HIPAA Journal

MARCH 11, 2025

The file review confirmed that the types of data compromised in the cyberattack included names, addresses, dates of birth, Social Security numbers, drivers license numbers, medical information, and health insurance information. Lurie Children’s Hospital in Chicago.

Department of Veterans Affairs 79

Department of Veterans Affairs Licensing Ransomware Fraud 79

Verisys

MARCH 6, 2025

Technologies continue to transform the healthcare industrythe da Vinci Surgical Robot performs precise movements that enable minimally invasive surgeries, the CyberKnife delivers targeted radiotherapy, and smart devices provide practitioners with instantaneous updates to patient health. AI acts as a built-in safety net.

Compliance 52

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

HIPAA Journal

MARCH 21, 2023

Multiple class action lawsuits have been filed against two healthcare providers in Arkansas – Mena Regional Health System (MRHS) and Howard Memorial Hospital – over cyberattacks in which patient data was compromised. The post Multiple Lawsuits Filed Against Arkansas Hospitals Over Data Breaches appeared first on HIPAA Journal.

Hospitals 69

Hospitals Fraud Health Insurance HIPAA 69

HIPAA Journal

MARCH 24, 2022

Chelan Douglas Health District said it is unaware of any cases of identity fraud or other misuse of patient data. East Tennessee Children’s Hospital Investigating Security Breach. Notification letters started to be sent to affected individuals on March 15, 2022.

Ransomware 136

Ransomware Fraud Hospitals HIPAA 136

HIPAA Journal

OCTOBER 6, 2022

The information potentially accessed and stolen included names, addresses, birth dates, Social Security numbers, Medicare claim numbers, patient account numbers, health insurance information, medical record numbers, dates of service, provider names, claims information, and medical and clinical treatment information.

HIPAA 119

HIPAA Fraud Hospitals Health Insurance 119

HIPAA Journal

JULY 20, 2022

Louis-based hospital system reported a breach of its email system to the HHS’ Office for Civil Rights on May 5, 2020, that affected 287,876 individuals. BJC HealthCare has agreed to settle a class action lawsuit to resolve claims it failed to adequately protect patient data from phishing attacks. The nonprofit St.

Fraud 127

Fraud Licensing HIPAA Health Insurance 127

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

JANUARY 1, 2023

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. However, at the time, the healthcare insurance industry was governed by a hotchpotch of federal and state legislation.

HIPAA 100

HIPAA Health Insurance Fraud Governance 100

Kaiser Health News

NOVEMBER 11, 2021

She won’t answer the phone unless her caller ID displays a number she recognizes, but this call showed the number of the hospital where her doctor works. She contacted the 1-800-MEDICARE helpline to get a new Medicare number and called the AARP Fraud Watch Network Helpline and the Federal Trade Commission.

Medicare 145

Medicare Medicare Doctors Fraud 145

HIPAA Journal

DECEMBER 20, 2022

Work Health Solutions then verified contact information and sent notifications on November 9, 2022. The exposed files contained names, Social Security numbers, driver’s license numbers, health insurance information, and/or medical information. NYC Health + Hospitals Alerts Patients About Loss of Device Containing PHI.

Health Insurance 109

Health Insurance Licensing Hospitals Fraud 109

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. The payments were intended for hospitals for providing covered medical services. The arrests were related to a series of scams that spoofed hospital email accounts. million, and $6.4

Medicaid 101

Medicaid Medicaid Medicare Medicare 101

Compliancy Group

MAY 15, 2024

As we move deeper into 2024, hospitals must increasingly focus on compliance with regulations set forth by the Office of Inspector General (OIG). This guide outlines the OIG’s hospital compliance priorities and provides actionable advice on ensuring your hospital meets these rigorous standards.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

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 121

HIPAA Fraud Compliance Health Insurance 121

Compliancy Group

AUGUST 28, 2024

Regardless of company size or number of employees, thorough HR compliance training ensures that your practice, hospital, or company protects patients and workers. The Importance of HR Compliance Training Courses Compliance regulations in healthcare are designed to help organizations prevent fraud, waste, and abuse.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

HIPAA Journal

JANUARY 16, 2023

Rehoboth McKinley Christian Health Care Services operates a 60-bed acute care hospital and outpatient clinics and provides home health care services in New Mexico and Arizona. Rehoboth McKinley Christian Health Care Services had argued that there was no actionable duty to protect the plaintiffs’ data, but U.S.

