HIPAA Seal of Compliance = Consumer Fraud
Healthcare IT Today
JANUARY 19, 2021
The Federal Trade Commission (FTC) announced a consumer fraud settlement against a company that displayed a ‘HIPAA Compliant’ seal on its website.
Is Stripe HIPAA Compliant?
HIPAA Journal
JANUARY 10, 2024
Stripe is not HIPAA compliant and – other than its payment processing services – should not be used by covered entities and business associates to create, collect, store, or transmit Protected Health Information (PHI). As well as its payment processing activities, Stripe provides billing, identity verification, and fraud management services.
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Pharma Sales Rep Pleads Guilty to Healthcare Fraud and Criminal HIPAA Violations
HIPAA Journal
OCTOBER 21, 2022
A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Ritson identified the patients through the medical practice of Dr. Frank Alario.
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What is a HIPAA Violation?
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?
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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes
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.
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Why is HIPAA Important?
HIPAA Journal
DECEMBER 31, 2022
The Health Insurance Portability and Accountability Act (HIPAA) is a landmark piece of legislation, but why is HIPAA compliance important? What changes did HIPAA introduce and what are the benefits to the healthcare industry and patients? Without HIPAA, employees faced a loss of insurance coverage when they were between jobs.
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Editorial: Benefits of HIPAA for Healthcare Professionals
HIPAA Journal
JANUARY 20, 2023
It has been almost 27 years since the Health Insurance Portability and Accountability Act (HIPAA) was signed into law, more than 2 decades since the Privacy Rule was enacted, and this February will be the 20 th anniversary of the HIPAA Security Rule.
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What is HIPAA?
HIPAA Journal
FEBRUARY 23, 2022
What is HIPAA? HIPAA is an acronym for the Health Insurance Portability and Accountability Act. So how did HIPAA evolve from being a vehicle for improving the portability and continuity of health insurance coverage to being one of the most comprehensive and detailed federal privacy laws? What is HIPAA Title II?
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Editorial: How Does HIPAA Improve Healthcare?
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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When HIPAA Becomes Criminal
Healthcare IT Today
DECEMBER 20, 2022
The hospital may be penalized for its HIPAA compliance based on the investigation caused by the alleged illegal activities of its rogue employees. Harvey allegedly received patient information from Kirby Dandridge, 38, Sylvia Taylor, 43, Kara Thompson, 30, Melanie Russell, 41, and Adrianna Taber, 26, who were all charged with violating HIPAA.
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What is a Certified Fraud Examiner (CFE)?
MedTrainer
JUNE 28, 2023
In healthcare especially, fraud is something responsible providers need to be on the lookout for. It’s why many organizations choose to work with a Certified Fraud Examiner as part of their ongoing efforts to remain responsible and compliant with financial best practices. What is a Certified Fraud Examiner?
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Fraud-Proofing Your Telehealth Strategy
HIT Consultant
OCTOBER 18, 2021
Capturing and combatting fraud in today’s healthcare landscape requires the convergence of innovation and experience to drive value beyond the margins. Organizations must take a multi-layered approach to identify, address, and prevent fraud. The second type, indirect fraud, involves several bad actors that coordinate their efforts.
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Washington Hospital Pays $240,000 HIPAA Penalty After Security Guards Access Medical Records
HIPAA Journal
JUNE 15, 2023
The HHS’ Office for Civil Rights (OCR) investigates all reported breaches of the protected health information of 500 or more individuals and some smaller breaches to determine if the breach was caused by the failure to comply with the HIPAA Rules.
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Arizona Man Sentenced to 54 Months in Criminal HIPAA Violation Case
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.
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Schneck Medical Center Settles HIPAA Lawsuit with Indiana AG
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.
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The Need for Healthcare Fraud and Abuse Training
Total Medical Compliance Resources
MAY 11, 2023
trillion is spent on healthcare in the United States, of which an estimated $60 billion is attributable to fraud and abuse. In order to combat this, HIPAA established the Healthcare Fraud and Abuse Control Program (HCFAC). Criminal Health Care Fraud Statute – 18 U.S.C. Every year a minimum of $4.3
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What Does HIPAA Stand For?
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. Tackling the Cost Implications of HIPAA.
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Editoirial: Benefits of HIPAA for Patients
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.
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Understanding Sanction Screening: Safeguarding Healthcare Integrity Under HIPAA
Total Medical ComplianceHIPAA
JANUARY 11, 2024
HIPAA stands as a beacon of privacy and security standards within the industry. These screenings search through various databases containing records of individuals or organizations barred from participating in Medicaid, Medicare, or other federal/state healthcare programs due to fraud, abuse, or other offenses.
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2 DOJ Cyber Fraud Initiative Cases Net Almost $10 Million
Compliancy Group
AUGUST 31, 2022
Department of Justice’s (DOJ) Civil Cyber Fraud Initiative (CCFI). Details of DOJ Cyber Fraud Initiative Settlements. Let’s Simplify Compliance Do you need help with HIPAA? × Automated HIPAA Compliance. DOJ Cyber Fraud Initiative and the HIPAA Connection. Compliancy Group can help! Learn More! ×
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Judge Questions Whether Website Metadata is Regulated by HIPAA
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.
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Understanding FWA Compliance in Healthcare
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.
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DOJ Settles Civil Cyber Fraud Initiative Case with CHS and Imposes a $930,000 Penalty
HIPAA Journal
MARCH 16, 2022
This is the first settlement to be reached under the DOJ Civil Cyber Fraud Initiative, which was launched in 2021. CHS was also alleged to have been made aware of several HIPAA breaches but failed to disclose them.
