HIPAA Journal

JUNE 2, 2023

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). His co-conspirators have already been sentenced for their roles in the identity theft scheme.

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HIPAA Fraud Health Insurance Compliance 59

HIPAA Journal

MARCH 30, 2023

On November 14, 2022, a hacker gained access to Rise’s network and accessed files containing sensitive patient data, including names, email addresses, phone numbers, provider information, diagnoses, expected delivery dates, and health insurance information.

Health Insurance 109

Health Insurance HIPAA Fraud 109

HIPAA Journal

OCTOBER 7, 2022

Questions are often sent to HIPAA Journal about the Health Insurance Portability and Accountability Act, one of which is how HIPAA has improved healthcare. In this article, I explain some of the main ways that healthcare has been improved by HIPAA for healthcare providers, health plans, and patients.

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HIPAA Health Insurance Fraud Compliance 105

HIPAA Journal

JANUARY 1, 2023

Most state that HIPAA is an acronym of the Health Insurance Portability and Accountability Act of 1996 and that it led to the development of standards for the privacy of Protected Health Information. However, at the time, the healthcare insurance industry was governed by a hotchpotch of federal and state legislation.

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HIPAA Health Insurance Fraud Compliance 91

HIPAA Journal

MAY 25, 2023

In April 2023, Point32Health, the second-largest health insurer in Massachusetts and the parent company of Tufts Health Plan and Harvard Pilgrim Health Care, announced it suffered a ransomware attack that resulted in system outages, including the systems that serviced members, accounts, brokers, and providers.

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Ransomware Health Insurance HIPAA Medicare 75

HIPAA Journal

MAY 10, 2023

The internal investigation concluded on March 15, 2023, that patient data may have been acquired, including names, dates of birth, Social Security numbers, medical treatment information, billing information, and health insurance information. Notification letters were sent in early May, almost 10 months after the attack.

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Hospitals Health Insurance Ransomware HIPAA 113

HIPAA Journal

FEBRUARY 22, 2023

The database included names, addresses, dates of birth, Social Security numbers, health insurance information, medical record numbers, and patient account numbers. CentraState confirmed that the hackers gained access to part of its systems that contained an archived database, and stole that database.

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Ransomware Health Insurance Fraud HIPAA 115

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.

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Health Insurance Public Health HIPAA Medicaid 103

HIPAA Journal

MAY 17, 2023

By March 21, 2023, PharMerica had determined that the compromised information included names, addresses, birth dates, Social Security numbers, medication information, and health insurance information.

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HIPAA Ransomware Health Insurance Fraud 106

HIPAA Journal

OCTOBER 17, 2022

The exposed information included names, dates of birth, Social Security numbers, driver’s license numbers, clinical/diagnosis information, health insurance member ID numbers, medical record numbers, and Medicare or Medicaid numbers. Valle De Sol said it has not received any reports from patients to suggest any misuse of their data.

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Health Insurance HIPAA Medicaid Medicaid 131

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. In addition, [.].

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Fraud Medicaid Medicaid Overpayments 52

HIPAA Journal

SEPTEMBER 8, 2022

Notification letters were sent to affected individuals in August and information was provided on the steps that individuals can take to reduce the risk of identity theft and fraud, but it would appear that credit monitoring and identity theft protection services are not being offered. Gateway Diagnostic Imaging and Radiology Ltd.

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Health Insurance HIPAA Fraud Ransomware 116

HIPAA Journal

FEBRUARY 23, 2022

HIPAA is an acronym for the Health Insurance Portability and Accountability Act. When the Health Insurance Portability and Accountability Act was passed by Congress in 1996, the establishment of federal standards for safeguarding PHI was not one of the primary objectives. What is HIPAA? What is HIPAA Title II?

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HIPAA Health Insurance Medicaid Medicaid 104

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. In addition, [.].

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Fraud Medicaid Medicaid Overpayments 52

HIPAA Journal

MAY 1, 2023

The information exposed and potentially stolen in the attack included names, dates of birth, billing and claims data, treatment details, medical record numbers, prescriptions, health insurance information, and Social Security numbers. More than 235,000 patients were affected.

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Health Insurance HIPAA Hospitals Fraud 59

HIPAA Journal

MARCH 21, 2023

The files included the protected health information of 84,814 patients, such as names, birth dates, Social Security numbers, financial account information, health insurance information, and diagnosis and treatment information. Notification letters were sent to affected individuals on November 22, 2022.

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Hospitals Health Insurance Fraud HIPAA 75

The Health Law Firm

NOVEMBER 4, 2021

Board Certified by The Florida Bar in Health Law On October 7, 2021, 18 former NBA players were charged in New York federal court for an alleged health insurance fraud scheme to rip off the league's benefit plan, according to an indictment filed in the Southern District of New York. Indest III, J.D.,

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Fraud Health Insurance 40

HIPAA Journal

MARCH 7, 2023

The cyberattack was detected on December 8, 2022, by which time the hackers had access to a huge amount of sensitive patient data, including full names, contact information, Social Security numbers, diagnoses, treatment information, medications, lab test results, radiology reports, and health insurance information.

