HIPAA Journal

APRIL 24, 2023

The new law applies to persons who own or license computerized data that includes the personal information of Utah residents. If a system security breach is discovered, a prompt investigation should be conducted to determine the likelihood that personal information has been or will be misused for identity theft or fraud.

Fraud 89

Fraud Licensing HIPAA Governance 89

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. While health plans may use other numbers internally, the NPI is mandatory for HIPAA transactions.

Fraud 97

Fraud HIPAA Medicare Medicare 97

HIPAA Journal

JUNE 28, 2023

Individuals that have suffered identity theft, medical fraud, tax fraud, other forms of fraud, and other actual misuses of their personal information, can submit claims for documented, unreimbursed extraordinary losses that are reasonably traceable to the data breach of up to a maximum of $5,000.

Hospitals 79

Hospitals Fraud Licensing HIPAA 79

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? These complaints can trigger an audit. Data Analysis and Trends.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

MedTrainer

APRIL 22, 2024

While adherence to these guidelines is voluntary, organizations implementing effective compliance programs are better equipped to identify and address potential compliance risks, mitigate fraud and abuse, and uphold the integrity of healthcare programs and services. Ensure suppliers are adequately trained on HIPAA privacy and security rules.

Compliance 52

Compliance HIPAA Licensing Fraud 52

HIPAA Journal

DECEMBER 15, 2022

Attorney’s Office charged Mulvey with tampering with a consumer product, acquiring controlled substances by fraud, and criminal violations of the Heath Insurance Portability and Accountability Act (HIPAA). The criminal HIPAA violations and other charges were dropped as part of the agreement.

Nurses 86

Nurses HIPAA Fraud Licensing 86

HIPAA Journal

DECEMBER 19, 2022

A review of the files on the compromised servers confirmed that protected health information such as patient names, dates of birth, Social Security numbers, driver’s license numbers, health insurance information, and diagnosis and treatment information had been exposed. The DOL and the U.S.

Fraud 95

Fraud Licensing HIPAA Health Insurance 95

HIPAA Journal

NOVEMBER 23, 2022

Current and former employees and job applicants have had their names, birth dates, Social Security numbers, driver’s license numbers, and/or state IDs exposed, as well as financial account numbers for a limited number of individuals.

Ransomware 108

Ransomware Fraud Licensing HIPAA 108

HIPAA Journal

MARCH 15, 2023

Naked images of breast cancer patients were published on the group’s data leak site, along with medical questionnaires, passports, and other sensitive patient data such as driver’s license numbers, Social Security numbers, medical diagnosis/treatment information, and lab results. LVHN held firm and refused to pay the ransom.

Ransomware 105

Ransomware Fraud HIPAA Licensing 105

Verisys

MARCH 1, 2024

As the healthcare industry is increasingly targeted for data theft and fraud, information security has emerged as a top priority for healthcare institutions. Automated workflows decrease error and omissions, allow for continuous monitoring, create transparency through a comprehensive audit trail, and maintain HIPAA privacy and security.

Governance 52

Governance Compliance Fraud HIPAA 52

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 post Class Action Lawsuit Filed Against Cardiovascular Associates Over 441K-Record Data Breach appeared first on HIPAA Journal.

HIPAA 96

HIPAA Fraud Licensing Health Insurance 96

HIPAA Journal

AUGUST 2, 2023

Notification letters will be sent to the affected individuals in the coming weeks and credit monitoring, fraud consultation, and identity theft restoration services will be offered. The post Up to 170,450 Patients Affected by Cyberattack on the Chattanooga Heart Institute appeared first on HIPAA Journal.

Licensing 74

Licensing Electronic Medical Records Ransomware Health Insurance 74

HIPAA Journal

FEBRUARY 14, 2023

The compromised email accounts contained patient names, medical record numbers, driver’s license numbers, financial account information, Social Security numbers, health insurance information, and clinical or treatment information. Million Settlement to Resolve Data Breach Lawsuit appeared first on HIPAA Journal.

Fraud 93

Fraud Licensing Health Insurance HIPAA 93

HIPAA Journal

APRIL 18, 2023

The information in the compromised email account included full names, home addresses, dates of birth, medical and treatment information, health insurance information, and billing and claims information, with some individuals also having their Social Security numbers, financial account information, and driver’s license numbers compromised.

HIPAA 81

HIPAA Fraud Licensing Health Insurance 81

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.

Licensing 101

Licensing Health Insurance Fraud HIPAA 101

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.

Health Insurance 117

Health Insurance Licensing Fraud HIPAA 117

HIPAA Journal

NOVEMBER 15, 2022

– over the data breach that allege the company was negligent for failing to implement appropriate safeguards to ensure the confidentiality, integrity, and availability of patient information, that Somnia failed to comply with FTC guidelines and the HIPAA Rules and had not followed industry standards for data security.

HIPAA 83

HIPAA Fraud Licensing Health Insurance 83

HIPAA Journal

FEBRUARY 16, 2023

The investigation confirmed hackers had access to, and potentially stole, the protected health information of patients such as names, Social Security numbers, driver’s license information, dates of birth, health insurance, medical treatment information, and financial account information.

HIPAA 94

HIPAA Fraud Licensing Health Insurance 94

HIPAA Journal

FEBRUARY 15, 2023

Associates affected by the breach had their Social Security numbers, driver’s license numbers, and financial account information exposed. Claims may be submitted for reimbursement of documented, unreimbursed extraordinary losses due to identity theft and fraud, up to a maximum of $5,000.

