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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HIPAA Fraud Health Insurance Medicaid 94

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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HIPAA Ransomware Health Insurance Fraud 91

Healthcare IT Today

DECEMBER 20, 2022

Former Hospital Employees Accused of Selling Patient Information. Five former employees of Methodist Hospital in Memphis, TN, including a recently-licensed Registered Nurse, were indicted by a federal grand jury for allegedly selling medical information about car accident victims to personal injury attorneys and chiropractors.

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HIPAA Nurses Licensing Compliance 91

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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HIPAA Fraud Health Insurance Compliance 57

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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HIPAA Hospitals Electronic Medical Records Fraud 92

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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HIPAA Health Insurance Fraud Electronic Medical Records 96

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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HIPAA Health Insurance Fraud Governance 77

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.

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Compliance Fraud HIPAA Health Insurance 105

HIPAA Journal

APRIL 25, 2024

Several class action lawsuits have been filed against City of Hope National Medical Center, a National Cancer Institute (NCI)-designated cancer treatment and research center, over a recently disclosed data breach that exposed the protected health information of more than 827,000 individuals.

Fraud 105

Fraud Health Insurance Licensing HIPAA 105

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 Ransomware Malpractice Health Insurance 107

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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HIPAA Fraud Health Insurance Compliance 76

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. Some staff members expressed concern about the insecure storage of private medical information, but CHS took no action to address the issue and failed to ensure medical records were only stored in the EMR system.

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Fraud Electronic Medical Records Governance HIPAA 103

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. Identification to Inform Action. Awareness is a crucial first step.

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Fraud COVID-19 Public Health Medicare 98

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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HIPAA Regulatory Compliance Malpractice Compliance 52

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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HIPAA Compliance Fraud COVID-19 90

Compliancy Group

AUGUST 31, 2022

Department of Justice’s (DOJ) Civil Cyber Fraud Initiative (CCFI). Details of DOJ Cyber Fraud Initiative Settlements. Even after staff raised concerns about the privacy of protected medical information, CHS did not take adequate steps to store the data exclusively on the EMR system. × Automated HIPAA Compliance.

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Fraud HIPAA Governance Electronic Medical Records 52

AIHC

SEPTEMBER 21, 2023

Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS This article addresses the Information Blocking Final Rule regarding enforcement, associated Civil Monetary Penalties (CMPs) and entities subject to these penalties. Information blocking is defined in § 171.103.

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HIPAA Compliance Nurses Fraud 59

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. The breach was detected on October 22, 2021.

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Fraud Health Insurance Ransomware HIPAA 103

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. Jillson, JD – Counsel to the Director, Bureau of Consumer Protection, U.S.

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US Department of Health and Human Services HIPAA Compliance Medicaid 85

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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Fraud HIPAA Medicare Medicare 59

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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HIPAA Ransomware Health Insurance Compliance 86

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 Compliance Hospitals Fraud 109

HIPAA Journal

APRIL 30, 2024

Bay Oral Surgery & Implant Center (Bay Oral), a network of oral & maxillofacial dental surgery centers serving the Green Bay, Marinette, and Niagara communities in Wisconsin, has recently reported a data breach to the HHS’ Office for Civil Rights (OCR) that involved the protected health information of 13,055 patients.

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Fraud HIPAA 62

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 Fraud Health Insurance Compliance 52

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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HIPAA Compliance Medicare Medicare 102

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. The security guards allegedly accessed files containing names, dates of birth, medical record numbers, addresses, treatment notes, and insurance information of 419 patients.

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HIPAA Compliance Fraud Hospitals 52

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.

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Ransomware Fraud Licensing HIPAA 105

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. It requires healthcare providers, health plans, and other covered entities to safeguard patients protected health information (PHI).

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HIPAA Compliance Fraud Health Insurance 52

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.

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA Compliance Health Insurance 52

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.

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HIPAA Licensing Health Insurance Fraud 91

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. The breach was detected on October 22, 2021.

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Fraud Health Insurance Ransomware HIPAA 72

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. Specifically, the U.S.

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

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. Probably the most rapidly expanding role for the HHS OIG in healthcare is cybersecurity.

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Fraud HIPAA Compliance Medicare 87

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. Another goal was to prevent healthcare fraud.

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HIPAA Medical Billing Outsourcing Medical Billing Ransomware 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.

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

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.

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Fraud HIPAA Health Insurance Compliance 58

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.

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Ransomware HIPAA Health Insurance Fraud 81