Verisys

MARCH 6, 2025

Health Insurance Portability and Accountability Act (HIPAA) Ensuring patient privacy by constantly monitoring data handling practices. Joint Commission Ensuring healthcare providers maintain quality and safety by streamlining compliance with national standards and accreditation processes.

Compliance 52

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

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 114

HIPAA Licensing Health Insurance Fraud 114

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 120

Health Insurance Licensing Ransomware Fraud 120

HIPAA Journal

SEPTEMBER 9, 2022

Those emails contained patient information such as names, dates of birth, Social Security numbers, medical information, health insurance information, driver’s license numbers, and state ID numbers. The information exposed varied from patient to patient. Notification letters were sent to all affected individuals in August.

Licensing 119

Licensing Health Insurance Fraud HIPAA 119

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

NOVEMBER 23, 2022

Affected patients had their names, birth dates, patient numbers, Social Security numbers, financial account numbers, and/or health insurance information exposed.

Ransomware 122

Ransomware Fraud Licensing HIPAA 122

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

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. Further information can be contained by calling SkinCure Oncology’s helpline – (866) 528-8844. to 5:30 p.m.

Medicaid 120

Medicaid Medicaid Fraud Licensing 120

HIPAA Journal

SEPTEMBER 8, 2022

Notification letters were sent to affected individuals in August and information was provided on the steps that individuals can take to reduce the risk of identity theft and fraud, but it would appear that credit monitoring and identity theft protection services are not being offered. Gateway Diagnostic Imaging and Radiology Ltd.

Fraud 114

Fraud Health Insurance Ransomware HIPAA 114

HIPAA Journal

DECEMBER 19, 2022

A review of the files on the compromised servers confirmed that protected health information such as patient names, dates of birth, Social Security numbers, driver’s license numbers, health insurance information, and diagnosis and treatment information had been exposed. The DOL and the U.S.

Fraud 107

Fraud Licensing HIPAA Health Insurance 107

AIHC

FEBRUARY 24, 2025

Part 2: When Criminal Behavior Infiltrates Your Audit Program Written by Carl J Byron , CCS, CHA, CIFHA, CMDP, CPC, CRAS, ICDCTCM/PCS, OHCC and CPT/03 USAR FA (Ret) We Recommend Reading Part 1 Fraud Indicators and Red Flags When Audit Managers Knowingly Skew Audit Results as this article is Part 2, the rest of the story.

Fraud 52

Fraud Compliance Governance Compliance Officers 52

HIPAA Journal

FEBRUARY 14, 2023

Hackers gained access to Umass Memorial Health’s email environment between June 24, 2020 and January 7, 2021, as a result of responses to phishing emails. 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.

Fraud 116

Fraud Licensing Health Insurance HIPAA 116

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 85

Health Insurance Fraud Licensing HIPAA 85

HIPAA Journal

APRIL 15, 2022

The incident involved the exposure and potential theft of the protected health information of 318,400 patients, including names, addresses, birth dates patient account numbers, medical record numbers, health insurance information, testing, diagnostic, treatment, and claims information.

Electronic Medical Records 124

Electronic Medical Records HIPAA Health Insurance Fraud 124

HIPAA Journal

JULY 20, 2022

While data theft could not be determined, the affected email accounts contained the protected health information of patients of 19 of its hospitals, including names, birth dates, health insurance information, Social Security numbers, driver’s license, and healthcare data.

Fraud 128

Fraud Licensing HIPAA Health Insurance 128

HIPAA Journal

JUNE 28, 2023

Individuals that have suffered identity theft, medical fraud, tax fraud, other forms of fraud, and other actual misuses of their personal information, can submit claims for documented, unreimbursed extraordinary losses that are reasonably traceable to the data breach of up to a maximum of $5,000.

Hospitals 102

Hospitals Fraud Licensing HIPAA 102

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. Luke’s Health Brazosport are known to have been affected.

Health Insurance 110

Health Insurance Licensing Hospitals Fraud 110

HIPAA Journal

AUGUST 2, 2023

Notification letters will be sent to the affected individuals in the coming weeks and credit monitoring, fraud consultation, and identity theft restoration services will be offered. A third-party data review company was provided with the files on December 22, 2022, and provided the results of the analysis to SHS on May 16, 2023.

Licensing 97

Licensing Electronic Medical Records Ransomware Health Insurance 97

HIPAA Journal

FEBRUARY 15, 2023

The attack was detected and blocked by Electromed on June 16, 2021, and the forensic investigation confirmed that files were accessed – and potentially stolen – that included customers’ first and last names, mailing addresses, medical information, and health insurance information.