Fraud 116

Fraud Health Insurance HIPAA Hospitals 116

Health Populi

APRIL 24, 2018

consumers rank hospitals as the top-trusted segment in the U.S., Otherwise, the news is negative across the remaining four segments: consumer health is the second most-trusted segment, by 56% of Americans, but dropped by 7 percentage points from 2017. Hospitals ranked top in trust among U.S.

Health Insurance 74

Health Insurance Fraud Hospitals Doctors 74

MedTrainer

SEPTEMBER 20, 2023

This means your organization must comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). There are a number of laws built to fight against Medicare/Medicaid noncompliance and fraud. Certification. A CMS certification also translates to being a “covered entity.”

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

HIPAA Journal

APRIL 1, 2022

Catholic Health said the compromised information included patient names, provider names, dates of birth, dates of service, health insurance information, and/or medical record numbers.

Fraud 141

Fraud HIPAA Licensing Health Insurance 141

HIPAA Journal

JANUARY 27, 2023

Data theft could not be ruled out, but at the time of issuing notifications, no reports had been received to suggest that sensitive information has been used for identity theft or fraud. UCHealth works with a software vendor called Diligent, which provides business operation tools and hosted services.

Ransomware 106

Ransomware HIPAA Fraud Licensing 106

HIPAA Journal

JANUARY 25, 2023

Under the terms of the settlement, Logan Health has agreed to create a fund of $4.3 Logan Health, formerly Kalispell Regional Medical Center, is a 622-bed health system based in Kalispell, MT, which operates six hospitals and more than 68 provider clinics in the state. A lawsuit – Tafelski, et al.

Medical Billing 102

Medical Billing Fraud HIPAA Health Insurance 102

Verisys

MARCH 6, 2025

Department of Health and Human Services (HHS) Enforces regulations like the Health Insurance Portability and Accountability Act (HIPAA) to ensure patient data privacy and security. State agencies Oversee the application of both state and federal rules governing healthcare practice, insurance, and licensure.

Compliance 52

Compliance HIPAA Licensing Governance 52

HIPAA Journal

JULY 4, 2023

As a precaution against identity theft and fraud, affected individuals have been offered 24 months of complimentary credit monitoring services. Affected individuals had one or more of the following exposed: name, address, driver’s license number, health insurance information, medical information, date of birth, and Social Security number.

Medicaid 97

Medicaid Medicaid Health Insurance Licensing 97

Compliancy Group

MAY 27, 2022

The complaint further alleges that the affected patients have suffered anxiety and loss of time and now face a substantial risk of fraud and identity theft due to this data breach. South Shore Hospital (Chicago). The lawsuits allege that the hospital failed to protect patient data adequately. .

HIPAA 98

HIPAA Ransomware Hospitals Health Insurance 98

AIHC

SEPTEMBER 25, 2024

The OIG can seek a Civil Monetary Penalty or CMP against any hospital which has negligently violated their obligations under EMTALA. Here is how it work, in a nutshell : CMS assesses a Medicare-participating hospital's compliance with EMTALA under the hospital's Medicare Provider Agreement.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

HIT Consultant

SEPTEMBER 4, 2024

Hospitals, doctors’ offices, and local clinics are all home to vast amounts of sensitive patient and employee data. Hospitals alone store about 50 petabytes of sensitive data every year. In order to operate seamlessly and provide the best care possible, these healthcare havens need to ensure that their IT stack is robust.

Ransomware 111

Ransomware HIPAA Compliance Doctors 111

Compliancy Group

JULY 10, 2024

If you hold this position, you likely understand what’s at stake in protecting health information and preventing fraud, abuse, and adverse incidents. Ensuring compliance with critical regulations falls on the compliance officer. We also discuss the steps and best practices that can guide you on how to be a good compliance officer.

