Becker's Health IT

AUGUST 23, 2024

Federal grand jury indicts alleged member of hacking group involved in extortion of hospitals. Russian man charged with money laundering and wire fraud.

Hospitals 111

Hospitals Fraud 111

Healthcare IT Today

JUNE 2, 2023

With those competing priorities, fraud prevention does not always make its way to the top of the list of considerations, even when it should. According to the National Health Care Anti-Fraud Association, fraud costs the U.S. healthcare industry more than $50 billion each year. What Exactly is KYP?

Fraud 111

Fraud Ransomware Licensing Governance 111

Healthcare IT News - Telehealth

FEBRUARY 10, 2021

Eric Jimenez, CIO at Artesia General Hospital in Artesia, New Mexico. NYU Langone Health experienced explosive growth in telehealth visits, online appointment booking, online physician finding, remote patient monitoring, and connecting via video inside the hospital when visitors could not be accommodated.

COVID-19 217

COVID-19 Hospitals Nurses Healthcare information Technology 217

Healthcare IT Today

OCTOBER 22, 2020

The US Department of Justice has filed charges against 345 defendants, including more than 100 medical professionals, accusing them of engaging in healthcare fraud schemes. The […].

Fraud 86

Fraud COVID-19 Medicaid Medicaid 86

Bill of Health

OCTOBER 30, 2023

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. Public Health Awareness First, hospitals might try to reach patients through engaging ads that deploy emojis. The Stark Law requires hospital advertisements disclose when physicians may have financial conflicts of interest.

Doctors 290

Doctors Hospitals Fraud Health Insurance 290

HIPAA Journal

JUNE 28, 2023

Good Samaritan Hospital in San Jose, CA, has agreed to settle a class action lawsuit that was filed in response to a data breach that exposed the protected health information of up to 233,835 individuals. The post Good Samaritan Hospital Settles Class Action Data Breach Lawsuit appeared first on HIPAA Journal.

Hospitals 101

Hospitals Fraud Licensing HIPAA 101

HIT Consultant

DECEMBER 10, 2021

What You Should Know: – Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era. Hospital-Psychiatric Unit. Report Background. Physician/Psychiatry. Psychologist, Clinical.

Fraud 98

Fraud COVID-19 Nurses Licensing 98

HIPAA Journal

JANUARY 3, 2023

For this reason, and due to the volume of reports, for the 2022 report, Emsisoft did not compile data for healthcare organizations and instead focused on hospitals and multi-hospital health systems. Out of the 24 confirmed attacks on hospitals, data theft occurred in 17 of those attacks (68%).

Ransomware 125

Ransomware Hospitals HIPAA Governance 125

Healthcare IT Today

NOVEMBER 24, 2024

year-over-year increase in hospital labor expenses , due in large part to higher wages. Cotiviti launched 360 Pattern Review , which combines pre-pay fraud, waste, and abuse prevention with post-pay review across the claim payment cycle. Even with retail pharmacies closing, only 16% of patients prefer online pharmacies.

Nurses 95

Nurses Fraud Telemedicine Hospitals 95

American Medical Compliance

OCTOBER 25, 2024

From small clinics to expansive hospital systems, healthcare providers must navigate a complex web of federal, state, and local regulations designed to protect patient care. Audits serve as a critical defense against fraud and inefficiency while fostering trust in your practice.

Compliance 105

Compliance Fraud Compliance Framework HIPAA 105

Healthcare IT Today

MARCH 13, 2025

Jepsen and Kajanoff also discuss the prevalence of fraud in our interview. Jepsen also shares how the high infant mortality in New Mexico is related to a mothers’ inability to get access to prenatal care, and at times to the hospital.

Medical Billing 78

Medical Billing Fraud Hospitals Medicaid 78

HIPAA Journal

AUGUST 1, 2022

The post Meta Facing Further Class Action Lawsuit Over Use of Meta Pixel Code on Hospital Websites appeared first on HIPAA Journal.

Hospitals 131

Hospitals HIPAA Fraud 131

Compliancy Group

APRIL 25, 2024

Components of Medicare Fraud, Waste, and Abuse Training One of the most important elements of CMS Medicare fraud, waste, and abuse training is defining and differentiating these three terms : Fraud is the deliberate attempt to obtain financial gain through deceptive means, such as providing false information. See how it works!