Ransomware 109

Ransomware Fraud Licensing Health Insurance 109

HIPAA Journal

MAY 25, 2022

SAC Health said it is unaware of any actual or attempted misuse of patient data as a result of the break-in; however, as a precaution against identity theft and fraud, affected individuals have been offered complimentary credit monitoring services. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 137

Ransomware Fraud HIPAA Licensing 137

HIPAA Journal

MARCH 22, 2023

The plaintiff and class members now face an increased risk of identity theft and fraud as their private information is now in the hand of cybercriminals. The lawsuit was filed on March 15, 2023, by the law firm Milberg Coleman Bryson Phillips Grossman PLLC on behalf of plaintiff, Samuel Lee.

HIPAA 111

HIPAA Fraud Licensing Health Insurance 111

HIPAA Journal

SEPTEMBER 8, 2022

Notification letters were sent to affected individuals in August and information was provided on the steps that individuals can take to reduce the risk of identity theft and fraud, but it would appear that credit monitoring and identity theft protection services are not being offered.

Fraud 96

Fraud Health Insurance Ransomware HIPAA 96

HIPAA Journal

JULY 4, 2023

MMC said it was unable to determine whether files were accessed or removed from its network; however, the parts of the network that were accessed contained files that included the protected health information of 559,000 patients. Many of the individuals affected were minors.

Medicaid 97

Medicaid Medicaid Health Insurance Licensing 97

HIPAA Journal

FEBRUARY 16, 2023

The investigation confirmed hackers had access to, and potentially stole, the protected health information of patients such as names, Social Security numbers, driver’s license information, dates of birth, health insurance, medical treatment information, and financial account information.

HIPAA 107

HIPAA Fraud Licensing Health Insurance 107

HIPAA Journal

MAY 22, 2024

The affected individuals have been advised to remain vigilant against incidents of identity theft and fraud by reviewing their account statements, explanation of benefits, and free credit reports.

Fraud 82

Fraud Licensing HIPAA Health Insurance 82

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

Verisys

NOVEMBER 8, 2023

Providers, employers, health plans, and payers use these numbers for billing purposes. CMS.gov The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the creation of a standard, unique health identifier for healthcare providers, which the NPI satisfies.

Fraud 97

Fraud HIPAA Medicare Medicare 97

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 103

HIPAA Ransomware Health Insurance Fraud 103

HIPAA Journal

DECEMBER 7, 2022

In some cases, Social Security numbers, driver’s license numbers, or financial account information, were also exposed. Salud Family Health said impacted employees and patients have been offered free credit monitoring and identity fraud protection services.

COVID-19 Vaccine 103

COVID-19 Vaccine COVID-19 Department of Veterans Affairs Licensing 103

HIPAA Journal

APRIL 25, 2023

On February 13, 2023, NationsBenefits confirmed that the data compromised in the attack included protected health information such as name, address, phone number, gender, date of birth, health insurance number, medical ID number, Social Security number, date(s) of service, medical device or product purchased, and provider/caregiver name.

Health Insurance 106

Health Insurance Public Health Ransomware Fraud 106

Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. States also can revoke agents’ licenses. But they have only 60 days after discovering the fraudulent enrollment to do so.

ACA 80

ACA Health Insurance Licensing Governance 80

HIPAA Journal

APRIL 18, 2023

The information in the compromised email account included full names, home addresses, dates of birth, medical and treatment information, health insurance information, and billing and claims information, with some individuals also having their Social Security numbers, financial account information, and driver’s license numbers compromised.

HIPAA 102

HIPAA Fraud Licensing Health Insurance 102

HIPAA Journal

FEBRUARY 8, 2024

Azura Vascular Care said individuals who had sensitive information exposed such as Social Security numbers have been offered complimentary identity protection, credit monitoring, and fraud resolution services.

Ransomware 92

Ransomware Electronic Medical Records Licensing Health Insurance 92

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.

Ransomware 107

Ransomware HIPAA Fraud Licensing 107

AIHC

SEPTEMBER 25, 2024

The American Institute of Healthcare Compliance (AIHC), a Licensing/Certification partner with CMS, provides periodic news blasts highlighting noteworthy cases of fraud, waste, abuse and other violations. Government agencies expect your organization to stay informed. These are free ways to stay informed of lessons learned.

Fraud 52

Fraud Compliance Compliance Officers Licensing 52

HIPAA Journal

NOVEMBER 15, 2022

At least five complaints have now been filed in the U.S. One lawsuit took issue with Somnia Inc.

HIPAA 83

HIPAA Fraud Licensing Health Insurance 83

Provider Trust

OCTOBER 10, 2023

With new regulations and a changing payer demographic—marked by health plans entering new contracts such as Medicare Advantage—the demands for credentialing support can quickly outpace an organization’s available resources.

Licensing 52

Licensing Health Insurance Fraud Medicare 52