Compliance Officers 64

Compliance Officers Compliance Fraud Electronic Medical Records 64

HIPAA Journal

DECEMBER 23, 2022

The databases contained extensive patient information, such as contact information, health insurance information, medical record numbers, Social Security numbers, driver’s license numbers, and medical information. Community Health Network – Impermissible Disclosure of up to 1.5 Million Records. Million Records.

HIPAA 105

HIPAA Ransomware Health Insurance Compliance 105

Healthcare IT Today

FEBRUARY 17, 2023

This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. Challenges of Investigating Overpayments Undeserved payments are needles lurking in the haystack of 135 million Americans enrolled in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

Overpayments 89

Overpayments Overpayment COVID-19 Medicare 89

Healthcare IT Today

DECEMBER 21, 2023

Predominantly, the risk of fraud, theft, or abuse of customer or company information increases, which can cause regulatory violations resulting in significant fines and penalties. If healthcare providers fail to comply, the consequences can be costly.

Records Management 128

Records Management Regulatory Compliance Compliance HIPAA 128

HIPAA Journal

NOVEMBER 17, 2022

Salud Family Health said affected employees and patients have been offered free credit monitoring and identity fraud protection services, and security policies and procedures are being reviewed and will be updated to protect against future cyberattacks. New York-Presbyterian Hospital Discovers Breach Affecting up to 12,000 Patients.

Ransomware 80

Ransomware Health Insurance Fraud HIPAA 80

Healthcare IT Today

DECEMBER 15, 2023

The following is a guest article by Natalie Tkachenko, Healthcare Software Solutions Consultant at NIX To obtain test results today, there’s no need to visit the hospital. They also handle large volumes of data effortlessly within their hospitals. Simply open a mobile app and download the report to your smartphone.

Electronic Medical Records 126

Electronic Medical Records Doctors HIPAA Hospitals 126

Healthcare IT Today

SEPTEMBER 19, 2023

For example, depending on whether physicians are sitting in their hospital office or their clinic office (and many doctors work in both), the insights they have into the medications their patients take can vary greatly. This critical information can help identify or avoid serious adverse events, including hospital readmissions.

Hospitals 139

Hospitals HIPAA Nurses Governance 139

HIPAA Journal

MAY 1, 2023

One Brooklyn Health, a New York City-based network of three acute care hospitals – Brookdale Hospital Medical Center, Interfaith Medical Center, and Kingsbrook Jewish Medical Center – is facing a class action lawsuit over a data breach that was discovered in November 2022. More than 235,000 patients were affected.

Health Insurance 56

Health Insurance Fraud HIPAA Hospitals 56

American Medical Compliance

JULY 9, 2024

The Medicare FWA Compliance Training aims to educate healthcare providers (HCP) on the definitions of fraud, waste, and abuse in the context of Medicare. Medicare is a federal health insurance program in the United States primarily for individuals aged 65 and older. Reach out for other courses by visiting the AMC Course Library.

Medicare 52

Medicare Medicare Compliance Fraud 52

Compliancy Group

JANUARY 25, 2022

The 2015 total included the largest single healthcare data breach on record – health insurer Anthem’s 77.8 We may look back at 2021 as the year when we moved from the era of identity theft to identity fraud. If I can ransomware a hospital and shut down their critical systems, people are going to die, and chaos ensues.

HIPAA 98

HIPAA Ransomware Governance Fraud 98

HIPAA Journal

JULY 14, 2022

The breach was detected on April 20, 2022, with the forensic investigation confirming an unauthorized third-party had accessed the IT networks of Baptist Medical Center or Resolute Health Hospital between March 31 and April 24, 2022, and removed files containing sensitive patient data. The lawsuit seeks damages in excess of $1 million.

Fraud 69

Fraud HIPAA Health Insurance Hospitals 69

Healthcare IT Today

JANUARY 2, 2023

Healthcare is the number one type of data hackers set their sites on, and healthcare identity fraud is prevalent. As increased amounts of people turn to telehealth to connect with healthcare professionals, have prescriptions filled and file their healthcare records, the door for fraud is left wide open for attackers to strike.

Ransomware 109

Ransomware Fraud Compliance Telemedicine 109