HIPAA Journal

APRIL 30, 2025

The cyberattack was detected on or around November 14, 2023, and the forensic investigation confirmed on March 18, 2024, that sensitive data had been accessed or acquired by the threat actor. No ransomware group is known to have claimed responsibility for the attack.

Ransomware 64

Ransomware Fraud HIPAA 64

Electronic Health Reporter

JANUARY 31, 2024

Matthew Hawley leads operations and content development for Cotiviti’s prospective payment integrity and fraud, waste, and abuse solutions. He brings more than 30 years of healthcare experience […] The article 2024 Outlook: Data-Driven Approaches Are Key to Success appeared first on electronichealthreporter.com.

Fraud 103

Fraud 103

HIPAA Journal

MARCH 11, 2025

Suspicious activity was identified within its computer systems on April 11, 2024. The invitations were circulated on September 3, 2024, October 3, 2024, November 7, 2024, and/or December 30, 2024. During that time, files were exfiltrated from its network, some of which contained patient data.

Department of Veterans Affairs 81

Department of Veterans Affairs Licensing Ransomware Fraud 81

Healthcare IT Today

APRIL 2, 2025

Healthcare was the most breached industry in 2024, and UnitedHealth is still sending breach notices about the Change Healthcare attack, which exposed the data of over 190 million people last year. Bad actors can exploit PHI to commit medical fraud, insurance fraud, and identity theft. billion by 2028.

Ransomware 75

Ransomware Fraud Hospitals 75

HIT Consultant

DECEMBER 18, 2024

Identity theft, fraud, and long-term financial harm are just a few examples of the personal fallout patients may face following a data breach. As per the Cost of Data Breach Report 2024 , the average cost of a data breach in healthcare reached $10.93 million in 2024.

Ransomware 105

Ransomware Fraud Doctors HIPAA 105

Compliancy Group

OCTOBER 28, 2024

Health and Human Services (HHS) Department’s efforts to eliminate fraud, waste, and abuse. Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities. More specifically, the 2024 guidance for nursing facilities focuses on several areas.

Nurses 52

Nurses Compliance Nursing Homes Compliance Officers 52

HIPAA Journal

NOVEMBER 7, 2024

The use of ransomware in cyberattacks decreased slightly in the first half of the year; however, the severity of ransomware attacks increased according to the 2024 Cyber Claims Report: Mid-Year Update from cyber insurance and security service provider Coalition.

Ransomware 94

Ransomware Fraud HIPAA 94

Healthcare IT Today

AUGUST 10, 2024

Topics included unpacking the ROI of patient safety, addressing financial outcomes for patients, and reducing fraud and waste. Read more… This Week’s Health IT Jobs for August 7, 2024: Multiple roles for solution architects as well as document specialists. What Financial Challenge Doesn’t Get Talked About Enough ?

Nurses 90

Nurses Fraud 90

Healthcare IT Today

MARCH 19, 2025

Recent incidents, such as the massive theft of NHS records in 2024 and a surge in ransomware attacks on healthcare providers, emphasize the urgent need for stronger security frameworks. These events expose the limitations of traditional systems in combating emerging threats like AI-generated fraud and identity manipulation.

Fraud 60

Fraud Ransomware HIPAA Compliance 60

Health Law Attorney

NOVEMBER 22, 2024

On November 20, 2024, the Office of Inspector General (OIG) released its updated Industry-Specific Compliance Program Guidance (ICPG) for nursing facilities, marking an important step in its broader compliance initiative. Both the 2000 CPG and 2008 Supplemental CPG will remain available as archived resources on the OIG website.

Nurses 52

Nurses Compliance Fraud Governance 52

Healthcare IT Today

JANUARY 17, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. 2024 will likely see continued hype regarding A.I. With the clinician shortage expected to continue – and possibly even worsen – in 2024, automation is key from the start of the clinician’s staffing journey (i.e.

Governance 102

Governance Nurses Compliance Public Health 102

HIPAA Journal

APRIL 11, 2025

A security incident was detected on October 27, 2024, when suspicious activity was identified within its network. The affected individuals should be vigilant against identity theft and other fraud by monitoring their accounts and Explanation of Benefits statements carefully.

Ransomware 78

Ransomware Fraud HIPAA Licensing 78

HIT Consultant

NOVEMBER 4, 2024

Healthcare organizations must have systems to protect sensitive information from identity theft and fraud, insider threats from employees or contractors with malicious intent, and the manipulation, deletion, corruption, or exposure of electronic health records.

Ransomware 98

Ransomware Regulatory Compliance Compliance Fraud 98

Verisys

MAY 13, 2024

April 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post April 2024 Bad Actors Roundup appeared first on Verisys. Secure your success by choosing Verisys.

Fraud 52

Fraud COVID-19 Doctors Licensing 52

Verisys

MAY 13, 2024

April 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post April 2024 Bad Actors Roundup appeared first on Verisys. Secure your success by choosing Verisys.

Fraud 52

Fraud COVID-19 Doctors Licensing 52

The Health Law Firm Blog

MAY 8, 2024

Board Certified by The Florida Bar in Health Law On March 20th, 2024, the U.S. Attorney's Office, in the Middle District of Florida, announced that a Florida man pled guilty to conspiring to commit health care fraud in a $36.2 million telemedicine fraud scheme. Indest III, J.D., As part of [.]

