HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. million, and $6.4 million, and $6.4

Medicaid 102

Medicaid Medicaid Medicare Medicare 102

American Medical Compliance

OCTOBER 25, 2024

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. When conducted effectively, these audits can help healthcare providers avoid costly penalties.

Compliance 105

Compliance Fraud Compliance Framework HIPAA 105

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

Medicaid 98

Medicaid Medicaid Ransomware Health Insurance 98

HIT Consultant

JULY 22, 2024

Timi Leslie, President, BluePath Health and Exec Director of the Connecting for Better Health Coalition Myths in healthcare data sharing often cloud the understanding of permissible practices, but this hesitance usually stems from risk avoidance rather than regulatory constraints.

HIPAA 105

HIPAA Health Insurance Medicaid Medicaid 105

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

HIPAA Journal

JANUARY 12, 2024

The HIPAA Omnibus Rule mandated modifications to the Privacy, Security, and Enforcement Rules in order to adopt measures passed in the HITECH Act, finalized the Breach Notification Rule, and added standards to account for the passage of the GINA Act. Strengthen the limitations on uses and disclosures of Protected Health Information.

HIPAA 110

HIPAA Compliance Health Insurance Medicaid 110

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.

HIPAA 107

HIPAA Compliance Medicare Medicare 107

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.

HIPAA 98

HIPAA Ransomware Hospitals Health Insurance 98

HIPAA Journal

JANUARY 2, 2023

The settlements pursued by the Department of Health and Human Services’ Office for Civil Rights (OCR) are for egregious violations of HIPAA Rules. Settlements are also pursued to highlight common HIPAA violations to raise awareness of the need to comply with specific aspects of HIPAA Rules.

HIPAA 107

HIPAA Compliance Hospitals Medicare 107

Compliancy Group

NOVEMBER 1, 2024

HIPAA The Health Insurance Portability and Accountability Act (HIPAA) requires protecting the security and privacy of medical records and all patient data. Healthcare compliance under HIPAA includes adhering to the Security Rule, which covers the handling, maintenance, and sharing of PHI.

Compliance 52

Compliance HIPAA Electronic Medical Records Fraud 52

HIPAA Journal

APRIL 29, 2024

Berry, Dunn, McNeil & Parker, LLC (BerryDunn) provides health data analytics services to healthcare providers, health insurers, and government regulatory and healthcare policy agencies and its clients provide BerryDunn with personal and health data to allow the firm to perform its contracted services.

Health Insurance 116

Health Insurance Health Analytics HIPAA Medicaid 116

Healthcare IT News - Telehealth

JULY 2, 2020

Secretary of Health and Human Services Alex Azar and Centers for Medicare and Medicaid Services Administrator Seema Verma to provide a written plan for permanent changes to Medicare, Medicaid and Children’s Health Insurance Program rules around telehealth.

COVID-19 180

COVID-19 Medicare Medicare Medicaid 180

HIPAA Journal

OCTOBER 7, 2022

On August 5, 2022, Anthem discovered that an unauthorized individual had gained access to a database and downloaded files containing plan members’ protected health information, including names, addresses, dates of birth, phone numbers, email addresses, Medicare ID numbers, and Medicaid ID numbers.

HIPAA 114

HIPAA Health Insurance Medicaid Medicaid 114

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. In another case, Californias Providence Medical Institute was fined $240,000 for violating HIPAA Security Rules, which led to a data breach.

Compliance 52

Compliance HIPAA Licensing Governance 52

HIPAA Journal

AUGUST 14, 2023

Several other HIPAA-regulated entities have confirmed that they have been affected. The Colorado Department of Health Care Policy and Financing , which oversees the state’s Medicaid program and the Child Health Plan Plus (CHP+) program, was also affected.

Medicaid 98

Medicaid Medicaid HIPAA Health Insurance 98

Electronic Health Reporter

APRIL 8, 2020

Even so, it’s the Health Insurance Portability and Accountability Act (HIPAA) that gets the most […]. By Jordan MacAvoy, vice president of marketing, Reciprocity Labs. There are several regulatory compliance requirements that healthcare organizations must follow.

Regulatory Compliance 132

Regulatory Compliance Compliance HIPAA Health Insurance 132

HIPAA Journal

JULY 4, 2024

SkinCure Oncology has notified 13,434 patients about an email attack that occurred in June 2023, and the Wisconsin Department of Health Services has announced a breach of the personal information of 19,150 Medicaid recipients. SkinCure Oncology believes files in those email accounts were viewed and potentially obtained in the attack.

Medicaid 120

Medicaid Medicaid Fraud Licensing 120

HIPAA Journal

AUGUST 14, 2023

The Colorado Department of Health Care Policy and Financing (HCPF), which oversees the state’s Medicaid program and the Child Health Plan Plus (CHP+) program, has recently confirmed that the protected health information of 4,091,794 individuals was compromised.

Medicaid 97

Medicaid Medicaid HIPAA Health Insurance 97

HIPAA Journal

FEBRUARY 15, 2022

The post Hackers Gained Access to Files Containing the PHI of 115,670 South Shore Hospital Patients appeared first on HIPAA Journal. Spencer Gifts said it is reviewing its security policies and procedures and further electronic security features will be implemented.

