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 115

Medicaid Medicaid Fraud Licensing 115

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

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 96

HIPAA Licensing Health Insurance Fraud 96

HIPAA Journal

OCTOBER 17, 2022

The exposed information included names, dates of birth, Social Security numbers, driver’s license numbers, clinical/diagnosis information, health insurance member ID numbers, medical record numbers, and Medicare or Medicaid numbers.

Health Insurance 124

Health Insurance Licensing Fraud HIPAA 124

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 87

Hospitals Fraud Licensing HIPAA 87

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 104

Fraud Licensing HIPAA Health Insurance 104

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 83

Fraud Licensing HIPAA Health Insurance 83

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 118

Health Insurance Licensing Ransomware Fraud 118

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 80

Licensing Electronic Medical Records Ransomware Health Insurance 80

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 111

Licensing Health Insurance Fraud HIPAA 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. Gateway Diagnostic Imaging and Radiology Ltd.

Fraud 109

Fraud Health Insurance Ransomware HIPAA 109

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 117

Ransomware Fraud Licensing HIPAA 117

Compliancy Group

JUNE 7, 2024

The onboarding process is pivotal in ensuring employees understand their job duties, engage in best cybersecurity practices, and comply with important regulations like the Health Insurance Portability and Accountability Act, Occupational Health and Safety Administration, and prevention of Fraud, Waste, and Abuse in healthcare.

US Department of Health and Human Services 52

US Department of Health and Human Services Electronic Medical Records Compliance Fraud 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 103

Fraud Licensing Health Insurance HIPAA 103

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

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 102

Health Insurance Licensing Hospitals Fraud 102

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 95

Ransomware Fraud Licensing Health Insurance 95

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 106

HIPAA Fraud Licensing Health Insurance 106

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 90

Ransomware Electronic Medical Records Licensing Health Insurance 90

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 81

Medicaid Medicaid Health Insurance Licensing 81

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

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 77

Fraud Health Insurance Ransomware HIPAA 77

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 96

HIPAA Ransomware Health Insurance Fraud 96

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 121

Fraud Licensing HIPAA Health Insurance 121

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

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 103

HIPAA Fraud Licensing Health Insurance 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 95

Health Insurance Public Health Ransomware Fraud 95

Compliancy Group

MARCH 8, 2023

The Medicare Exclusion Database can trace its roots to 1996, when HIPAA (Health Insurance Portability and Accountability Act) was signed into law. HIPAA authorized the OIG to provide guidance to the healthcare industry, to prevent fraud and abuse, and to promote high levels of ethical and lawful conduct.

Medicare 52

Medicare Medicare Fraud HIPAA 52

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 93

COVID-19 Vaccine COVID-19 Department of Veterans Affairs Licensing 93

HIPAA Journal

JULY 27, 2023

The stolen information included names, addresses, email addresses, dates of birth, Social Security numbers, government identification ID numbers, driver’s license numbers, payment/financial institution information, health insurance providers, medical treatment information, medical diagnoses, medications, medical images, and lab test results.

Ransomware 52

Ransomware Fraud Licensing Health Insurance 52

HIPAA Journal

SEPTEMBER 12, 2024

Prior to HIPAA being passed in 1996, concerns were raised that the cost of reforming the health insurance industry would be passed onto employers and employees in the form of higher premiums. As health insurance premiums are tax deductible, this would impact federal tax revenues.

HIPAA 45

HIPAA Health Insurance Fraud Licensing 45

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 133

Ransomware Fraud HIPAA Licensing 133

HIPAA Journal

JULY 24, 2023

The team’s roles are to investigate and audit the Department’s operations to prevent fraud, waste, and abuse within the Department, and also to audit and investigate potential crimes against the Department. Subsequent Acts of Congress increased the OIG’s regulatory authority to prevent crimes against the Department.

Fraud 52

Fraud Medicare Medicare Medicaid 52

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 89

HIPAA Fraud Licensing Health Insurance 89

MedTrainer

JUNE 10, 2024

Domestic violence training is required based on licensing. Provide required and often hard-to-find CE courses for licensed employees. California also requires all individuals who are considered mandated reporters under California law to receive training. Included in this blog post are the results of an audit on California requirements.

Compliance 52

Compliance Licensing HIPAA Compliance Framework 52

MedTrainer

JANUARY 12, 2024

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. Compliance in healthcare began to encompass billing, fraud, and abuse prevention.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

MedTrainer

JULY 30, 2024

Provide required and often hard-to-find CE courses for licensed employees. Requirements vary by care setting (industry), employee role, a risk assessment, and more. Role-Specific Training: Don’t assign the same training to all employees.

Compliance 52

Compliance HIPAA Compliance Framework ADA 52