HIPAA Journal

JULY 9, 2024

The Houston, TX-based medical device company, LivaNova, is facing multiple class action lawsuits over an October 2023 cyberattack that exposed the protected health information of 180,000 patients. At least two lawsuits have now been filed by patients whose information was exposed in the incident.

Fraud 126

Fraud Health Insurance HIPAA Compliance 126

Med-Net Compliance

JULY 7, 2022

A federal district judge in Miami sentenced the last of five defendants for his role in a healthcare fraud scheme operated out of a physical therapy clinic. According to evidence introduced in court, the billing fraud conspiracy resulted in more than $8 million in false claims being submitted to BCBS.

Fraud 59

Fraud COVID-19 Health Insurance Compliance 59

HIPAA Journal

SEPTEMBER 8, 2022

The Michigan law firm, Warner Norcross and Judd LLP, has issued notification letters to 255,160 individuals advising them about an October 2021 security breach in which files containing their personal and protected health information were potentially accessed and exfiltrated from its systems.

Fraud 93

Fraud Health Insurance Ransomware HIPAA 93

HIPAA Journal

APRIL 25, 2024

Several class action lawsuits have been filed against City of Hope National Medical Center, a National Cancer Institute (NCI)-designated cancer treatment and research center, over a recently disclosed data breach that exposed the protected health information of more than 827,000 individuals.

Fraud 124

Fraud Health Insurance HIPAA Licensing 124

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. However, they encounter numerous challenges in achieving this goal.

Compliance 92

Compliance Fraud HIPAA Health Insurance 92

C&M Health Law

AUGUST 3, 2023

Under the final rule, enforcement of the information blocking penalties will begin September 1, 2023. Other than the information blocking penalties, the rest of the final rule’s provisions are effective August 2, 2023.

Fraud 52

Fraud HIPAA Governance Compliance 52

HIPAA Journal

JULY 4, 2024

SkinCure Oncology has notified 13,434 patients about an email attack that occurred in June 2023, and the Wisconsin Department of Health Services has announced a breach of the personal information of 19,150 Medicaid recipients. Further information can be contained by calling SkinCure Oncology’s helpline – (866) 528-8844.

Medicaid 123

Medicaid Medicaid Fraud Licensing 123

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

Healthcare IT Today

SEPTEMBER 16, 2021

The Health Insurance Portability and Accountability Act (HIPAA) was introduced in 1996 mainly to help migrate insurance coverage details of employees between organizations, prevent insurance fraud, reduce wastage of medical resources and eliminate improper payments. In a study by the […].

Fraud 58

Fraud HIPAA Health Insurance 58

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. These laws outline procedures that prevent the inappropriate use of federal funds, protect sensitive patient information, and ensure safe working conditions for all personnel.

Compliance 97

Compliance Fraud Regulatory Compliance HIPAA 97

HIPAA Journal

JULY 4, 2024

Gaia Software Gaia Software, a provider of electronic medical record and billing management software services to Americare Renal Center, has mailed notification letters to patients whose protected health information was compromised in a February 2024 cyberattack. Those individuals will be notified when the investigation is completed.

Electronic Medical Records 122

Electronic Medical Records Health Insurance Ransomware Fraud 122

HIT Consultant

JULY 26, 2023

What You Should Know: HealthLock , a leading medical fraud and overbilling protection solution, today unveiled insightful findings from a recent attitudinal study exploring how adults in the United States feel about healthcare, from claims and billing to medical fraud and privacy.

Medical Billing 98

Medical Billing Fraud Health Insurance Doctors 98

HIPAA Journal

APRIL 23, 2024

A cybersecurity firm was engaged to investigate the disruption and confirmed that unauthorized individuals accessed its network and exfiltrated files containing the personal information of residents. It took more than 10 months (April 10, 2024) to determine the types of information involved and the number of individuals affected.

Ransomware 115

Ransomware Fraud Licensing HIPAA 115

HIPAA Journal

SEPTEMBER 7, 2023

El Centro Del Barrio, dba CentroMed in San Antonio, TX, is facing at least two class action lawsuits over a June 2023 cyberattack in which hackers gained access to the personal and protected health information (PHI) of 350,000 patients. The affected individuals were notified by mail on August 11, 2023.

HIPAA 110

HIPAA Health Insurance Fraud 110

Compliancy Group

NOVEMBER 6, 2024

With workforce compliance software and other digital tools, organizations can centralize and streamline their compliance activities, making it easier for employees to stay informed and actively maintain the highest healthcare standards. Non-compliance damages your financial stability and could lead to fewer contracts, patients, or customers.

Compliance 52

Compliance Compliance Officers Fraud Health Insurance 52

HIPAA Journal

MARCH 30, 2023

A lawsuit has been filed against the digital marketing agency, Rise Interactive Media & Analytics, over a cyberattack in which the protected health information of approximately 54,500 patients of Edgepark Medical Supplies was compromised.

Health Insurance 110

Health Insurance Fraud HIPAA 110

HIPAA Journal

NOVEMBER 7, 2024

ORM Fertility said there was no unauthorized access to its electronic medical records (EMR), email, or customer relationship management system (CRM), and financial and insurance information was not exposed. The exact data types will be confirmed when the file review is concluded.

Electronic Medical Records 60

Electronic Medical Records Fraud HIPAA Health Insurance 60

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 article, I explain some of the main ways that healthcare has been improved by HIPAA for healthcare providers, health plans, and patients.