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Editorial: Benefits of HIPAA for Healthcare Organizations
HIPAA Journal
JANUARY 12, 2023
One of the challenges with developing HIPAA was to create rules that would correct inefficiencies and get the healthcare system working more harmoniously. The way that HIPAA needed to be written has naturally led to the legislation receiving a lot of criticism. How HIPAA has Benefited Healthcare Organizations.
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Advice for New Physicians on Avoiding Medicare and Medicaid Fraud and Abuse
HIPAA Journal
FEBRUARY 8, 2024
Department of Health & Human Services Office of Inspector General (HHS-OIG) has published a Roadmap for New Physicians on avoiding Medicare and Medicaid fraud and abuse. As a result of dishonest healthcare providers, laws have been created to combat fraud and abuse.
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Editorial: How Does HIPAA Improve Healthcare?
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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Editorial: 5 Gaps in HIPAA and How They Are Being Filled
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.
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New York Law Firm Pays $200,000 to State AG to Resolve HIPAA Violations
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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Virtual 40th National HIPAA Summit – Early Bird Discount Ends 2/3
HIPAA Journal
JANUARY 30, 2023
The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.
Employee Snooping Leads to $240,000 HIPAA Fine
Compliancy Group
JUNE 15, 2023
On June 15, 2023, the Department of Health and Human Services Office for Civil Rights (OCR) announced a HIPAA settlement with Yakima Valley Memorial Hospital. To resolve the matter with OCR, Yakima agreed to pay a $240,000 HIPAA fine, adopt a corrective action plan , and is subject to OCR monitoring for two years.
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The Consequences of HIPAA Non-Compliance for Insurance Agents
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. million per year for each violation. Enforcement Highlights.”
Editorial: Lessons from Biggest HIPAA Breaches of 2022
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.
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OCR Confirms Use of Website and Other Tracking Technologies Without a BAA is a HIPAA Violation
HIPAA Journal
DECEMBER 2, 2022
The HHS’ Office for Civil Rights has issued a bulletin confirming that the use of third-party tracking technologies on websites, web applications, and mobile apps without a business associate agreement (BAA) is a HIPAA violation if the tracking technology collects and transmits individually identifiable health information.
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HIPAA Privacy Rule: The Consequences Behind the Violations
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. In the bustling world of healthcare, numerous examples of HIPAA privacy rule violations can befall even the most diligent organizations.
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What is OIG in Healthcare?
HIPAA Journal
JANUARY 11, 2024
OIG in healthcare stands for the Department of Health and Human Services (HHS) Office of Inspector General (OIG) – the Office within the HHS responsible for reducing waste, fraud, and abuse in HHS programs and improving efficiency.
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Is your HIPAA Security Risk Analysis outdated?
Health Care Performance
AUGUST 16, 2022
The HIPAA Security Rule requires covered entities and business associates to complete a HIPAA Security Risk Analysis, and to periodically update it. When investigating a breach, the OCR also reviews the organization’s compliance with the HIPAA Security Rule. What’s your HIPAA breach risk tolerance? Keep up the good work.
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Multiple Class Action Lawsuits Filed Against City of Hope National Medical Center Over Data Breach
HIPAA Journal
APRIL 25, 2024
They face an imminent and increased risk of identity theft and fraud since their sensitive data is now in the hands of cybercriminals, and have and will continue to need to spend time and money protecting themselves from fraud, identity theft, and medical identity theft.
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Tips to Keep Your Practice HIPAA Compliant
Medisys Compliance
APRIL 27, 2022
The Health Insurance Portability and Accountability Act (HIPAA) was introduced in year 1996. Another goal was to prevent healthcare fraud. Healthcare providers, health plans, and healthcare clearinghouses are primarily covered under HIPAA. Whatever might be the reason, its important that your practice must be HIPAA compliant.
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Kisco Senior Living & Island Ambulatory Surgery Center Disclose Summer 2023 Cyberattacks
HIPAA Journal
APRIL 23, 2024
Kisco Senior Living said additional security features have been implemented to prevent similar breaches in the future and the affected individuals have been offered 12 months of complimentary credit monitoring services, which include a $1 million identity fraud loss reimbursement policy.
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CPA HIPAA Breach Exposes Data for 6200+
Compliancy Group
FEBRUARY 17, 2022
Background of CPA HIPAA Breach. Under HIPAA regulations, this CPA HIPAA breach likely contained PHI. The HIPAA Breach Notification Rule also requires reporting any breach that affects 500 or more individuals to the HHS Secretary and local media outlets within 60 days of discovery. × HIPAA for CPAs.
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6 HIPAA Regulated Entities Report Phishing Attacks and Unauthorized Email Account Access
HIPAA Journal
NOVEMBER 16, 2022
Credit monitoring, fraud consultation, and identity theft protection services have been offered to affected individuals. Notification letters were sent on October 31, 2022, and qualified patients have been offered credit monitoring, fraud consultation, and identity restoration services at no cost.
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HHS Issues HIPAA Guidance on Remote Communication Technologies for Audio-Only Telehealth
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.
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The Ohio Data Protection Act and HIPAA Compliance
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.
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Guidance for SaaS Providers on HIPAA and ChatGPT
Compliancy Group
FEBRUARY 16, 2023
Open source is not particularly secure, and when your systems have the potential to access healthcare data, you have to think of how HIPAA factors in. HIPAA and ChatGPT ChatGPT is not HIPAA compliant. How ChatGPT uses and discloses consumer data is in direct contradiction with how HIPAA permits patient information to be used.
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