HIPAA Journal

JANUARY 6, 2023

The attack forced the shutdown of its electronic medical record system and caused considerable disruption over several weeks, with the catholic health system having to cancel many appointments. Lawsuits often fail when they are based solely on an elevated risk of identity theft and fraud.

Ransomware 102

Ransomware Fraud Electronic Medical Records Hospitals 102

HIPAA Journal

APRIL 15, 2022

The plaintiff said she was notified that unauthorized individuals accessed her information, which included her electronic medical records, but was not offered adequate credit monitoring and identity theft protection services or appropriate compensation for the harm caused.

Electronic Medical Records 123

Electronic Medical Records HIPAA Health Insurance Fraud 123

HIPAA Journal

JULY 4, 2024

Gaia Software Gaia Software, a provider of electronic medical record and billing management software services to Americare Renal Center, has mailed notification letters to patients whose protected health information was compromised in a February 2024 cyberattack.

Electronic Medical Records 119

Electronic Medical Records Health Insurance Ransomware Fraud 119

Compliancy Group

DECEMBER 13, 2024

Maintaining healthcare compliance includes being vigilant for warning signs of potential waste, abuse, and fraud due to identity theft. Healthcare red flag rules help your organization protect your patients, staff, and financial security from potential medical identity theft.

Compliance Officers 94

Compliance Officers Compliance Electronic Medical Records Fraud 94

Compliancy Group

DECEMBER 20, 2024

In late February of 2019, Gulf Coast discovered that between early September of 2018 and early February of 2019 (after the contractor stopped providing services), the contractor had impermissibly accessed Gulf Coasts electronic medical record (EMR) system and accessed the ePHI of approximately 34,310 individuals.

Ransomware 98

Ransomware HIPAA Fraud Electronic Medical Records 98

HIPAA Journal

FEBRUARY 14, 2023

Connexin Software does business as Office Practicum and is a provider of electronic medical records and practice management software for pediatric practices. Another lawsuit has been filed against Connexin Software over its August 2022 ransomware attack and data breach, which affected more than 2.2 million individuals.

Electronic Medical Records 102

Electronic Medical Records Ransomware HIPAA Fraud 102

HIPAA Journal

JUNE 15, 2023

OCR launched an investigation into the snooping incident in May 2018 and discovered widespread snooping on medical records by security guards in the hospital’s emergency department. HIPAA-covered entities must have robust policies and procedures in place to ensure patient health information is protected from identity theft and fraud.”

HIPAA 98

HIPAA Hospitals Electronic Medical Records Fraud 98

HIPAA Journal

DECEMBER 30, 2022

Also, the breach notification letters stated, in bold and underlined text, that electronic medical records had not been accessed when the next paragraph made it clear that the information contained in medical records had in fact been accessed.

Electronic Medical Records 109

Electronic Medical Records HIPAA Fraud Medicaid 109

HIPAA Journal

JANUARY 12, 2023

Shields Health Care Group, which provides medical imaging services to more than 50 healthcare facilities, suffered a breach of more than 2 million records, Professional Finance Company, which provides a debt collection service to healthcare organizations, suffered a breach affecting many of its clients and exposed the data of 1.91

Electronic Medical Records 110

Electronic Medical Records Ransomware Fraud Public Health 110

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. The breach was recently reported to the Maine Attorney General as affecting up to 170,450 individuals.

Licensing 97

Licensing Electronic Medical Records Ransomware Health Insurance 97

HIPAA Journal

AUGUST 11, 2023

Hackers could alter patient data resulting in a misdiagnosis or incorrect treatment being delivered, treatment is often delayed due to cyberattacks that take electronic medical record systems and other essential IT systems offline, and cyberattacks often cause financial harm to patients, with attacks often leading to identity theft and fraud.

Electronic Medical Records 96

Electronic Medical Records Ransomware Fraud HIPAA 96

HIPAA Journal

MAY 24, 2024

It has been more than 2 weeks since the ransomware attack on Ascension and its hospitals are still operating under emergency procedures, with staff working with pen and paper due to the inability to access electronic medical records.

