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. The Office of Inspector General (OIG) Monitors and enforces compliance with regulations that prevent fraud, waste, and abuse in healthcare programs.

Compliance 52

Compliance HIPAA Licensing Governance 52

Verisys

MARCH 6, 2025

Health Insurance Portability and Accountability Act (HIPAA) Ensuring patient privacy by constantly monitoring data handling practices. If something looks off, it can alert compliance officers or hospital staff, who can then work to secure data and avoid a HIPAA breach. Summary of the HIPAA Privacy Rule. link] Cosmos.

Compliance 52

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

HIPAA Journal

APRIL 25, 2024

The exposed and stolen data included contact information, Social Security numbers, driver’s license numbers, financial information, health insurance information, medical records, medical histories, diagnoses/conditions, and health insurance information. During that time, files containing patient data were exfiltrated from its network.

Fraud 120

Fraud Health Insurance HIPAA Licensing 120

HIPAA Journal

APRIL 24, 2023

The new law applies to persons who own or license computerized data that includes the personal information of Utah residents. If a system security breach is discovered, a prompt investigation should be conducted to determine the likelihood that personal information has been or will be misused for identity theft or fraud.

Fraud 103

Fraud Licensing HIPAA Governance 103

HIPAA Journal

JULY 4, 2024

A limited number of patients had their Social Security numbers, driver’s license numbers, financial account information, and/or credit card information exposed. The post Email Breaches Reported by SkinCure Oncology & the Wisconsin Department of Health Services appeared first on The HIPAA Journal. to 5:30 p.m. Central Time.

Medicaid 120

Medicaid Medicaid Fraud Licensing 120

HIPAA Journal

NOVEMBER 23, 2022

Current and former employees and job applicants have had their names, birth dates, Social Security numbers, driver’s license numbers, and/or state IDs exposed, as well as financial account numbers for a limited number of individuals.

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

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. Valle De Sol said it has not received any reports from patients to suggest any misuse of their data.

Health Insurance 136

Health Insurance Licensing Fraud HIPAA 136

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

HIPAA Journal

DECEMBER 15, 2022

Attorney’s Office charged Mulvey with tampering with a consumer product, acquiring controlled substances by fraud, and criminal violations of the Heath Insurance Portability and Accountability Act (HIPAA). The criminal HIPAA violations and other charges were dropped as part of the agreement.

Nurses 103

Nurses HIPAA Fraud Licensing 103

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. As a precaution against identity theft and fraud, complimentary memberships have been offered to a credit monitoring service for 12 months.

Licensing 119

Licensing Health Insurance Fraud HIPAA 119

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. The lawsuit, filed in the Circuit Court of the City of St.

Fraud 128

Fraud Licensing HIPAA Health Insurance 128

HIPAA Journal

APRIL 15, 2022

A subset of individuals also had their Social Security numbers and/or driver’s license numbers exposed. The post SuperCare Health Sued Over 318,000-Record Data Breach appeared first on HIPAA Journal.

Electronic Medical Records 124

Electronic Medical Records HIPAA Health Insurance Fraud 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 102

Hospitals Fraud Licensing HIPAA 102

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

FEBRUARY 14, 2023

The compromised email accounts contained patient names, medical record numbers, driver’s license numbers, financial account information, Social Security numbers, health insurance information, and clinical or treatment information. Million Settlement to Resolve Data Breach Lawsuit appeared first on HIPAA Journal.

Fraud 116

Fraud Licensing Health Insurance HIPAA 116

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 post Class Action Lawsuit Filed Against Cardiovascular Associates Over 441K-Record Data Breach appeared first on HIPAA Journal.

HIPAA 111

HIPAA Fraud Licensing Health Insurance 111

Compliancy Group

NOVEMBER 25, 2024

The Office of Inspector General’s (OIG) List of Excluded Individuals and Entities (LEIE) helps prevent fraud, ensure high-quality levels of care, and keep businesses aligned with regulatory measurements.

Compliance 52

Compliance Fraud Medicaid Medicaid 52

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

Verisys

NOVEMBER 8, 2023

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. While health plans may use other numbers internally, the NPI is mandatory for HIPAA transactions.