Ransomware 85

Ransomware Fraud Licensing Health Insurance 85

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.

Fraud 99

Fraud Health Insurance Ransomware HIPAA 99

HIPAA Journal

APRIL 15, 2022

A subset of individuals also had their Social Security numbers and/or driver’s license numbers exposed. The post SuperCare Health Sued Over 318,000-Record Data Breach appeared first on HIPAA Journal.

Electronic Medical Records 116

Electronic Medical Records HIPAA Health Insurance Fraud 116

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services. The post Azura Vascular Care Reports Data Breach Affecting 348,000 Patients appeared first on HIPAA Journal.

Ransomware 83

Ransomware Electronic Medical Records Licensing Health Insurance 83

Compliancy Group

JANUARY 22, 2024

This encompasses various areas such as: Privacy Protection (HIPAA) Security Risk Assessment (HIPAA) Coding Standards (ICD-10) Billing Practices (CMS guidelines) 3. Financial Analysis Financial aspects play a significant role in healthcare audits, identifying potential fraud or irregularities.

Compliance 52

Compliance Fraud Regulatory Compliance HIPAA 52

Compliancy Group

MARCH 8, 2023

The Medicare Exclusion Database can trace its roots to 1996, when HIPAA (Health Insurance Portability and Accountability Act) was signed into law. HIPAA authorized the OIG to provide guidance to the healthcare industry, to prevent fraud and abuse, and to promote high levels of ethical and lawful conduct.

Medicare 52

Medicare Medicare Fraud HIPAA 52

HIPAA Journal

JULY 20, 2022

While data theft could not be determined, the affected email accounts contained the protected health information of patients of 19 of its hospitals, including names, birth dates, health insurance information, Social Security numbers, driver’s license, and healthcare data. The lawsuit, filed in the Circuit Court of the City of St.

Fraud 113

Fraud Licensing HIPAA Health Insurance 113

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 109

Health Insurance Licensing Ransomware Fraud 109

MedTrainer

JANUARY 12, 2024

The protection of patient data, adherence to privacy regulations like the Health Insurance Portability and Accountability Act (HIPAA) in the United States, and the prevention of cyber threats have become paramount concerns. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

HIPAA Journal

AUGUST 31, 2023

At the time of publication, the company’s name does not appear on the HIPAA Breach Report. It is also providing credit monitoring, fraud consultation, and identity theft restoration services for a year. The post PHI Included in Mom’s Meals Data Breach appeared first on HIPAA Journal.

Medicare 52

Medicare Medicare HIPAA Medicaid 52

HIPAA Journal

JANUARY 17, 2023

Affected individuals have been advised to be vigilant against incidents of identity theft and fraud by reviewing their account statements and explanation of benefit forms. The post Home Care Providers of Texas Announces 124K-Record Data Breach appeared first on HIPAA Journal. million total.

Ransomware 105

Ransomware Fraud HIPAA Licensing 105

Health Care Performance

FEBRUARY 21, 2023

The scheme 25 people were charged with wire fraud – administrators and employees of three Florida nursing schools as well as recruiters. The buyers wanted to take licensing exams to become registered nurses, licensed practical nurses, or licensed vocational nurse licenses.

Nurses 52

Nurses Licensing Fraud Hospitals 52

MedTrainer

JANUARY 26, 2024

Here are some common non-compliance activities: Failure to Maintain HIPAA Compliance: The Health Insurance Portability and Accountability Act (HIPAA) sets strict guidelines for safeguarding patient health information. This includes training modules and tools for secure data management.

Compliance 52

Compliance Informed Consent HIPAA Medical Billing 52

MedTrainer

AUGUST 31, 2023

It also helps prevent fraud, abuse, and errors, ensuring the delivery of high-quality care and ethical decision-making. What Is HIPAA and How Does It Impact Healthcare Compliance? This process typically includes confirming educational degrees, licenses, certifications, work history, and references.

Compliance 52

Compliance Compliance Officers HIPAA Fraud 52

MedTrainer

OCTOBER 4, 2023

These regulations and laws help maintain patient confidentiality, ensure quality care, and prevent fraud and abuse within the healthcare industry. These requirements are designed to protect patient rights, privacy, and safety, as well as to prevent fraud, abuse, and other improper practices within healthcare organizations.

Compliance 52

Compliance Fraud HIPAA Governance 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.

Fraud 71

Fraud Health Insurance Ransomware HIPAA 71

HIPAA Journal

MAY 25, 2022

SAC Health said it is unaware of any actual or attempted misuse of patient data as a result of the break-in; however, as a precaution against identity theft and fraud, affected individuals have been offered complimentary credit monitoring services. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 127

Ransomware Fraud HIPAA Licensing 127

HIPAA Journal

JULY 27, 2023

The stolen information included names, addresses, email addresses, dates of birth, Social Security numbers, government identification ID numbers, driver’s license numbers, payment/financial institution information, health insurance providers, medical treatment information, medical diagnoses, medications, medical images, and lab test results.

Ransomware 52

Ransomware Fraud Licensing Health Insurance 52

MedTrainer

APRIL 17, 2024

Navigating the complex landscape of state licensing laws can be time-consuming and costly for organizations. Credentialing organizations must verify that telehealth providers have the safeguards to comply with HIPAA and other relevant regulations.

Licensing 52

Licensing Compliance Fraud HIPAA 52