Hospitals 124

Hospitals Health Insurance HIPAA Medicaid 124

HIPAA Journal

MARCH 14, 2022

CRMC said at this stage of the investigation it does not appear that the attackers gained access to its electronic medical record database; however, the files accessed or potentially accessed by the attackers included information such as patient names, addresses, birth dates, medical information, and health insurance information.

Electronic Medical Records 142

Electronic Medical Records Health Insurance HIPAA Licensing 142

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. No evidence of data theft or misuse of information has been detected.

Health Insurance 136

Health Insurance Licensing Fraud HIPAA 136

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. Health Care Claims Status.

HIPAA 56

HIPAA Medicaid Medicaid Compliance 56

Bill of Health

OCTOBER 27, 2023

In the context of health, let alone highly sophisticated cell signaling and microenvironment data, the web gets even more tangled. The HIPAA Problem The privatization of next-generation medical technologies, especially in regenerative and precision medicine, further muddies the data-protection waters.

HIPAA 162

HIPAA FDA Informed Consent Health Insurance 162

HIPAA Journal

JUNE 16, 2023

Further information on the data breach has been covered by The HIPAA Journal here. The letters included Medicaid benefit information, although only around 200 of the 5,800 individuals affected had either their Medicare health insurance claim number (HICN) or Social Security number disclosed.

Medicaid 102

Medicaid Medicaid HIPAA Health Insurance 102

HIPAA Journal

MARCH 15, 2023

The post More Than 4 Million Individuals Affected by Cyberattack on Independent Living Systems appeared first on HIPAA Journal. The types of information varied from individual to individual.

HIPAA 122

HIPAA Health Insurance Medicaid Medicaid 122

HIPAA Journal

MARCH 25, 2022

AHA discovered the email breach in early September 2021 and determined on December 2, 2021, that files containing the protected health information of its healthcare provider clients had been accessed. UMC was a victim of a REvil ransomware attack in June 2021 that resulted in the theft of the protected health information of 1.3

Health Insurance 120

Health Insurance Licensing Ransomware Fraud 120

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.

HIPAA 56

HIPAA Compliance Fraud Medicare 56

HIPAA Journal

MAY 19, 2022

Million Data Breach Settlement Gets Preliminary Approval appeared first on HIPAA Journal. The breach was reported to the HHS’ Office for Civil Rights as affecting 114,007 individuals. The post Solara Medical Supplies $9.76

Licensing 124

Licensing HIPAA Health Insurance Medicaid 124

Medisys Compliance

APRIL 24, 2024

Introduction As a behavioral health provider, protecting your patients’ privacy must be your top priority. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records.

HIPAA 59

HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

HIPAA Journal

JULY 28, 2023

The HHS’ Centers for Medicare and Medicaid Services (CMS) is being urged not to implement the proposed standards for prior authorization attachments, as detailed in its December 2022 Notice of Proposed Rulemaking (NPR). As such, the AHA, AMA, and BCBSA strongly advise against the adoption of the standards for prior authorization attachments.

HIPAA 98

HIPAA Health Insurance Medicaid Medicaid 98

HIPAA Journal

AUGUST 18, 2022

The investigation confirmed that only 3 servers were affected, and they contained information such as names, addresses, dates of birth, Social Security numbers, health records, insurance plan and payment information, Medicaid numbers, and medical and health records. Some employee files were also stored on the servers.

Ransomware 128

Ransomware HIPAA Health Insurance Medicaid 128

HIPAA Journal

OCTOBER 18, 2022

Prompt notification is a requirement of the HIPAA Breach Notification Rule and is important for patients, as it allows them to take appropriate steps to protect themselves against misuse of their information. The post 235,000 Keystone Health Patients Affected by August 2022 Cyberattack appeared first on HIPAA Journal.

HIPAA 122

HIPAA Health Insurance Licensing Medicaid 122

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 post Data Breaches Reported by Henderson & Walton Women’s Center & Genesis Health Care Inc.

Licensing 119

Licensing Health Insurance Fraud HIPAA 119

Compliancy Group

JANUARY 31, 2025

The Office for Civil Rights (OCR) states, Regulated entities are not permitted to use tracking technologies in a manner that would result in impermissible disclosures of PHI to tracking technology vendors or any other violations of the HIPAA Rules. The rules on tracking technology are tricky. HealthEquity 4.3 The damage?

Ransomware 52

Ransomware HIPAA Medicare Medicare 52

HIPAA Journal

NOVEMBER 12, 2024

The affected systems contained information such as names, addresses, dates of birth, billing and claims information, health insurance claims information, diagnoses, medications, test results, x-ray images, and other treatment information. Passwords were reset and policies and procedures have been reviewed.

Health Insurance 85

Health Insurance Fraud Licensing HIPAA 85

HIPAA Journal

MARCH 10, 2022

The files exfiltrated from its systems included the protected health information of patients. Assisted by a third-party cybersecurity firm, APTG determined on January 7, 2022, that files containing the protected health information of 14,970 patients may have been exfiltrated from its network between December 23, 2021, and December 28, 2021.

Ransomware 140

Ransomware Licensing Health Insurance HIPAA 140