HIPAA Seal of Compliance = Consumer Fraud
Healthcare IT Today
JANUARY 19, 2021
The Federal Trade Commission (FTC) announced a consumer fraud settlement against a company that displayed a ‘HIPAA Compliant’ seal on its website.
Fraud HIPAA Information 
The Importance of Staying Informed
AIHC
SEPTEMBER 25, 2024
There is value in learning from another organization’s lessons publicly posted by a government authority, such as the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), the HIPAA enforcement agency, the Office of Civil Rights (OCR) or the Federal Bureau of Investigations (FBI). You may unsubscribe at any time.
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Pharma Sales Rep Pleads Guilty to Healthcare Fraud and Criminal HIPAA Violations
HIPAA Journal
OCTOBER 21, 2022
A pharmaceutical sales rep has pleaded guilty to conspiring to commit healthcare fraud and wrongfully disclosing and obtaining patients’ protected health information in an elaborate healthcare fraud scheme involving criminal HIPAA violations. Ritson would then be paid a commission on those prescriptions.
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HIPAA Rules and Regulations
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. These instructions evolved into what many consider to be the HIPAA Rules and Regulations.
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Is Stripe HIPAA Compliant?
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). Is Stripe HIPAA Compliant? Stripe complies with multiple US and International data privacy regulations (i.e.,
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Why is HIPAA Important?
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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Editorial: Benefits of HIPAA for Healthcare Professionals
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 Compliance Checklist For Healthcare Leaders
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.
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What is HIPAA?
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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When HIPAA Becomes Criminal
Healthcare IT Today
DECEMBER 20, 2022
Former Hospital Employees Accused of Selling Patient Information. Five former employees of Methodist Hospital in Memphis, TN, including a recently-licensed Registered Nurse, were indicted by a federal grand jury for allegedly selling medical information about car accident victims to personal injury attorneys and chiropractors.
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Editorial: How Does HIPAA Improve Healthcare?
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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What is a HIPAA Violation?
HIPAA Journal
DECEMBER 31, 2022
To best answer the question what is a HIPAA violation, it is necessary to explain what HIPAA is, who it applies to, and what constitutes a violation; for although most people believe they know what a HIPAA compliance violation is, evidence suggests otherwise. What is HIPAA and Who Does It Apply To?
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What Does the HIPAA Security Rule Cover?
HIPAA Journal
SEPTEMBER 12, 2024
The HIPAA Security Rule covers a subset of individually identifiable health information protected by the Privacy Rule and it applies when Protected Health Information is created, received, stored, or transmitted electronically. Most of Title II of HIPAA addresses fraud and abuse against federal health programs.
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HIPAA Transactions and Code Sets Rules
HIPAA Journal
JULY 3, 2024
The HIPAA transactions and code sets rules have the objective of replacing non-standard descriptions of healthcare activities with standard formats for each type of activity in order to streamline administrative processes, lower operating costs, and improve the quality of data. Claim or Equivalent Encounter Information.
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Editoirial: Benefits of HIPAA for Patients
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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Schneck Medical Center Settles HIPAA Lawsuit with Indiana AG
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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Washington Hospital Pays $240,000 HIPAA Penalty After Security Guards Access Medical Records
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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Arizona Man Sentenced to 54 Months in Criminal HIPAA Violation Case
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.
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HIPAA Enforcement by State Attorneys General
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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What Does HIPAA Stand For?
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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DOJ Settles Civil Cyber Fraud Initiative Case with CHS and Imposes a $930,000 Penalty
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. Some staff members expressed concern about the insecure storage of private medical information, but CHS took no action to address the issue and failed to ensure medical records were only stored in the EMR system.
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Fraud-Proofing Your Telehealth Strategy
HIT Consultant
OCTOBER 18, 2021
Capturing and combatting fraud in today’s healthcare landscape requires the convergence of innovation and experience to drive value beyond the margins. Organizations must take a multi-layered approach to identify, address, and prevent fraud. Identification to Inform Action. Awareness is a crucial first step.