Hospitals 79

Hospitals Ransomware Electronic Medical Records HIPAA 79

HIT Consultant

MARCH 24, 2023

Today, cNLU is being applied to billing/coding, trial enrollment, registry creation, clinical decision support, prior authorization, fraud/abuse detections, and other labor-intensive workflows.

Electronic Medical Records 98

Electronic Medical Records Fraud 98

Compliancy Group

JULY 10, 2024

Compliance with healthcare regulations protects patients, safeguards employee safety, and maintains the security of electronic medical records (EMRs) and cyber networks. If you hold this position, you likely understand what’s at stake in protecting health information and preventing fraud, abuse, and adverse incidents.

Compliance Officers 64

Compliance Officers Compliance Fraud Electronic Medical Records 64

HIPAA Journal

NOVEMBER 7, 2024

ORM Fertility said there was no unauthorized access to its electronic medical records (EMR), email, or customer relationship management system (CRM), and financial and insurance information was not exposed.

Electronic Medical Records 71

Electronic Medical Records Fraud HIPAA Health Insurance 71

HIPAA Journal

MARCH 8, 2023

Paul Hoffman – has had his access to the electronic medical record system terminated. The types of information accessed included names, demographic information, and treatment information.

Electronic Medical Records 72

Electronic Medical Records Doctors Fraud HIPAA 72

HIPAA Journal

SEPTEMBER 28, 2022

in Iowa has recently confirmed that it was affected by the data breach at the electronic medical record provider, Eye Care Leaders. Wolfe Clinic used the myCare Integrity medical records platform, which was accessed by an unauthorized party on or around December 4, 2021, who deleted databases and system configuration files.

Electronic Medical Records 74

Electronic Medical Records Ransomware Fraud HIPAA 74

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. Data exfiltration is common in ransomware attacks, but no evidence of data theft was identified during the forensic investigation.

Ransomware 91

Ransomware Electronic Medical Records Licensing Health Insurance 91

Compliancy Group

JUNE 7, 2024

The onboarding process is pivotal in ensuring employees understand their job duties, engage in best cybersecurity practices, and comply with important regulations like the Health Insurance Portability and Accountability Act, Occupational Health and Safety Administration, and prevention of Fraud, Waste, and Abuse in healthcare.

US Department of Health and Human Services 52

US Department of Health and Human Services Electronic Medical Records Compliance Fraud 52

Physician Credentialing Company

MARCH 19, 2025

Electronic medical records of the patient in case there are complications or mortality experienced as a result of the condition. Medical claims usually undergo some form of scrutiny by insurance companies to determine cases of billing anomalies.

Medical Billing 52

Medical Billing Electronic Medical Records Hospitals Fraud 52

Compliancy Group

MARCH 12, 2024

When unauthorized parties gain access to this information, identity theft, fraud, and diminished care often result. Prevent fraud: All parties must comply with laws that prevent fraud and misconduct, such as ordering necessary tests or treatments or billing for services not provided.

Compliance Framework 52

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

HIPAA Journal

JANUARY 27, 2023

HIPAA has helped to improve the accuracy of record keeping, making it easier to match medical records with the right patients, thus preventing medical errors.

HIPAA 106

HIPAA Health Insurance Fraud Electronic Medical Records 106

Compliancy Group

SEPTEMBER 16, 2024

The updates provide more detailed guidance for preventing fraud, waste, and abuse, maintaining organization-level compliance programs, and considering infrastructural issues in healthcare compliance. The 2024 update also addresses the Information Blocking Rule for the first time.

Compliance 52

Compliance Compliance Officers Fraud Electronic Medical Records 52

AIHC

APRIL 5, 2022

Due to the huge volume of claims payers receive to process, deny and pay, they have implemented various methods to track providers to detect potential waste, fraud and/or abuse. It can result in a situation where insurance opens an investigation or decides to initiate periodic audits on your claims and records. They can, sometimes!

Fraud 52

Fraud Medicare Medicare Compliance 52

Provider Trust

JULY 25, 2022

To eliminate fraud in your health ecosystem, you must stay compliant with federal and state requirements for referring and ordering physicians. While your electronic medical record (EMR) will have some data relating to practitioners, these systems can become out-of-date quickly if not regularly maintained and updated.

