Public Health Ransomware Fraud 84

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 108

Health Insurance Licensing Ransomware Fraud 108

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 90

Health Insurance Licensing Hospitals Fraud 90

HIPAA Journal

MAY 25, 2022

Social Action Community Health System (SAC Health) has recently notified 149,940 patients that documents containing their protected health information were stolen in a break-in at an off-site storage location where patient records were stored. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 126

Ransomware Fraud HIPAA Licensing 126

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. BJC HealthCare has committed $2.7

Fraud 111

Fraud Licensing HIPAA Health Insurance 111

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. Advent Health Partners, Inc.

HIPAA 93

HIPAA Fraud Licensing Health Insurance 93

HIPAA Journal

MARCH 24, 2022

Notification letters started to be sent to affected individuals on March 15, 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.

Ransomware 125

Ransomware Fraud Hospitals HIPAA 125

HIPAA Journal

AUGUST 4, 2022

The forensic investigation confirmed that names, addresses, diagnoses, treatment information, patient account numbers, billing information, dentists’ names, payment card information, and health insurance information had potentially been compromised. The deadline for opting out of the settlement – July 26, 2022 – has now passed.

Fraud 112

Fraud HIPAA Health Insurance 112

Provider Trust

JANUARY 25, 2024

This report helps HHS fulfill its mission to improve the health and well-being of Americans while also providing suggestions for how healthcare organizations can stay ahead of the curve to avoid and combat fraud, waste, and abuse. HHS estimated that over 15% of payments in FY 2022 were improper.

Fraud 52

Fraud Medicaid Medicaid Medicare 52