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.

HIPAA 119

HIPAA Fraud Compliance Health Insurance 119

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.

HIPAA 104

HIPAA Health Insurance Fraud Electronic Medical Records 104

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? Why is HIPAA Important for Healthcare Organizations?

HIPAA 115

HIPAA Compliance Fraud Health Insurance 115

HIPAA Journal

JULY 3, 2024

The HIPAA transactions and code sets rules have the objective of replacing non-standard descriptions of healthcare activities with standard formats for each type of activity in order to streamline administrative processes, lower operating costs, and improve the quality of data. Health Care Claims Status.

HIPAA 58

HIPAA Medicaid Medicaid Compliance 58

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.

HIPAA 98

HIPAA Ransomware Health Insurance Fraud 98

HIPAA Journal

SEPTEMBER 12, 2024

The HIPAA Security Rule covers a subset of individually identifiable health information protected by the Privacy Rule and it applies when Protected Health Information is created, received, stored, or transmitted electronically. As health insurance premiums are tax deductible, this would impact federal tax revenues.

HIPAA 45

HIPAA Health Insurance Fraud Licensing 45

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?

HIPAA 135

HIPAA Due Diligence Compliance Fraud 135

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.

Fraud 52

Fraud Medicare Medicare US Department of Health and Human Services 52

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). The post Arizona Man Sentenced to 54 Months in Criminal HIPAA Violation Case appeared first on HIPAA Journal.

HIPAA 58

HIPAA Fraud Health Insurance Compliance 58

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).

HIPAA 112

HIPAA Ransomware Malpractice Health Insurance 112

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.

HIPAA 52

HIPAA Fraud Health Insurance Compliance 52

HIPAA Journal

MAY 18, 2023

The Department of Health and Human Services’ Office for Civil Rights is the main enforcer of HIPAA compliance; however, state Attorneys General also play a role in enforcing compliance with the Rules of the Health Insurance Portability and Accountability Act (HIPAA). Community Health Systems/CHSPSC, Anthem Inc.,

HIPAA 103

HIPAA Compliance Ransomware Hospitals 103

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.

HIPAA 83

HIPAA Fraud Health Insurance Compliance 83

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

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.

HIPAA 107

HIPAA Compliance Medicare Medicare 107

HIPAA Journal

JULY 9, 2024

The data compromised in the incident included names, addresses, phone numbers, Social Security numbers, birth dates, diagnoses, treatment information, prescriptions, physician names, medical record numbers, device serial numbers, and health insurance information.

Fraud 119

Fraud Health Insurance HIPAA Compliance 119

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. Enforcement Highlights.”

US Department of Health and Human Services 52

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

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.

HIPAA 93

HIPAA Ransomware Health Insurance Compliance 93

HIPAA Journal

APRIL 25, 2024

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information.

Fraud 119

Fraud Health Insurance HIPAA Licensing 119

Compliancy Group

MAY 27, 2022

Almost as surely as summer follows spring, lawsuits follow breaches of protected health information. Here’s a roundup of recent HIPAA breach lawsuits and settlements. Lawsuits Increasing Following HIPAA Breaches – Facts and Figures. Let’s Simplify Compliance HIPAA and cybersecurity go hand-in-hand.

HIPAA 98

HIPAA Ransomware Hospitals Compliance 98

HIPAA Journal

NOVEMBER 12, 2024

The affected systems contained information such as names, addresses, dates of birth, billing and claims information, health insurance claims information, diagnoses, medications, test results, x-ray images, and other treatment information. Passwords were reset and policies and procedures have been reviewed.

Health Insurance 59

Health Insurance Fraud Licensing HIPAA 59

HIPAA Journal

NOVEMBER 16, 2022

The review of the compromised email accounts confirmed they contain information such as names, addresses, dates of birth, driver’s license numbers, state identification card numbers, financial account numbers, usernames and passwords, payment card information, medical histories, and health insurance information.

HIPAA 98

HIPAA Licensing Health Insurance Fraud 98

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? Security Rule: Sets standards for electronic PHI (ePHI) security.

Medical Billing 45

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

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 95

Compliance Fraud HIPAA Health Insurance 95

HIPAA Journal

SEPTEMBER 7, 2023

The information accessed in the attack included names, addresses, dates of birth, Social Security numbers, financial account information, medical record numbers, health insurance plan member IDs, and claims data. The post CentroMed Facing 2 Class Action Lawsuits Over 350,000-Record Data Breach appeared first on HIPAA Journal.

HIPAA 100

HIPAA Health Insurance Fraud 100

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).

HIPAA 52

HIPAA Compliance Fraud Health Insurance 52

AIHC

SEPTEMBER 25, 2024

There is value in learning from another organization’s lessons publicly posted by a government authority, such as the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), the HIPAA enforcement agency, the Office of Civil Rights (OCR) or the Federal Bureau of Investigations (FBI). You may unsubscribe at any time.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

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.

HIPAA 52

HIPAA Medical Billing Outsourcing Medical Billing Ransomware 52

Compliancy Group

JANUARY 25, 2022

With at least six weeks before final numbers are in, the Department of Health and Human Services HIPAA Breach Reporting Tool website is reporting 713 major healthcare data breaches in 2021, an increase of more than 7.5 Protected health information (PHI) from more than 45.7 Cyber insurance can certainly lessen the blow.”.

HIPAA 98

HIPAA Ransomware Governance Fraud 98

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.

Fraud 109

Fraud HIPAA Health Insurance Compliance 109

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.

HIPAA 59

HIPAA Compliance Fraud Health Insurance 59

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.

HIPAA 52

HIPAA Fraud Compliance COVID-19 52

HIPAA Journal

JULY 4, 2024

The exposed information varied from individual to individual and may have included names, birth dates, medical record numbers, medical histories, and health insurance information. The post Email Breaches Reported by SkinCure Oncology & the Wisconsin Department of Health Services appeared first on The HIPAA Journal.

Medicaid 116

Medicaid Medicaid Fraud Licensing 116

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.

Ransomware 111

Ransomware Fraud Licensing HIPAA 111

Compliancy Group

NOVEMBER 1, 2024

When you work in healthcare, you must comply with the most rigorous regulations that safeguard patient health and privacy, protect workers, and prevent fraud, waste, and abuse of federal funds. Healthcare compliance under HIPAA includes adhering to the Security Rule, which covers the handling, maintenance, and sharing of PHI.

Compliance 52

Compliance HIPAA Electronic Medical Records Fraud 52

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. It also goes a long way toward avoiding penalties that cost your organization money and its hard-earned reputation.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

Health Care Law Brief

JUNE 5, 2023

We previously wrote about the United States Department of Justice’s (“ DOJ ”) Civil Cyber-Fraud Initiative (“ CCFI ”), which “aims to hold accountable entities or individuals that put U.S. To resolve these allegations, Jelly Bean and Spinks agreed to pay $293,771.

Fraud 52

Fraud Due Diligence Medicaid Medicaid 52