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 71

Fraud Health Insurance Ransomware HIPAA 71

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 103

Ransomware Fraud Licensing HIPAA 103

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Armed with that information, sales agents then changed her ACA coverage and the agent listed on it five times in just a few weeks, dropping coverage of her son along with way, all without her consent.

ACA 138

ACA Health Insurance Governance Medical Billing 138

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 79

Ransomware HIPAA Health Insurance Fraud 79

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 58

Fraud HIPAA Health Insurance Compliance 58

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

HIT Consultant

JULY 26, 2023

What You Should Know: HealthLock , a leading medical fraud and overbilling protection solution, today unveiled insightful findings from a recent attitudinal study exploring how adults in the United States feel about healthcare, from claims and billing to medical fraud and privacy.

Medical Billing 98

Medical Billing Fraud Health Insurance Doctors 98

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 91

HIPAA Health Insurance Fraud 91

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

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 97

Health Insurance Fraud HIPAA 97

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.

HIPAA 88

HIPAA Fraud Health Insurance Compliance 88

American Medical Compliance

JANUARY 9, 2024

It establishes national standards to protect individuals’ medical records and other individually identifiable health information, which is collectively defined as “protected health information.” It also mandates the implementation of suitable safeguards to preserve the privacy of such information.

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

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. A lawsuit – Young, et al.

Hospitals 80

Hospitals Fraud Licensing HIPAA 80

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

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). Rico Prunty pleaded guilty to aggravated identity theft and criminal HIPAA violations for accessing and disclosing patients’ protected health information.

HIPAA 57

HIPAA Fraud Health Insurance Compliance 57

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 98

Ransomware Fraud Health Insurance HIPAA 98

HIPAA Journal

MARCH 7, 2023

Four Californian medical groups have been named in a class action lawsuit that alleges a failure to implement reasonable and appropriate cybersecurity measures, resulting in a cyberattack and data breach involving the personal and protected health information of 3,300,638 current and former patients.

Fraud 113

Fraud Health Insurance HIPAA Doctors 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. Sorrentino-Poggi was notified on February 8, 2023, that some of her information was stolen by the hackers.

Ransomware 99

Ransomware Fraud Health Insurance HIPAA 99

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 117

Health Insurance Licensing Fraud HIPAA 117

HIPAA Journal

SEPTEMBER 30, 2022

. – was filed in the Arizona Superior Court against Magellan Health Inc. and Magellan RX Management, LLC on behalf of patients whose protected health information was exposed in a May 2019 phishing attack. Approximately 273,000 individuals were affected and had their protected health information exposed.

Fraud 98

Fraud HIPAA Health Insurance 98

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?

HIPAA 92

HIPAA Fraud Health Insurance Medicaid 92

HIPAA Journal

AUGUST 5, 2022

Rivera, MD, doing business as Arlington Skin in Virginia, has started notifying 17,468 patients that their protected health information may have been accessed by unauthorized individuals in a security breach at business associate, Virtual Private Network Solutions (VPN Solutions). Dr. Michelle A.

Electronic Medical Records 94

Electronic Medical Records Health Insurance Fraud HIPAA 94

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). Compliance audits aren’t a “one size fits all” process.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

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.

Ransomware 83

Ransomware Health Insurance Fraud HIPAA 83

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This type of theft is just one example of healthcare fraud. trillion in 2015. trillion in 2015.

Fraud 52

Fraud Medicare Medicare Compliance 52

HIPAA Journal

JUNE 15, 2023

While the investigation into the data breach is ongoing, the initial findings indicate that sensitive personal and financial information was impacted, including names, contact information, and health billing records. At this stage, it is unclear how many individuals have been affected.

Ransomware 101

Ransomware Health Insurance Fraud HIPAA 101

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 111

Health Insurance Licensing Ransomware Fraud 111

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care, a Pennsylvania-based operator of 70 outpatient vascular centers and ambulatory surgery centers in 25 states and Puerto Rico, notified the HHS’ Office for Civil Rights last month about a cybersecurity incident involving the protected health information of 348,000 patients.

Ransomware 85

Ransomware Electronic Medical Records Licensing Health Insurance 85

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.

Hospitals 73

Hospitals Fraud Health Insurance HIPAA 73

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.

HIPAA 76

HIPAA Health Insurance Fraud Governance 76

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 110

Health Insurance Medicare Medicare Fraud 110

HIPAA Journal

SEPTEMBER 9, 2022

Birmingham, AL-based Henderson & Walton Women’s Center (HWWC) has recently notified 34,306 patients that some of their protected health information may have been compromised as a result of a hacker gaining access to the email account of one of its employees. The information exposed varied from patient to patient.

Licensing 104

Licensing Health Insurance Fraud HIPAA 104

HIPAA Journal

NOVEMBER 23, 2022

Third-party security experts were engaged to investigate the nature and scope of the attack, with the investigation concluding on or around May 2, 2022, that files containing the protected health information of patients and employees may have been accessed and exfiltrated from its network.

Ransomware 110

Ransomware Fraud Licensing HIPAA 110

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 89

HIPAA Ransomware Health Insurance Fraud 89

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.

Fraud 106

Fraud Health Insurance Medicaid Medicaid 106

HIPAA Journal

DECEMBER 19, 2022

Avem Health Partners did disclose in its website substitute breach notice when its vendor’s servers were first breached. According to the DOL, the former Emory Healthcare employee is known to have disclosed the demographic information of several hundred Emory Healthcare patients to individuals who were involved in unemployment benefits fraud.

Fraud 97

Fraud Licensing HIPAA Health Insurance 97

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.

HIPAA 108

HIPAA Ransomware Fraud Health Insurance 108