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What is a HIPAA Violation?

HIPAA Journal

Since the publication of the Final Omnibus Rule in 2013, Business Associates have had the same requirements as Covered Entities to comply with the Privacy, Security, and Breach Notification Rules as found in 45 CFR Parts 160, 162, and 164. What are the 3 types of HIPAA violations?

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Healthcare Data Breach Statistics

HIPAA Journal

WI Business Associate 4,112,892 Hacking/IT Incident 24 2023 Colorado Department of Health Care Policy & Financing CO Health Plan 4,091,794 Hacking/IT Incident 25 2013 Advocate Health and Hospitals Corporation, d/b/a Advocate Medical Group IL Healthcare Provider 4,029,530 Theft 26 2024 Concentra Health Services, Inc.

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Understanding Compliance for Healthcare Vendors

Provider Trust

Federal regulators such as the HHS-OIG, the Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS), and others have regulations and guidelines regarding the prohibition of reimbursements of federal healthcare dollars (Medicaid, Medicare, CHIPS, TriCare, and others) to excluded vendors.

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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Moon , for submitting claims while excluded from March 2006 through July 2013.