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Fraud Health Insurance HIPAA Doctors 125

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. In addition, [.].

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Fraud Medicaid Medicaid Overpayments 52

HIPAA Journal

AUGUST 5, 2022

The cyberattack was discovered by VPN Solutions on or around October 31, 2021, and the forensic investigation confirmed that the information potentially compromised in the attack included names, addresses, dates of birth, diagnostic and treatment information, health insurance information, and Social Security numbers.

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Electronic Medical Records Health Insurance HIPAA Fraud 109

HIPAA Journal

MARCH 21, 2023

During that time they exfiltrated files that contained sensitive patient data, including names, contact information, Social Security number, Medicare/Medicaid IDs, health information, and health insurance information.

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Health Insurance Medicaid Medicaid HIPAA 119

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. In addition, [.].

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Fraud Medicaid Medicaid Overpayments 52

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.

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Fraud HIPAA Health Insurance 114

HIPAA Journal

MARCH 1, 2023

The Albuquerque, NM-based health insurance provider, True Health New Mexico, has proposed a settlement to resolve claims related to a 2021 data breach that affected 62,983 members of its health plans.

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Fraud Health Insurance HIPAA Ransomware 115

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. million, and $6.4

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Medicaid Medicaid Medicare Medicare 95

HIPAA Journal

FEBRUARY 14, 2023

Hackers gained access to Umass Memorial Health’s email environment between June 24, 2020 and January 7, 2021, as a result of responses to phishing emails. Claims may also be submitted for extraordinary losses up to a maximum of $5,000, which can include documented, unreimbursed losses to fraud and identity theft.

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Health Insurance HIPAA Fraud Licensing 112

HIPAA Journal

NOVEMBER 16, 2022

The review of the compromised email accounts confirmed they contain information such as names, addresses, dates of birth, driver’s license numbers, state identification card numbers, financial account numbers, usernames and passwords, payment card information, medical histories, and health insurance information.

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HIPAA Health Insurance Licensing Fraud 105

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.

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Health Insurance HIPAA Medicaid Medicaid 123

HIPAA Journal

MARCH 22, 2023

The plaintiff and class members now face an increased risk of identity theft and fraud as their private information is now in the hand of cybercriminals. The lawsuit was filed on March 15, 2023, by the law firm Milberg Coleman Bryson Phillips Grossman PLLC on behalf of plaintiff, Samuel Lee.

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HIPAA Health Insurance Fraud Licensing 112

HIPAA Journal

SEPTEMBER 29, 2022

Choice Health worked with its service provider to ensure the database was secured and additional data security measures have been implemented to prevent similar occurrences in the future.

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Health Insurance Medicare Medicare HIPAA 125

HIPAA Journal

JANUARY 27, 2023

This is the third article in the ‘Benefits of HIPAA’ series, this time around exploring how the Health Insurance Portability and Accountability Act (HIPAA) and its subsequent amendments have benefited patients. While HIPAA has not solved the problem of job lock, it has certainly helped.

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HIPAA Health Insurance Electronic Medical Records Fraud 108

HIPAA Journal

FEBRUARY 15, 2023

The attack was detected and blocked by Electromed on June 16, 2021, and the forensic investigation confirmed that files were accessed – and potentially stolen – that included customers’ first and last names, mailing addresses, medical information, and health insurance information.

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Ransomware Health Insurance HIPAA Fraud 104

HIPAA Journal

NOVEMBER 23, 2022

A comprehensive review of all files potentially compromised in the attack revealed they contained the protected health information of 877,584 current and former patients, employees, and job applicants.

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Ransomware HIPAA Health Insurance Fraud 124

HIPAA Journal

MARCH 28, 2023

A New York law firm that suffered a LockBit ransomware attack has agreed to pay a financial penalty of $200,000 to the New York Attorney General to resolve alleged violations of New York General Business Law and the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA).

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HIPAA Health Insurance Ransomware Malpractice 115

HIPAA Journal

SEPTEMBER 9, 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. As a precaution against identity theft and fraud, complimentary memberships have been offered to a credit monitoring service for 12 months.

Health Insurance 119

Health Insurance HIPAA Medicaid Medicaid 119

HIPAA Journal

OCTOBER 7, 2022

Questions are often sent to HIPAA Journal about the Health Insurance Portability and Accountability Act, one of which is how HIPAA has improved healthcare. In this post, I explain some of the main ways that healthcare has been improved by HIPAA for healthcare providers, health plans, and patients.

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HIPAA Health Insurance Fraud Compliance 52

HIPAA Journal

DECEMBER 20, 2022

Work Health Solutions then verified contact information and sent notifications on November 9, 2022. The exposed files contained names, Social Security numbers, driver’s license numbers, health insurance information, and/or medical information. Luke’s Health Brazosport are known to have been affected. Patients of St.

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Health Insurance Hospitals HIPAA Licensing 110