Electronic Medical Records 52

Electronic Medical Records Licensing Medicare Medicare 52

Compliancy Group

MARCH 22, 2024

Medicare Compliance Training Another CMS requirement for healthcare entities is to offer fraud, waste, and abuse (FWA) training to all providers and staff. For example, a risk assessment can shed light on conditions that make fraud, waste, and abuse most likely to occur.

Medicare 52

Medicare Medicare Compliance Compliance Officers 52

Healthcare IT Today

JUNE 3, 2024

If the insurance company provides the electronic medical records system (EMR) the practitioner uses to document patient encounters then they know what procedures are performed. The FBI is also tasked with combating fraud so they can do the investigation The real answer to ‘What are we waiting for?’

Health Insurance 75

Health Insurance ACA Doctors Fraud 75

Healthcare IT Today

NOVEMBER 11, 2022

A recent study in a JAMA publication, “Prevalence and Sources of Duplicate Information in the Electronic Medical Record,” helps drive discussion of bloat forward by focusing on one manifestation: the duplication of text from one patient note to another.

Doctors 103

Doctors Nurses Electronic Medical Records Fraud 103

Healthcare Law Blog

FEBRUARY 1, 2023

In July 2022, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a Special Fraud Alert alerting practitioners to exercise caution when entering into arrangements with telemedicine companies. Leveraging AI can enable faster scans and shorter wait times while eliminating unnecessary manual work.

Electronic Medical Records 52

Electronic Medical Records Medicare Medicare COVID-19 52

Compliancy Group

MARCH 19, 2024

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services.

Regulatory Compliance 52

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

Health Care Law Brief

APRIL 12, 2023

. § 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. Azar , the United States District Court for the District of Columbia held that the “knowledge” standard under the FCA is a more demanding standard of care than the “reasonable diligence” standard under the 60 Day Rule. 3d 173, 191 (D.D.C.

Medicare 52

Medicare Medicare Overpayment Overpayments 52

AIHC

APRIL 10, 2024

HIPAA guarantees patients access to their paper medical records. Yes, there are patients that will use someone else’s medical card for services. Does your organization have materials for patient education and risks of identity theft and medical fraud? Since 2009, HITECH has given “teeth” to HIPAA law.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

AIHC

APRIL 10, 2024

HIPAA guarantees patients access to their paper medical records. Yes, there are patients that will use someone else’s medical card for services. Does your organization have materials for patient education and risks of identity theft and medical fraud? Since 2009, HITECH has given “teeth” to HIPAA law.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

HIPAA Journal

APRIL 27, 2025

Read More Elgon Information Systems Elgon Information Systems, a Massachusetts-based provider of electronic medical records and billing support services, experienced a ransomware attack on March 31, 2023. This was the third financial penalty to be imposed under OCRs risk analysis enforcement initiative.

HIPAA 85

HIPAA Ransomware Hospitals Compliance 85

HIT Consultant

SEPTEMBER 30, 2021

it translates well to certain tasks seen in healthcare, such as medication ordering and safety monitoring. For instance, AI can monitor electronic medical record (EMR) systems to identify early warning signs and risks associated with a patient’s prescription medications or other evolving dangerous medication situations.

COVID-19 52

COVID-19 Fraud Electronic Medical Records Telemedicine 52

Healthcare IT Today

DECEMBER 15, 2023

Software developers and applications collaborating with medical institutions are also obliged to adhere to these laws. Electronic Health Records encompass a broader context of patient medical information storage, incorporating treatment records, diagnoses, lab results, allergy data, vaccinations, and more.

Electronic Medical Records 122

Electronic Medical Records Doctors HIPAA Hospitals 122

HIT Consultant

JULY 13, 2022

Health care leaders and policymakers have tried countless incremental fixes—attacking fraud, reducing errors, enforcing practice guidelines, making patients better “consumers,” implementing electronic medical records—but none have had much impact in lowering the $3.7 Trillion Chronic Disease problem that now kills over 1.7

Electronic Medical Records 98

Electronic Medical Records Fraud Governance 98