HIPAA 112

HIPAA Fraud Health Insurance Compliance 112

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 114

Fraud HIPAA Health Insurance Compliance 114

HIPAA Journal

JUNE 28, 2023

Good Samaritan Hospital in San Jose, CA, has agreed to settle a class action lawsuit that was filed in response to a data breach that exposed the protected health information of up to 233,835 individuals. A lawsuit – Young, et al.

Hospitals 102

Hospitals Fraud Licensing HIPAA 102

HIPAA Journal

MAY 22, 2024

Superior Air-Ground Ambulance Service, a leading ambulance and EMS provider serving Illinois, Indiana, Michigan, Ohio, and Wisconsin, has confirmed that the protected health information of 858,238 patients was exposed or stolen in a cyberattack in May 2023.

Fraud 85

Fraud Licensing HIPAA Health Insurance 85

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. Contact us today for more information on how our digital tools and services can support your organization’s compliance efforts.

Compliance Officers 64

Compliance Officers Compliance Fraud Electronic Medical Records 64

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

HIPAA Journal

JUNE 13, 2023

Harvard Pilgrim Health Care and its parent company, Point32Health, are facing multiple class action lawsuits after hackers gained access to the protected health information (PHI) of more than 2.5 Point32Health is the second largest insurer in Massachusetts and serves more than 2.4 Harvard Pilgrim Health Care Inc.

Ransomware 105

Ransomware Fraud Health Insurance HIPAA 105

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Armed with that information, sales agents then changed her ACA coverage and the agent listed on it five times in just a few weeks, dropping coverage of her son along with way, all without her consent.

ACA 141

ACA Health Insurance Governance Medical Billing 141

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. Anyone in this industry should know the healthcare compliance laws and regulations that guide how they do their jobs and provide quality care.

Compliance 52

Compliance HIPAA Electronic Medical Records Fraud 52

HIPAA Journal

MARCH 7, 2023

Four Californian medical groups have been named in a class action lawsuit that alleges a failure to implement reasonable and appropriate cybersecurity measures, resulting in a cyberattack and data breach involving the personal and protected health information of 3,300,638 current and former patients.

Fraud 126

Fraud Health Insurance HIPAA Doctors 126

HIPAA Journal

OCTOBER 17, 2022

Phoenix, AZ-based Valle del Sol Community Health has notified 70,268 patients that some of their protected health information has been exposed. Valle de Sol said the investigation indicated unauthorized individuals had access to files containing sensitive patient data and that patient information may have been acquired.

Health Insurance 136

Health Insurance Licensing Fraud HIPAA 136

HIPAA Journal

SEPTEMBER 30, 2022

. – was filed in the Arizona Superior Court against Magellan Health Inc. and Magellan RX Management, LLC on behalf of patients whose protected health information was exposed in a May 2019 phishing attack. Approximately 273,000 individuals were affected and had their protected health information exposed.

Fraud 121

Fraud HIPAA Health Insurance 121

HIPAA Journal

FEBRUARY 22, 2023

The database included names, addresses, dates of birth, Social Security numbers, health insurance information, medical record numbers, and patient account numbers. Sorrentino-Poggi was notified on February 8, 2023, that some of her information was stolen by the hackers.

Ransomware 120

Ransomware Fraud Health Insurance HIPAA 120

HIPAA Journal

FEBRUARY 23, 2022

HIPAA is an acronym for the Health Insurance Portability and Accountability Act. When the Health Insurance Portability and Accountability Act was passed by Congress in 1996, the establishment of federal standards for safeguarding PHI was not one of the primary objectives. What is HIPAA? What is HIPAA Title II?

HIPAA 105

HIPAA Fraud Health Insurance Medicaid 105

American Medical Compliance

JANUARY 9, 2024

It establishes national standards to protect individuals’ medical records and other individually identifiable health information, which is collectively defined as “protected health information.” It also mandates the implementation of suitable safeguards to preserve the privacy of such information.

Fraud 52

Fraud Compliance HIPAA Health Insurance 52

HIPAA Journal

AUGUST 5, 2022

Rivera, MD, doing business as Arlington Skin in Virginia, has started notifying 17,468 patients that their protected health information may have been accessed by unauthorized individuals in a security breach at business associate, Virtual Private Network Solutions (VPN Solutions). Dr. Michelle A.

Electronic Medical Records 118

Electronic Medical Records Health Insurance Fraud HIPAA 118

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. This act safeguards patients’ protected health information (PHI) and health plans and defines security and privacy regulations regarding patient data.

HIPAA 52

HIPAA Compliance Health Insurance Fraud 52

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 124

Health Insurance Licensing Ransomware Fraud 124

HIPAA Journal

MAY 25, 2023

In April 2023, Point32Health, the second-largest health insurer in Massachusetts and the parent company of Tufts Health Plan and Harvard Pilgrim Health Care, announced it suffered a ransomware attack that resulted in system outages, including the systems that serviced members, accounts, brokers, and providers.

Ransomware 107

Ransomware Health Insurance Fraud HIPAA 107

HIPAA Journal

MAY 10, 2023

University Urology – Hacking Incident University Urology in New York City has started notifying 56,816 individuals that unauthorized individuals gained access to some of its systems and potentially obtained their personal and health information. Contact information was then verified, and notification letters were sent on May 1, 2023.

Hospitals 114

Hospitals Ransomware Health Insurance Fraud 114