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New York Law Firm Pays $200,000 to State AG to Resolve HIPAA Violations
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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Judge Questions Whether Website Metadata is Regulated by HIPAA
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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Editorial: Benefits of HIPAA for Healthcare Organizations
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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2 DOJ Cyber Fraud Initiative Cases Net Almost $10 Million
Compliancy Group
AUGUST 31, 2022
Department of Justice’s (DOJ) Civil Cyber Fraud Initiative (CCFI). Details of DOJ Cyber Fraud Initiative Settlements. Even after staff raised concerns about the privacy of protected medical information, CHS did not take adequate steps to store the data exclusively on the EMR system. × Automated HIPAA Compliance.
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Michigan Law Firm and Medical Imaging Companies Confirm Breaches of Patient Information
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. The breach was detected on October 22, 2021.
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Virtual 40th National HIPAA Summit – Early Bird Discount Ends 2/3
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. Jillson, JD – Counsel to the Director, Bureau of Consumer Protection, U.S.
Editorial: Lessons from Biggest HIPAA Breaches of 2022
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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Understanding HIPAA Compliance in Medical Billing
Medisys Compliance
JUNE 23, 2024
Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. What is HIPAA? Implement Administrative Safeguards Administrative safeguards are the foundation of HIPAA compliance.
The Need for Healthcare Fraud and Abuse Training
Total Medical Compliance Resources
MAY 11, 2023
trillion is spent on healthcare in the United States, of which an estimated $60 billion is attributable to fraud and abuse. In order to combat this, HIPAA established the Healthcare Fraud and Abuse Control Program (HCFAC). Criminal Health Care Fraud Statute – 18 U.S.C. Every year a minimum of $4.3
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The Final Rule: Information Blocking
AIHC
SEPTEMBER 21, 2023
Written by Joanne Byron, BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS This article addresses the Information Blocking Final Rule regarding enforcement, associated Civil Monetary Penalties (CMPs) and entities subject to these penalties. Information blocking is defined in § 171.103.
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OCR Confirms Use of Website and Other Tracking Technologies Without a BAA is a HIPAA Violation
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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Editorial: How Does HIPAA Improve Healthcare?
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 post, 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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Understanding Sanction Screening: Safeguarding Healthcare Integrity Under HIPAA
Total Medical ComplianceHIPAA
JANUARY 11, 2024
HIPAA stands as a beacon of privacy and security standards within the industry. These screenings search through various databases containing records of individuals or organizations barred from participating in Medicaid, Medicare, or other federal/state healthcare programs due to fraud, abuse, or other offenses.
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Lawsuits Increasing Following HIPAA Breaches
Compliancy Group
MAY 27, 2022
Almost as surely as summer follows spring, lawsuits follow breaches of protected health information. 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.
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Editorial: 5 Gaps in HIPAA and How They Are Being Filled
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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Employee Snooping Leads to $240,000 HIPAA Fine
Compliancy Group
JUNE 15, 2023
On June 15, 2023, the Department of Health and Human Services Office for Civil Rights (OCR) announced a HIPAA settlement with Yakima Valley Memorial Hospital. The security guards allegedly accessed files containing names, dates of birth, medical record numbers, addresses, treatment notes, and insurance information of 419 patients.
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RansomHub Leaks 175GB of Data from Clinical Research Institute
HIT Consultant
JULY 29, 2024
– The stolen data includes a wide range of confidential information, including clinical trial programs, financial data, patient information, and employee details. Among the leaked data are patient records containing sensitive medical information, such as nationality, age, gender, and details of medical incidents.
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The Consequences of HIPAA Non-Compliance for Insurance Agents
Total HIPAA
MARCH 22, 2023
Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). Failure to comply with HIPAA regulations can result in severe consequences for insurance agents and their clients. million per year for each violation.
Understanding FWA Compliance in Healthcare
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.
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LivaNova Facing Multiple Class Action Lawsuits Over October 2023 Cyberattack
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.
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HIPAA Privacy Rule: The Consequences Behind the Violations
Compliancy Group
JUNE 21, 2023
The HIPAA Privacy Rule, established under the Health Insurance Portability and Accountability Act (HIPAA), was designed to protect sensitive patient information from unauthorized access. It requires healthcare providers, health plans, and other covered entities to safeguard patients protected health information (PHI).
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Michigan Law Firm and Texas Medical Imaging Company Confirm Breaches of Patient Information
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. The breach was detected on October 22, 2021.
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