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.

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HIPAA Fraud Compliance Health Insurance 119

HIPAA Journal

FEBRUARY 23, 2022

What is HIPAA? HIPAA is an acronym for the Health Insurance Portability and Accountability Act. So how did HIPAA evolve from being a vehicle for improving the portability and continuity of health insurance coverage to being one of the most comprehensive and detailed federal privacy laws? What is HIPAA Title II?

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HIPAA Fraud Health Insurance Medicaid 102

HIPAA Journal

MARCH 16, 2022

This is the first settlement to be reached under the DOJ Civil Cyber Fraud Initiative, which was launched in 2021. CHS was also alleged to have been made aware of several HIPAA breaches but failed to disclose them.

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Fraud Electronic Medical Records Governance HIPAA 118

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.

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HIPAA Fraud Health Insurance Compliance 106

Compliancy Group

DECEMBER 9, 2024

Patient files, clinical and treatment information, and information related to insurance or claim information, constitute electronic protected health information (ePHI) under the Health Insurance Portability and Accountability Act (HIPAA). Mitigate risk through a risk management plan.

Ransomware 98

Ransomware Licensing HIPAA Compliance 98

American Medical Compliance

OCTOBER 25, 2024

Audits serve as a critical defense against fraud and inefficiency while fostering trust in your practice. For instance, an individual who unknowingly violates HIPAA will pay a $100 fine per violation with an annual maximum of $25,000 for those who repeat violation, according to the National Institutes of Health.

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Compliance Fraud Compliance Framework HIPAA 105

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? Without HIPAA, employees faced a loss of insurance coverage when they were between jobs.

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HIPAA Compliance Fraud Health Insurance 109

Healthcare IT Today

DECEMBER 20, 2022

The hospital may be penalized for its HIPAA compliance based on the investigation caused by the alleged illegal activities of its rogue employees. Harvey allegedly received patient information from Kirby Dandridge, 38, Sylvia Taylor, 43, Kara Thompson, 30, Melanie Russell, 41, and Adrianna Taber, 26, who were all charged with violating HIPAA.

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HIPAA Nurses Licensing Compliance 107

HIPAA Journal

JANUARY 10, 2024

Stripe is not HIPAA compliant and – other than its payment processing services – should not be used by covered entities and business associates to create, collect, store, or transmit Protected Health Information (PHI). As well as its payment processing activities, Stripe provides billing, identity verification, and fraud management services.

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HIPAA US Department of Health and Human Services Fraud Telemedicine 92

HIPAA Journal

JANUARY 1, 2023

Many articles discussing what does HIPAA stand for fail to give a complete answer. 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. Tackling the Cost Implications of HIPAA.

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HIPAA Health Insurance Fraud Governance 97

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.

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HIPAA Health Insurance Fraud Electronic Medical Records 105

HIPAA Journal

JANUARY 12, 2023

One of the challenges with developing HIPAA was to create rules that would correct inefficiencies and get the healthcare system working more harmoniously. The way that HIPAA needed to be written has naturally led to the legislation receiving a lot of criticism. How HIPAA has Benefited Healthcare Organizations.

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HIPAA Compliance Fraud COVID-19 106

HIT Consultant

NOVEMBER 21, 2024

billion annually to maintain HIPAA compliance with patient data. The ability to create a smart contract for a healthcare claim and remittance introduces automation, transparency, and auditability while removing fraud from the process of healthcare payments.

Fraud 97

Fraud HIPAA Compliance 97

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). million individuals and for delayed breach notifications.

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HIPAA Compliance Ransomware Hospitals 102

Compliancy Group

APRIL 18, 2025

For compliance professionals, understanding how these different rules interact, including HIPAA, the Stark Law, the Anti-Kickback Statute, FWA, OIG guidance, and OSHA regulations, is key to creating a safe healthcare environment of the highest quality. With annual U.S. healthcare expenditures exceeding $4.5

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Regulatory Compliance Compliance Fraud HIPAA 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.

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HIPAA Compliance Medicare Medicare 106

HIPAA Journal

JUNE 15, 2023

The HHS’ Office for Civil Rights (OCR) investigates all reported breaches of the protected health information of 500 or more individuals and some smaller breaches to determine if the breach was caused by the failure to comply with the HIPAA Rules.

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HIPAA Hospitals Electronic Medical Records Fraud 98

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.

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HIPAA Ransomware Health Insurance Fraud 102

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.

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HIPAA Ransomware Health Insurance Compliance 103

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).

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HIPAA Ransomware Malpractice Health Insurance 109

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.

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HIPAA Fraud Health Insurance Compliance 96

Compliancy Group

MAY 27, 2022

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 Compliance Simplified. No damages have been claimed, but the lawsuit requests a jury trial.

