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 85

HIPAA Ransomware Health Insurance Fraud 85

HIPAA Journal

JANUARY 1, 2023

Many articles discussing what does HIPAA stand for fail to give a complete answer. 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.

HIPAA 72

HIPAA Health Insurance Fraud Governance 72

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. A World of Change for Patients It has now been 27 years since HIPAA was signed into law by President Clinton.

HIPAA 89

HIPAA Health Insurance Fraud Electronic Medical Records 89

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). The post Arizona Man Sentenced to 54 Months in Criminal HIPAA Violation Case appeared first on HIPAA Journal.

HIPAA 55

HIPAA Fraud Health Insurance Compliance 55

American Medical Compliance

MARCH 15, 2024

Among the various areas of compliance, Fraud, Waste, and Abuse (FWA) compliance stands out as a critical pillar. The Department of Justice recently revealed charges against 78 individuals involved in healthcare fraud schemes. However, they encounter numerous challenges in achieving this goal.

Compliance 105

Compliance Fraud HIPAA Health Insurance 105

HIPAA Journal

DECEMBER 31, 2022

To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To?

HIPAA 132

HIPAA Due Diligence Compliance Fraud 132

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).

HIPAA 99

HIPAA Ransomware Malpractice Health Insurance 99

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.

HIPAA 52

HIPAA Fraud Health Insurance Compliance 52

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems.

Fraud 94

Fraud Health Insurance Ransomware HIPAA 94

HIPAA Journal

AUGUST 29, 2023

The HHS’ Office for Civil Rights released guidance in 2022 on HIPAA and website tracking technologies and confirmed disclosures of protected health information to third parties via website tracking technologies is a HIPAA violation unless authorization has been received from patients or if there is a valid business associate agreement in place.

HIPAA 73

HIPAA Fraud Health Insurance Compliance 73

HIPAA Journal

APRIL 23, 2024

A cybersecurity firm was engaged to investigate the disruption and confirmed that unauthorized individuals accessed its network and exfiltrated files containing the personal information of residents. It took more than 10 months (April 10, 2024) to determine the types of information involved and the number of individuals affected.

Ransomware 97

Ransomware Fraud Licensing HIPAA 97

HIPAA Journal

MAY 2, 2024

Hackers gained access to the BioPlus network for more than 2 weeks between October and November 2021, and potentially stole names, dates of birth, contact information, health insurance information, prescription information, and Social Security numbers.

Fraud 94

Fraud HIPAA Health Insurance Compliance 94

Total HIPAA

MARCH 22, 2023

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). Failure to comply with HIPAA regulations can result in severe consequences for insurance agents and their clients. Enforcement Highlights.”

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Compliance Health Insurance 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. The Biggest HIPAA Breaches of 2022. The 12 biggest HIPAA breaches of 2022 affected almost 22.66 million patients and health plan members.

HIPAA 79

HIPAA Ransomware Health Insurance Compliance 79

HIPAA Journal

OCTOBER 21, 2022

There are – and always have been – gaps in HIPAA and, after more than a quarter of a century, some have yet to be addressed. Most of the gaps in HIPAA are attributable to omissions from the original Act, provisions of HIPAA and HITECH that have never been enacted, and the increasing use of technology in healthcare.

HIPAA 95

HIPAA Compliance Medicare Medicare 95

HIPAA Journal

NOVEMBER 16, 2022

Unauthorized individuals have gained access to the email system of the Administrative Fund of the Detectives’ Endowment Association of the Police Department of the City of New York (NYCDEA) and potentially viewed or obtained the protected health information of 21,544 individuals.

HIPAA 83

HIPAA Licensing Health Insurance Fraud 83

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems.

Fraud 69

Fraud Health Insurance Ransomware HIPAA 69

HIPAA Journal

SEPTEMBER 7, 2023

El Centro Del Barrio, dba CentroMed in San Antonio, TX, is facing at least two class action lawsuits over a June 2023 cyberattack in which hackers gained access to the personal and protected health information (PHI) of 350,000 patients. The affected individuals were notified by mail on August 11, 2023.

HIPAA 85

HIPAA Health Insurance Fraud 85

HIPAA Journal

APRIL 8, 2024

Planned Parenthood Los Angeles, a provider of reproductive healthcare services in Los Angeles County, has proposed a $6 million settlement to resolve all claims related to a 2021 data breach that exposed the personal information of more than 409,437 patients.

Ransomware 74

Ransomware HIPAA Health Insurance Fraud 74

Compliancy Group

JUNE 21, 2023

The HIPAA Privacy Rule, established under the Health Insurance Portability and Accountability Act (HIPAA), was designed to protect sensitive patient information from unauthorized access. 5 Most Common Violations of the HIPAA Privacy Rule 1. 5 Most Common Violations of the HIPAA Privacy Rule 1.

