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OCR Alert Warns of Postcard Disguised as Official Government Communication

April 28, 2021

You’ve got mail! The Office for Civil Rights (OCR) just issued an alert warning of a potential HIPAA scam hitting your mailbox that you should be on the lookout for. The government was recently made aware that postcards disguised as official OCR communication were being sent to health care organizations informing recipients that they needed to complete a “Required Security Risk Assessment” and directing that completed assessments be sent to a non-governmental marketing consulting website that has since been taken down. This hand-delivered scare tactic came from a private entity and should NOT be mistaken as an official notification from the OCR or the U.S. Department of Health and Human Services (HHS).   

In addition to keeping an eye out for these counterfeit postcards, the OCR recommends verifying any and all “government” communications to ensure they’re actually official and alerting all staff members to do the same. They suggest looking for the OCR email address, which will end in @hhs.gov, and recommend asking for a verification email from the OCR investigator’s hhs.gov email address. The OCR also provides the addresses for their HQ and Regional Offices which can be found at here. and should be confirmed are properly listed in any communications received. 

This isn’t the first and probably won’t be the last time we receive alerts of these types of HIPAA scams. Back in August of last year, a similar incident occurred where fraudulent postcards labeled on the OCR’s behalf were notifying healthcare organizations to complete a mandatory HIPAA compliance risk assessment and directing them to another marketing consulting service website. So while fake postcards seem to be a common approach, it’s important to be aware of any and all types of HIPAA scams, especially as hackers and other organizations with malicious intent get more and more creative in their efforts. 

Though this postcard is by no means an official communication from the government, the mandatory Security Risk Analysis (SRA) at its focus should not be overlooked. So if fulfilling this HIPAA requirement brings more cause for concern than the scam itself, you’re not alone. In fact, the OCR’s latest audit industry report found that only 14% of covered entities and 17% of business associates had a proper SRA in place. So if your practice falls into the large majority of those that aren’t up to these HIPAA standards, this OCR alert should give you even more reason to do so and a software solution like Abyde gives you all the tools and resources needed to get there. 

 

 

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August 5, 2026 The latest HIPAA fine is another clear reminder that ransomware attacks are, unfortunately, here to stay in the healthcare industry. A settlement involving the OSF Healthcare System was recently announced by the Office for Civil Rights (OCR). As an enterprise healthcare provider in the midwest, the organization serves 174 locations, including 16 hospitals – a prime target for a ransomware attack.    So, what happened?  In April 2021, OSF discovered that they joined the unlucky club of ransomware victims when a malicious actor deployed Nephilim, a ransomware strain made to target larger organizations. Once the ransomware infected OSF systems, the hacker demanded payment or patient Protected Health Information (PHI) would be leaked online. In this attack, sensitive information like financial account information, driver’s license numbers, medical record numbers, and more, were all exposed. Over 53,000 patient records were exposed in this attack.  When ransomware attacks in healthcare have soared 278% in recent years, it’s more of a when then an if your organization doesn’t have the right safeguards in place.  While the breach was discovered in April, OSF healthcare reported the breach to the OCR in October. The OCR took it from there, digging into what precautions (or lack thereof) let this happen.  What did the OCR discover? If you’ve read any of our other fine breakdowns, you already know where this is going: another missing Security Risk Analysis (SRA).  The SRA is a required document every HIPAA-regulated entity (ie: every practice and their Business Associates that handle patient information) needs to complete. The SRA is a thorough review of the physical, technical, and administrative safeguards in place to prevent PHI ending up in the wrong hands. While the OCR didn’t specify exactly how the ransomware got into OSF’s system, a technical safeguard vulnerability was very likely the entry point. A proactive SRA could have flagged that gap before it turned into a major breach. In addition to missing this required documentation, OSF also took too long to report the breach to the OCR and notify affected patients. This is a direct violation of the Breach Notification Rule, which requires organizations to notify patients within 60 days of a discovered breach. Moreover, since the breach impacted more than 500 patients, OSF was also required to report this breach to the OCR within 2 months as well. Time is of the essence in every component of a breach, from securing systems to ensuring affected parties are aware to protect themselves and an over five month delay was unacceptable in the eyes of the OCR.    What was the result?  OSF’s settlement tops the list as the largest fine of the year, coming in at $552,250, plus government monitoring for the next two years.  It’s very important to note that this breach occurred in 2021, meaning that over five years were spent from the initial breach, to investigations, to the public press releases. Also, the average cost of a healthcare breach is over 7 million dollars –  from implementing secure systems, notifying patients, legal fees, and more. The Takeaway While the settlement payment and Corrective Action Plan (CAP) are just the cherries on top, this experience was a tremendous cost of time, money, and resources, highlighting the importance of making sure everything is secure before a situation occurs.  So, when was the last time you looked at your SRA? It’s time to seriously analyze your current compliance posture. Ransomware groups don’t check whether you’re a small dental office or a 16-hospital health system before they attack, they check whether the door was left open. Time and again, OCR’s findings come back to the same root cause: organizations can’t secure what they haven’t even identified as a problem. Looking to review your current compliance standings? Meet with our team of experts for a complimentary educational consultation. 

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