Fraud 59

Fraud Medicare Medicare Compliance 59

HIPAA Journal

MAY 10, 2023

McPherson Hospital – Ransomware Attack McPherson Hospital in Kansas has recently issued notification letters to 19,020 patients to alert them about a July 2022 ransomware attack. McPherson Hospital said its technical safeguards have been reviewed and enhanced to prevent similar incidents in the future.

Hospitals 110

Hospitals Ransomware Health Insurance Fraud 110

American Medical Compliance

FEBRUARY 21, 2025

Gutweiler emphasized AMCs role in supporting hospitals, clinics, and healthcare professionals with world-class compliance training solutions, setting the stage for AMCs continued growth in the region. Key Takeaways from Arab Health 2025 Arab Health 2025 showcased the latest trends and advancements shaping global healthcare.

Compliance 71

Compliance ADA Governance Medical Billing 71

Healthcare IT News - Telehealth

SEPTEMBER 12, 2024

Queensland to pilot telestroke service at Hervey Bay Hospital The Queensland government has designated Hervey Bay Hospital as the pilot site for the upcoming statewide telestroke service. The InterSystems integration also allows didgUgo to leverage AI for fraud prevention.

Doctors 168

Doctors Governance Fraud Hospitals 168

HIPAA Journal

JUNE 15, 2023

A relatively small data breach was reported to OCR on February 28, 2018, by Yakima Valley Memorial Hospital (formerly Virginia Mason Memorial), a 222-bed non-profit community hospital in Washington state. So far this year, penalties totaling $1,901,500 have been imposed by OCR to resolve violations of the HIPAA Rules.

HIPAA 98

HIPAA Hospitals Electronic Medical Records Fraud 98

Healthcare IT Today

NOVEMBER 22, 2024

At the height of the COVID pandemic in 2020, several hospitals across the country were targeted in ransomware attacks. This forced hospitals to divert patients for care, delaying treatment, and resulting in the loss of thousands of patient records.

Ransomware 72

Ransomware Hospitals COVID-19 Compliance 72

Verisys

MARCH 6, 2025

Emerging technologies arent siloed to the hospital floor or operating room. If something looks off, it can alert compliance officers or hospital staff, who can then work to secure data and avoid a HIPAA breach. In the 2024 survey, 60% of participants relayed that AI integration will add 10% to their yearly budget.

Compliance 52

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

Healthcare IT Today

SEPTEMBER 24, 2021

According to a survey by Proofpoint, the average healthcare organization received about 200,000 emails from over 10,000 different 3rd party domains. When you consider the thousands of vendors and suppliers that work with a healthcare organization, this isn’t a big surprise.

Fraud 111

Fraud Hospitals 111

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."

Fraud 304

Fraud HIPAA Compliance Hospitals 304

Hall Render

MARCH 12, 2025

However, if a complaint alleges specific, geographically limited fraud that does not suggest a broader scheme, claims against different subsidiaries may not be precluded. This decision ensures that whistleblowers can still bring new and distinct allegations of fraud even if similar cases were filed previously.

Fraud 52

Fraud Governance Medicaid Medicaid 52

Compliancy Group

OCTOBER 28, 2024

Health and Human Services (HHS) Department’s efforts to eliminate fraud, waste, and abuse. While the CPG applies to all hospitals, practices, suppliers, and other healthcare entities, the ICPGs address the salient risk factors in each specific sector. Established in 1976, the Office of Inspector General (OIG) has led the U.S.

Nurses 52

Nurses Compliance Nursing Homes Compliance Officers 52

HIPAA Journal

MAY 10, 2023

District Court for the Southern District of Iowa that alleges University of Iowa Hospitals and Clinics (UIHC) unlawfully, negligently, and recklessly disclosed patients’ private information to Facebook, without obtaining patient consent. A lawsuit has been filed in the U.S. A study that was recently published in Health Affairs found 98.6%

Hospitals 105

Hospitals HIPAA Fraud 105

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. This situation stresses how cyberattacks can disrupt immediate patient care and create long-term financial challenges that threaten the ability to deliver essential therapies.