Fraud 97

Fraud HIPAA Medicare Medicare 97

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

FEBRUARY 15, 2023

Associates affected by the breach had their Social Security numbers, driver’s license numbers, and financial account information exposed. Claims may be submitted for reimbursement of documented, unreimbursed extraordinary losses due to identity theft and fraud, up to a maximum of $5,000.

Ransomware 109

Ransomware Fraud Licensing Health Insurance 109

Healthcare IT News - Telehealth

APRIL 6, 2021

Licensing is based on a per-visit model, according to the company, allowing for easier data capture and reporting for reimbursement. Security features on the HIPAA-ready platform include access controls, encryption, privacy checks, locked meetings and fraud detection. THE LARGER TREND.

Fraud 137

Fraud Telemedicine Licensing HIPAA 137

Healthcare IT News - Telehealth

JULY 19, 2021

It has nine licensed mental health professionals on staff, all committed to providing thorough delivery of psychiatric care based on the latest research. Nor was it HIPAA-compliant, a major concern. "This integration meant that the telehealth would be just as HIPAA-compliant as the EHR," Shah explained. THE PROBLEM.

COVID-19 167

COVID-19 HIPAA Ransomware Governance 167

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 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

JANUARY 17, 2023

Affected individuals have been advised to be vigilant against incidents of identity theft and fraud by reviewing their account statements and explanation of benefit forms. The post Home Care Providers of Texas Announces 124K-Record Data Breach appeared first on HIPAA Journal. million total.

Ransomware 120

Ransomware Fraud HIPAA Licensing 120

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. The post Up to 170,450 Patients Affected by Cyberattack on the Chattanooga Heart Institute appeared first on HIPAA Journal.

Licensing 97

Licensing Electronic Medical Records Ransomware Health Insurance 97

MedTrainer

JULY 28, 2023

Earlier this year, an in-depth OIG investigation resulted in a six-day trial of a former Louisiana health clinic CEO , who was ultimately convicted of Medicaid fraud and sentenced to 82 months in federal prison. But what exactly is considered fraud, waste, and abuse? These complaints can trigger an audit. Data Analysis and Trends.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

HIPAA Journal

APRIL 1, 2022

While Ciox’s investigation did not find any instances of fraud or identity theft as a result of this incident, out of an abundance of caution, beginning today, Ciox is notifying affected Catholic Health patients,” said Catholic Health, in a March 30, 2022 post on its website.

Fraud 141

Fraud HIPAA Licensing Health Insurance 141

HIPAA Journal

NOVEMBER 12, 2024

Orthopedics Rhode Island said it is unaware of any misuse of that information but has advised all affected individuals to be vigilant against identity theft and fraud. The post Data Breaches Announced by New Jersey Rehabilitation Center & Rhode Island Orthopedic Practice appeared first on The HIPAA Journal.

Health Insurance 85

Health Insurance Fraud Licensing HIPAA 85

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

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. The post Superior Air-Ground Ambulance Service Data Breach Affects 858K Individuals appeared first on HIPAA Journal.

Fraud 82

Fraud Licensing HIPAA Health Insurance 82

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. This coincides with the 60-day reporting deadline of the HIPAA Breach Notification Rule.

Ransomware 107

Ransomware HIPAA Fraud Licensing 107

HIPAA Journal

DECEMBER 20, 2022

The exposed files contained names, Social Security numbers, driver’s license numbers, health insurance information, and/or medical information. Those files contained names, addresses, email addresses, dates of birth, Social Security Numbers, driver’s license numbers, medical record numbers, and health insurance information.

Health Insurance 110

Health Insurance Licensing Hospitals Fraud 110

HIPAA Journal

MARCH 7, 2025

Organizations and individuals are added to the HHS-OIGs List of Excluded Individuals and Entities (LEIE) when exclusion is mandated by law, such as when an individual has been convicted of Medicare/Medicaid fraud or patient abuse/neglect. A settlement was agreed that involved a civil monetary penalty of $243,000.

Fraud 52

Fraud Nurses Licensing HIPAA 52

HIPAA Journal

NOVEMBER 15, 2022

– over the data breach that allege the company was negligent for failing to implement appropriate safeguards to ensure the confidentiality, integrity, and availability of patient information, that Somnia failed to comply with FTC guidelines and the HIPAA Rules and had not followed industry standards for data security.

HIPAA 83

HIPAA Fraud Licensing Health Insurance 83