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.

HIPAA 83

HIPAA Health Insurance Fraud Governance 83

American Medical Compliance

JANUARY 9, 2024

The following Documentation and Provider Standards Training educates healthcare providers on the significance of documentation compliance in healthcare. Staying Compliant in Healthcare HIPAA plays a large role in healthcare compliance. To become certified, please visit us at: American Medical Compliance (AMC).

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

Compliancy Group

DECEMBER 9, 2024

Carelessly discarding healthcare documents leaves protected health information (PHI) vulnerable. Non-compliance with Health Insurance Portability and Accountability Act (HIPAA) shredding requirements puts patients, employees, and your organization at risk for privacy breaches, fraud, and other threats.

HIPAA 52

HIPAA Compliance Records Management Fraud 52

HIPAA Journal

MAY 25, 2022

Social Action Community Health System (SAC Health) has recently notified 149,940 patients that documents containing their protected health information were stolen in a break-in at an off-site storage location where patient records were stored. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 133

Ransomware Fraud HIPAA Licensing 133

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. The lawsuit – Marshall v. Lamoille Health Partners Inc. – was filed in the U.S.

HIPAA 114

HIPAA Ransomware Fraud Health Insurance 114

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

Fraud 59

Fraud HIPAA Medicare Medicare 59

HIPAA Journal

JULY 4, 2024

The HIPAA rules and regulations are the standards and implementation specifications adopted by federal agencies to streamline healthcare transactions and protect the privacy and security of individually identifiable health information. This guide explains why the HIPAA rules and regulations exist, what they consist of, and who they apply to.

HIPAA 58

HIPAA Compliance Fraud Medicare 58

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 58

HIPAA Fraud Health Insurance Compliance 58

Compliancy Group

DECEMBER 20, 2024

In 2024, the Department of Health and Human Services (HHS) Office for Civil Rights announced a series of enforcement actions against entities that violated, or potentially violated, one or more HIPAA rules. This HIPAA 2024 Year in Review article discusses these actions. Monitor and safeguard its health information systems activity.

Ransomware 52

Ransomware HIPAA Fraud Electronic Medical Records 52

HIPAA Journal

MAY 2, 2024

If they were, class members can claim a cash payment of $50 and can claim up to $7,500 for documented expenses incurred as a result of the data breach, including 3 hours of lost time at $25 per hour, and any unreimbursed losses to identity theft and fraud.

Fraud 108

Fraud HIPAA Health Insurance Compliance 108

MedTrainer

JULY 25, 2024

Adhering to the Health Insurance Portability and Accountability Act (HIPAA) standards is crucial to uphold compliance and regulatory requirements for any health organization. What Is HIPAA? HIPAA, enacted in 1996, originally aimed to improve health insurance portability and reduce healthcare fraud.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

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?

Fraud 52

Fraud Compliance Governance Compliance Officers 52

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.

Compliance 88

Compliance Fraud HIPAA Health Insurance 88

HIPAA Journal

SEPTEMBER 30, 2022

Had notifications been issued sooner, the plaintiffs argued that they could have taken steps to protect against identity theft and fraud. Class members that have incurred costs related to credit monitoring and fraud resolution may also be able to claim back those costs. Those claims must be supported by appropriate documentation.

Fraud 105

Fraud HIPAA Health Insurance 105

HIPAA Journal

AUGUST 4, 2022

The plaintiffs alleged that they face an increased risk of identity theft and fraud due to the negligence of Dental Care Alliance and that their sensitive personal and protected health information is now in the hands of data thieves. Those services include dark web monitoring and coverage by a $1 million identity theft insurance policy.

Fraud 122

Fraud HIPAA Health Insurance 122

MedTrainer

JANUARY 10, 2024

The OIG is making major investments to systematically detect and prosecute fraud. In this guidance it’s clear the OIG expects healthcare organizations and suppliers to understand their role and responsibilities to fight fraud, waste, and abuse. Remember: If it isn’t documented, it didn’t happen.

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Compliancy Group

AUGUST 28, 2024

The Importance of HR Compliance Training Courses Compliance regulations in healthcare are designed to help organizations prevent fraud, waste, and abuse. As regulations evolve, employees need to know what changes they must make in their operations and which important new documents they should be aware of.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

HIPAA Journal

JULY 20, 2022

Claims of up to $5,000 can be submitted for extraordinary expenses, including documented monetary losses and up to three hours of additional lost time at $20 per hour. The post BJC Healthcare Settles Data Breach Lawsuit Stemming from 2020 Phishing Attack appeared first on HIPAA Journal. Ordinary claims are capped at $250 per person.

Fraud 121

Fraud Licensing HIPAA Health Insurance 121

HIPAA Journal

SEPTEMBER 8, 2022

As a result of the negligence, the plaintiffs claim they face a substantial, increased, and immediate risk of fraud and identity theft. Under the terms of the settlement , the Urology Center of Colorado has agreed to provide compensation for documented out-of-pocket losses and lost time. Claims must be submitted by November 7, 2022.

Fraud 121

Fraud HIPAA 121

HIPAA Journal

APRIL 13, 2023

Several Insight Global employees created Google accounts to share information, including documents and spreadsheets containing contact tracing data. Claims for documented extraordinary losses will also be accepted up to a maximum of $5,000. Insight Global chose to settle the lawsuit with no admission of wrongdoing.