Ransomware 105

Ransomware Fraud HIPAA Doctors 105

HIT Consultant

MARCH 4, 2025

Were also seeing AI voice cloning used in fraud campaigns targeting help desks and even doctors. Interoperability of data exchange Many think of healthcare IT in terms of EHRs, but hospitals run hundreds if not thousands of applications on top of those systems. Threat actors will follow, targeting these new entry points.

Hospitals 59

Hospitals Ransomware Fraud Telemedicine 59

HIPAA Journal

MAY 24, 2024

It has been more than 2 weeks since the ransomware attack on Ascension and its hospitals are still operating under emergency procedures, with staff working with pen and paper due to the inability to access electronic medical records.

Hospitals 79

Hospitals Ransomware Electronic Medical Records HIPAA 79

MedTrainer

JUNE 28, 2023

In healthcare especially, fraud is something responsible providers need to be on the lookout for. It’s why many organizations choose to work with a Certified Fraud Examiner as part of their ongoing efforts to remain responsible and compliant with financial best practices. What is a Certified Fraud Examiner?

Fraud 52

Fraud Compliance Governance Compliance Officers 52

Healthicity

OCTOBER 5, 2022

The Office of Inspector General recently made Work Plan updates that impact price transparency rules, Medicaid fraud referrals, and inpatient rehabilitation. If you support compliance for hospitals or hospital systems, listen up! Have you heard? Our latest eBrief covers the updates you need to know.

Fraud 98

Fraud Medicaid Medicaid Compliance 98

Healthcare IT News - Telehealth

DECEMBER 13, 2021

"This forward-looking bill, based on expert, independent recommendations, provides clarity, certainty, and a foundation for building a telemedicine system that expands access, preserves patient choice, and includes basic safeguards against fraud and exploitation," said Doggett. WHY IT MATTERS.

COVID-19 174

COVID-19 Telemedicine Fraud Medicare 174

HIT Consultant

MAY 4, 2023

Monitoring and maintaining the security of IT infrastructure is often overemphasized within hospitals and health systems, while the human side of reducing risk is often under-emphasized. The answer is training, continual training to help create a culture of security within your hospital or health system.

Hospitals 97

Hospitals HIPAA Regulatory Compliance Compliance 97

HIPAA Journal

MARCH 11, 2025

Lurie Children’s Hospital in Chicago. 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.

Department of Veterans Affairs 79

Department of Veterans Affairs Licensing Ransomware Fraud 79

HIPAA Journal

MARCH 21, 2023

Multiple class action lawsuits have been filed against two healthcare providers in Arkansas – Mena Regional Health System (MRHS) and Howard Memorial Hospital – over cyberattacks in which patient data was compromised. The post Multiple Lawsuits Filed Against Arkansas Hospitals Over Data Breaches appeared first on HIPAA Journal.

Hospitals 69

Hospitals Fraud Health Insurance HIPAA 69

HIPAA Journal

JANUARY 6, 2023

Anne Hospital, St. Elizabeth Hospital, St. Anthony Hospital, St. Clare Hospital, St. Francis Hospital, St. Joseph Hospital, and St. Lawsuits often fail when they are based solely on an elevated risk of identity theft and fraud. Virginia Mason Franciscan Health operates St. Michael Medical Center.

Ransomware 102

Ransomware Fraud Electronic Medical Records Hospitals 102

Compliancy Group

DECEMBER 20, 2024

In May of 2015, the NYPD informed Montefiore Medical Center that there was evidence that patient information had been stolen from the hospitals database – leading Montefiore to investigate and discover that the theft had taken place two years earlier. OCR then proposed a civil monetary penalty of $548,265.

Ransomware 98

Ransomware HIPAA Fraud Electronic Medical Records 98

Innovaare Compliance

JULY 19, 2024

On April 15, 2022, the Centers for Medicare & Medicaid Services (CMS) released potential fraud, waste and abuse (FWA) trending data collected from Medicare Advantage Prescription Drug Plans (plan sponsors) for fourth quarter 2021. The most prominent suspect was misrepresentation of services/products (48.87%).

Fraud 52

Fraud Medicare Medicare Compliance 52

HIT Consultant

JANUARY 12, 2025

AI-generated identity fraud, including deepfakes, and other sophisticated tactics are making traditional security systems obsolete. Facial recognition provides fast and precise identification, which is particularly valuable in high-traffic areas such as hospitals.

Fraud 64

Fraud Regulatory Compliance Ransomware Compliance 64