HIPAA 52

HIPAA Compliance Fraud Health Insurance 52

Compliancy Group

MARCH 12, 2024

Because care requires using and exchanging sensitive patient information, adherence to U.S. When personal health information transcends international borders, vendors outside the U.S. When unauthorized parties gain access to this information, identity theft, fraud, and diminished care often result.

Compliance Framework 52

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

Medisys Compliance

APRIL 27, 2022

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. As the name suggests, it was created to ensure that all ‘protected health information’ was appropriately secured and restricted access to be given only to authorized individuals. HIPAA Training to RCM Team.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

Healthcare IT Today

SEPTEMBER 16, 2021

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in 1996 mainly to help migrate insurance coverage details of employees between organizations, prevent insurance fraud, reduce wastage of medical resources and eliminate improper payments. In a study by the […].

Fraud 57

Fraud HIPAA Health Insurance 57

Total HIPAA

DECEMBER 13, 2021

How does this relate to HIPAA compliance? So, if your organization is one that is required to adhere to sector-specific laws, HIPAA compliance may be part of DPA compliance as well. So, if your organization is one that is required to adhere to sector-specific laws, HIPAA compliance may be part of DPA compliance as well.

HIPAA 59

HIPAA Compliance Fraud Health Insurance 59

American Medical Compliance

JANUARY 9, 2024

Staying Compliant in Healthcare HIPAA plays a large role in healthcare compliance. Additionally, the HIPAA Privacy Rule applies to health plans, health care clearinghouses, and healthcare providers who perform specific electronic health care transactions.

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

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

Health Care Law Brief

JUNE 5, 2023

We previously wrote about the United States Department of Justice’s (“ DOJ ”) Civil Cyber-Fraud Initiative (“ CCFI ”), which “aims to hold accountable entities or individuals that put U.S. To resolve these allegations, Jelly Bean and Spinks agreed to pay $293,771.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52

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 91

Health Insurance Fraud HIPAA 91

HIPAA Journal

JUNE 13, 2023

Harvard Pilgrim Health Care and its parent company, Point32Health, are facing multiple class action lawsuits after hackers gained access to the protected health information (PHI) of more than 2.5 Point32Health is the second largest insurer in Massachusetts and serves more than 2.4 Harvard Pilgrim Health Care Inc.

Ransomware 94

Ransomware Fraud Health Insurance HIPAA 94

Health Care Law Brief

JUNE 24, 2022

The Department of Health and Human Services (“HHS”), Office for Civil Rights (“OCR”), recently issued new regulatory guidance relating to covered entities’ HIPAA-compliant use of remote communication technologies for audio-only telehealth services. The new HIPAA guidance affects covered entities in four key ways.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52

HIPAA Journal

SEPTEMBER 7, 2022

Before file encryption, the attackers potentially accessed or acquired documents from its systems that contained names, addresses, dates of birth, Social Security numbers, health insurance information, and medical treatment information. Lamoille Health Partners Inc. The lawsuit – Marshall v.

HIPAA 103

HIPAA Ransomware Fraud Health Insurance 103

HIPAA Journal

JUNE 28, 2023

Good Samaritan Hospital in San Jose, CA, has agreed to settle a class action lawsuit that was filed in response to a data breach that exposed the protected health information of up to 233,835 individuals. The post Good Samaritan Hospital Settles Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

Hospitals 76

Hospitals Fraud Licensing HIPAA 76

Verisys

NOVEMBER 8, 2023

CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies. Why Are NPI Numbers Necessary? Who Needs an NPI? Does a Provider’s NPI Change?

Fraud 97

Fraud HIPAA Medicare Medicare 97

Compliancy Group

FEBRUARY 28, 2024

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Training your staff is key.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

HIPAA Journal

OCTOBER 6, 2022

Mon Health announced the security breach on February 28, 2022, and confirmed that the hackers had access to the personal and protected health information of 492,861 individuals , including information about patients, employees, providers, and contractors. The lawsuit, which names Monongalia Health Systems Inc.

HIPAA 89

HIPAA Fraud Hospitals Health Insurance 89

HIPAA Journal

OCTOBER 26, 2022

The review of the files on the accessible parts of its system revealed they contained the data of 5,015 members of its group health plan , including names, dates of birth, Social Security numbers, and health plan ID numbers. RIPTA said UnitedHealthcare had provided RIPTA with files containing the data of non-RIPTA employees.

HIPAA 103

HIPAA Fraud Health Insurance 103

HIPAA Journal

OCTOBER 17, 2022

Phoenix, AZ-based Valle del Sol Community Health has notified 70,268 patients that some of their protected health information has been exposed. Valle de Sol said the investigation indicated unauthorized individuals had access to files containing sensitive patient data and that patient information may have been acquired.

Health Insurance 113

Health Insurance Licensing Fraud HIPAA 113