Fraud 100

Fraud COVID-19 HIPAA 100

HIPAA Journal

JUNE 28, 2023

The total settlement fund has not been disclosed; however, all class members are entitled to claim up to $1,500 as reimbursement for ordinary expenses, which are documented expenses that were incurred as a result of the data breach. The post Good Samaritan Hospital Settles Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

Hospitals 87

Hospitals Fraud Licensing HIPAA 87

HIPAA Journal

FEBRUARY 1, 2023

When a data breach occurs and sensitive information is disclosed, the HIPAA Breach Notification Rule requires affected individuals to be notified. Notifications were issued in August 2022 about a data breach involving source code and internal documentation. The LastPass data breach was a good case in point.

Fraud 123

Fraud HIPAA Ransomware Compliance 123

HIPAA Journal

DECEMBER 27, 2022

Under the terms of the settlement, class members can submit a claim to receive reimbursement of up to $2,500 for documented out-of-pocket expenses that are reasonably traceable to the cyberattack and data breach. The post Class Action Data Breach Lawsuit Settled by Morley Companies appeared first on HIPAA Journal.

Fraud 118

Fraud HIPAA Health Insurance 118

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.

HIPAA 52

HIPAA Ransomware Fraud Compliance 52

Healthcare IT News - Telehealth

JULY 19, 2021

Nor was it HIPAA-compliant, a major concern. "The HIPAA waivers for telehealth implemented during the pandemic were critical for the widespread adoption of telehealth," said Dr. Nimish Shah, cofounder of Progressive Therapeutics. So the HIPAA waivers made sense. These apps got the job done, but they were disjointed.

COVID-19 167

COVID-19 HIPAA Ransomware Governance 167

HIPAA Journal

JULY 4, 2024

As a precaution against identity theft and fraud, the affected individuals have been offered complimentary single bureau credit monitoring/single bureau credit report/single bureau credit score services. The incident was detected on June 14, 2024, and attempts were made to retrieve the documents, but it was not possible to retrieve them all.

Electronic Medical Records 106

Electronic Medical Records Health Insurance Ransomware Fraud 106

HIPAA Journal

MARCH 3, 2023

The lawsuit alleged negligence for failing to implement reasonable cybersecurity measures to protect against a known risk of ransomware attacks on the sector, and that as a result of that negligence, victims were placed at an imminent and elevated risk of identity theft and fraud. The fairness hearing has been scheduled for June 27, 2023.

Ransomware 91

Ransomware Fraud HIPAA 91

HIPAA Journal

MARCH 1, 2023

No evidence of misuse of plan member data was identified at the time of issuing notification letters; however, as a precaution against identity theft and fraud, complimentary credit monitoring and identity theft protection services were offered to affected individuals. The final fairness hearing has been scheduled for May 10, 2023.

Fraud 108

Fraud Ransomware Health Insurance HIPAA 108

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

Health Blawg

JANUARY 16, 2019

HIPAA, everyone’s favorite scapegoat for all (OK, most) of the ills of the modern healthcare-industrial complex, is perpetually called out as being in dire need of a rewrite. The HIPAA RFI came next. A digression: As the health wonks and policy nerds reading this are already aware, HIPAA is a horse of a different color.

HIPAA 60

HIPAA Fraud Governance Payment Systems 60

HIPAA Journal

FEBRUARY 14, 2023

Claims may also be submitted for extraordinary losses up to a maximum of $5,000, which can include documented, unreimbursed losses to fraud and identity theft. Million Settlement to Resolve Data Breach Lawsuit appeared first on HIPAA Journal. Class members will also be provided with two years of credit monitoring services.

Fraud 103

Fraud Licensing Health Insurance HIPAA 103

Total HIPAA

SEPTEMBER 11, 2019

This post aims to answer all of your HIPAA compliance questions. If you’re just learning about HIPAA compliance, or beginning the process of becoming HIPAA compliant, this article will guide you through the initial steps you must take to adhere to the law. What is HIPAA Compliance? This is a long, comprehensive post.

HIPAA 52

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

HIPAA Journal

FEBRUARY 16, 2023

The lawsuit also claims the health system failed to comply with the federal standards of HIPAA and had not followed FTC guidelines for protecting sensitive data. The post Advent Health Partners Proposes $500,000 Settlement to Resolve Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

HIPAA 103

HIPAA Fraud Licensing Health Insurance 103

Medisys Compliance

JUNE 23, 2024

Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. What is HIPAA? Implement Administrative Safeguards Administrative safeguards are the foundation of HIPAA compliance.

Medical Billing 45

Medical Billing HIPAA Compliance US Department of Health and Human Services 45

Total HIPAA

OCTOBER 28, 2019

A newsletter on the importance of importance of HIPAA logging requirements states this: 1. A federal grand jury indicted a former MedStar Ambulance paramedic on counts of identity theft and fraud. What HIPAA Security Rule Mandates. What HIPAA Security Rule Mandates. Creating a log is not as complicated as it seems.

HIPAA 52

HIPAA Compliance Fraud Hospitals 52

AIHC

APRIL 10, 2024

HITECH is a critical aspect of the Health Insurance Portability & Accountability Act (HIPAA). Since 2009, HITECH has given “teeth” to HIPAA law. What’s the difference between HIPAA and HITECH? HIPAA guarantees patients access to their paper medical records. Answer the questions and document. So, let’s start!

Compliance 99

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

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.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52