Fraud 52

Fraud Medicare Medicare Telemedicine 52

Verisys

AUGUST 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post July 2024 Bad Actors Roundup appeared first on Verisys. Million ( Full Announcement ) Doctor Convicted for Illegally Distributing Over 1.8M

Fraud 52

Fraud Doctors Licensing Medicare 52

Verisys

AUGUST 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post July 2024 Bad Actors Roundup appeared first on Verisys. Million ( Full Announcement ) Doctor Convicted for Illegally Distributing Over 1.8M

Fraud 52

Fraud Doctors Licensing Medicare 52

Verisys

AUGUST 13, 2024

July 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post July 2024 Bad Actors Roundup appeared first on Verisys. Million ( Full Announcement ) Doctor Convicted for Illegally Distributing Over 1.8M

Fraud 52

Fraud Doctors Licensing Medicare 52

Compliancy Group

FEBRUARY 16, 2024

This month, fraud in the medical industry has been making headlines fairly frequently. We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. Two recent cases involved dental offices. Dentist Ordered to Pay $8.5M He is also responsible for paying $8.5

Fraud 52

Fraud Licensing Medicaid Medicaid 52

Verisys

JUNE 17, 2024

May 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post May 2024 Bad Actors Roundup appeared first on Verisys. Attorney Announces $2.5

Fraud 52

Fraud Doctors Licensing Compliance 52

Verisys

JUNE 17, 2024

May 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. The post May 2024 Bad Actors Roundup appeared first on Verisys. Attorney Announces $2.5

Fraud 52

Fraud Doctors Licensing Compliance 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

Verisys

JULY 25, 2024

June 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 The post June 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Nursing Homes COVID-19 Licensing 52

HIPAA Journal

JULY 4, 2024

Gaia Software has disclosed details of a February 2024 cyberattack, Pinnacle Orthopaedics & Sports Medicine Specialists are investigating an April 2024 cyberattack, and OB GYN Specialists of Lima have discovered the improper disposal of patient data.

Electronic Medical Records 116

Electronic Medical Records Health Insurance Ransomware Fraud 116

Verisys

APRIL 2, 2024

March 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Physician pays $1.8M Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3

Fraud 52

Fraud Telemedicine Licensing Doctors 52

Verisys

APRIL 2, 2024

March 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Physician pays $1.8M Million Medicare Fraud Scheme ( Full Story ) New York-Presbyterian/Brooklyn Methodist Hospital Settles Health Care Fraud Claims for $17.3

Fraud 52

Fraud Telemedicine Licensing Doctors 52

Healthcare IT Today

MARCH 12, 2025

Given that credentialing errors and fraud contribute to more than $100 billion in annual healthcare fraud costs, ProviderLenz plays a critical role in improving data integrity and preventing abuse.

Electronic Medical Records 52

Electronic Medical Records Fraud Compliance 52

The Health Law Firm Blog

APRIL 29, 2024

Board Certified by The Florida Bar in Health Law On March 20th, 2024, the U.S. Attorney's Office, in the Middle District of Florida, announced that a Florida man pled guilty to conspiring to commit health care fraud in a $36.2 million telemedicine fraud scheme. Indest III, J.D., As part of [.]

Fraud 52

Fraud Medicare Medicare Telemedicine 52

The Health Law Firm Blog

APRIL 8, 2024

Board Certified by The Florida Bar in Health Law On March 20th, 2024, the U.S. Attorney's Office, in the Middle District of Florida, announced that a Florida man pled guilty to conspiring to commit health care fraud in a $36.2 million telemedicine fraud scheme. Indest III, J.D., As part of [.]

Fraud 52

Fraud Medicare Medicare Telemedicine 52

Verisys

FEBRUARY 9, 2024

January 2024 Bad Actor Roundup By Verisys Each month we will give a roundup of recent healthcare fraudsters and compliance busters. Here is a round up of bad actors: Physician Fraud Glastonbury Psychologist Admits Defrauding Medicaid of More Than $1.6 The post January 2024 Bad Actors Roundup appeared first on Verisys.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

Verisys

MARCH 6, 2025

A 2024 survey of U.S. Identifying Compliance Risks in Real Time AI-powered surveillance tools work around the clock, scanning data to catch red flags or suspicious patterns that indicate: Fraud Security threats Regulatory violations Credential discrepancies Take electronic health records (EHRs), for example. link] Healthcare.

Compliance 52

Compliance US Department of Health and Human Services Regulatory Compliance Fraud 52

Compliancy Group

SEPTEMBER 16, 2024

In November, updates for 2024 appeared in the OIG General Compliance Program Guidance, including recommendations for Medicare, nursing facilities, and other industry-specific entities. The 2024 update also addresses the Information Blocking Rule for the first time.

Compliance 52

Compliance Compliance Officers Fraud Electronic Medical Records 52

Medisys Compliance

AUGUST 21, 2024

In 2024, the Centers for Medicare & Medicaid Services (CMS) introduced several crucial updates to radiation oncology billing guidelines. In 2024, CMS has updated several areas to reflect changes in medical practices and technological advancements in radiation therapy.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Compliance Medicaid Medicaid 59

Compliancy Group

FEBRUARY 12, 2024

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

HIPAA Journal

JULY 9, 2024

Notifications were issued in May 2024, and complimentary credit monitoring services were offered to the affected individuals. The lawsuit alleges the plaintiff and class members face an ongoing risk of fraud, identity theft, and other misuses of their sensitive information as a result of the data breach.

Fraud 119

Fraud Health Insurance HIPAA Compliance 119