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HIPAA Ransomware Hospitals Health Insurance 98

HIPAA Journal

APRIL 11, 2025

The affected individuals should be vigilant against identity theft and other fraud by monitoring their accounts and Explanation of Benefits statements carefully. Million People appeared first on The HIPAA Journal. The call center – 1-855-549-2662 is open Monday through Friday from 9:00 AM to 9:00 PM ET.

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Ransomware Fraud HIPAA Licensing 78

HIPAA Journal

DECEMBER 2, 2022

The HHS’ Office for Civil Rights has issued a bulletin confirming that the use of third-party tracking technologies on websites, web applications, and mobile apps without a business associate agreement (BAA) is a HIPAA violation if the tracking technology collects and transmits individually identifiable health information.

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HIPAA Compliance Hospitals Fraud 106

Total Medical Compliance Resources

NOVEMBER 11, 2024

link] HIPAA Fraud, Waste, and Abuse Awareness Course $30.00 Our new online course on HIPAA regulations equips employees to combat fraud, waste, and abuse in healthcare. Participants will learn to identify, prevent, and report these issues, ensuring compliance with HIPAA and protecting patient privacy and resources.

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ADA HIPAA Compliance Fraud 59

Healthcare IT Today

MARCH 19, 2025

These events expose the limitations of traditional systems in combating emerging threats like AI-generated fraud and identity manipulation. Recent incidents, such as the massive theft of NHS records in 2024 and a surge in ransomware attacks on healthcare providers, emphasize the urgent need for stronger security frameworks.

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Fraud Ransomware HIPAA Compliance 60

HIPAA Journal

NOVEMBER 16, 2022

Credit monitoring, fraud consultation, and identity theft protection services have been offered to affected individuals. Notification letters were sent on October 31, 2022, and qualified patients have been offered credit monitoring, fraud consultation, and identity restoration services at no cost.

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HIPAA Licensing Health Insurance Fraud 107

HIPAA Journal

APRIL 16, 2025

Claims may also be submitted to recover extraordinary losses, such as losses due to identity theft and fraud, up to a maximum of $5,000 per class member. Million Settlement to Resolve Data Breach Lawsuit appeared first on The HIPAA Journal. Klinger of Millberg Coleman Bryson Phillips Grossman PLLC, and Tyler J.

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Ransomware Fraud Licensing HIPAA 55

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.

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Compliance HIPAA Electronic Medical Records Fraud 52

HIPAA Journal

JANUARY 30, 2023

The National HIPAA Summit is the leading forum on healthcare EDI, privacy, breach notification, confidentiality, data security, and HIPAA compliance, and the deadline for registration for the Virtual 40th National HIPAA Summit is fast approaching.

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US Department of Health and Human Services HIPAA Compliance Medicaid 81

Healthcare It News

DECEMBER 5, 2022

" Community also said that the investigation has not found evidence that misuse or fraud has occurred as a result of the breach, and it "cannot say with certainty what information was involved."

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Fraud HIPAA Compliance Hospitals 297

HIT Consultant

DECEMBER 18, 2024

Identity theft, fraud, and long-term financial harm are just a few examples of the personal fallout patients may face following a data breach. Prevention strategies, aligned with standards like HIPAA and HITRUST, are essential in safeguarding sensitive health data against exfiltration.

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Ransomware Fraud Doctors HIPAA 105

Bill of Health

OCTOBER 30, 2023

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. Finally, emojis raise legal issues as a new form of data subject to HIPAA compliance, as well as accessibility concerns for the visually impaired. This year a “thumbs-up” emoji was found to be part of a legally binding contract.

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Doctors Hospitals Fraud Health Insurance 290

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.

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Compliance Fraud HIPAA Health Insurance 105

HIT Consultant

NOVEMBER 4, 2024

Healthcare organizations must have systems to protect sensitive information from identity theft and fraud, insider threats from employees or contractors with malicious intent, and the manipulation, deletion, corruption, or exposure of electronic health records. However, protecting patient identity is equally crucial. billion and $2.45

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Ransomware Regulatory Compliance Compliance Fraud 98

HIPAA Journal

MARCH 11, 2025

While the risks associated with the incident are believed to be low, all affected individuals have been advised to be vigilant against phishing attempts and other fraud. The post Cyberattack on Sunflower Medical Group Affects 221,000 Patients appeared first on The HIPAA Journal.

Department of Veterans Affairs 81

Department of Veterans Affairs Licensing Ransomware Fraud 81

HIPAA Journal

JULY 4, 2024

The HIPAA rules and regulations are the standards and implementation specifications adopted by federal agencies to streamline healthcare transactions and protect the privacy and security of individually identifiable health information. This guide explains why the HIPAA rules and regulations exist, what they consist of, and who they apply to.

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HIPAA Compliance Fraud Medicare 55