HIPAA

Tax Audits vs HIPAA Audits
Audits, HIPAA

Tax Audits vs HIPAA Audits | What You Need to Know

February 21, 2020 Comments Off on Tax Audits vs HIPAA Audits | What You Need to Know

February 21, 2020 When you think of the most wonderful time of the year – tax season probably isn’t the first thing that comes to mind. But even though the filing process can be a bit daunting, it’s the lesser of two evils when compared to the IRS audit that could result from not submitting anything at all. So while you file your taxes this time every year in hopes of not having to face the IRS this tax season – what are you doing to prepare for a HIPAA audit? As long as you do everything right, the changes of the government showing up on your doorstep are pretty slim. In fact, considering only about 0.5% of all tax returns filed are actually audited – you have a 6% better chance of becoming a millionaire than you do facing the IRS. But despite the unlikely odds, we’re all still focused on staying off the government’s radar by filing each and every year. This better safe than sorry mentality should also apply to the precautions taken to avoid a HIPAA audit, but for many practices, it doesn’t hold the same weight. Over the past few years, the Office for Civil Rights has investigated more HIPAA complaints and ran more random practice audits than ever before, bringing the total amount of HIPAA fines to over $19 million – just between 2020-2021 alone. So why have we seen such a major increase lately? With technology use in healthcare on the rise and changes in government standards and patient needs, it is easier for Protected Health Information (PHI) to be accessed by those with malicious intent and seemingly harder for practices to provide patients with their own PHI when requested. So just as we all go through the tax filing process – ensuring that you have a complete HIPAA program is pretty similar: So why don’t practices pay more attention to HIPAA, like they do their taxes? It all comes down to the lack of education on what HIPAA compliance really entails. The reality for many practices is that, because of misinformation or lack of education, the proper safeguards are never put in place and data breaches are growing more and more common. The worst part? A HIPAA fine could cost your practice, and has cost many others, millions of dollars in addition to time-consuming administrative burdens. And on top of that, unlike late payment fees or penalties on taxes, once a breach occurs under HIPAA there is no going back – and no way to reduce the government’s levied fines. Our takeaway? You shouldn’t just be preparing for tax season – HIPAA audit season has proven to be a year-round occurrence that deserves just as much of a priority as filing taxes does.    

HIPAA in Public Health Emergencies
HIPAA, Legislation

How to Handle HIPAA in Public Health Emergencies

February 6, 2020 Comments Off on How to Handle HIPAA in Public Health Emergencies

February 6, 2020 Wondering how your practice needs to handle HIPAA privacy when it comes to public health emergencies, like the recent Novel Coronavirus outbreak? Read the OCR’s tips below! As the Novel Coronavirus (2019-nCoV) outbreak continued to make news, the Office for Civil Rights (OCR) sent a recent bulletin out including additional information for how to handle PHI and how the HIPAA Privacy Rule should be applied with regard to public health emergencies such as this one. Even in public health emergencies, covered entities (as well as business associates) are still expected to adhere to HIPAA regulations and safeguard the security and privacy of their PHI consistent with HIPAA law. Here’s a few key takeaways from the OCR bulletin that your organization should remember: As a reminder, all PHI disclosures even in these circumstances should be limited to the minimum information necessary, including continuing to adhere to role-based access for internal employees. If a public health agency such as the CDC requests information, all requested information should be treated as the minimum necessary for the public health purpose.

1st HIPAA Right of Access Fine
Fines, HIPAA

OCR Settles First Case in HIPAA Right of Access Initiative

September 9, 2019 Comments Off on OCR Settles First Case in HIPAA Right of Access Initiative

September 9, 2019 Today, the Office for Civil Rights (OCR) at the U.S. Department of Health and Human Services is announcing its first enforcement action and settlement in its Right of Access Initiative.  Earlier this year, OCR announced this initiative promising to vigorously enforce the rights of patients to receive copies of their medical records promptly and without being overcharged. Bayfront Health St. Petersburg (Bayfront) has paid $85,000 to OCR and has adopted a corrective action plan to settle a potential violation of the right of access provision of the Health Insurance Portability and Accountability Act (HIPAA) Rules after Bayfront failed to provide a mother timely access to records about her unborn child.  Bayfront, based in St. Petersburg, Florida, is a Level II trauma and tertiary care center licensed as a 480-bed hospital with over 550 affiliated physicians. OCR initiated its investigation based on a complaint from the mother.  As a result, Bayfront directly provided the individual with the requested health information more than nine months after the initial request. The HIPAA Rules generally require covered health care providers to provide medical records within 30 days of the request and providers can only charge a reasonable cost-based fee.  This right to patient records extends to parents who seek medical information about their minor children, and in this case, a mother who sought prenatal health records about her child. “Providing patients with their health information not only lowers costs and leads to better health outcomes, it’s the law,” said OCR Director Roger Severino.  “We aim to hold the health care industry accountable for ignoring peoples’ rights to access their medical records and those of their kids.” In addition to the monetary settlement, Bayfront will undertake a corrective action plan that includes one year of monitoring by OCR. The resolution agreement and corrective action plan may be found at here.

Record HIPAA Fine
Fines, HIPAA

Anthem Pays OCR $16 Million in Record HIPAA Settlement Following Largest U.S. Health Data Breach in History

October 16, 2018 Comments Off on Anthem Pays OCR $16 Million in Record HIPAA Settlement Following Largest U.S. Health Data Breach in History

October 16, 2018 Anthem, Inc. has agreed to pay $16 million to the U.S. Department of Health and Human Services, Office for Civil Rights (OCR) and take substantial corrective action to settle potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules after a series of cyberattacks led to the largest U.S. health data breach in history and exposed the electronic protected health information of almost 79 million people. The $16 million settlement eclipses the previous high of $5.55 million paid to OCR in 2016. Anthem is an independent licensee of the Blue Cross and Blue Shield Association operating throughout the United States and is one of the nation’s largest health benefits companies, providing medical care coverage to one in eight Americans through its affiliated health plans.  This breach affected electronic protected health information (ePHI) that Anthem, Inc. maintained for its affiliated health plans and any other covered entity health plans. On March 13, 2015, Anthem filed a breach report with the HHS Office for Civil Rights detailing that, on January 29, 2015, they discovered cyber-attackers had gained access to their IT system via an undetected continuous and targeted cyberattack for the apparent purpose of extracting data, otherwise known as an advanced persistent threat attack.  After filing their breach report, Anthem discovered cyber-attackers had infiltrated their system through spear phishing emails sent to an Anthem subsidiary after at least one employee responded to the malicious email and opened the door to further attacks. OCR’s investigation revealed that between December 2, 2014 and January 27, 2015, the cyber-attackers stole the ePHI of almost 79 million individuals, including names, social security numbers, medical identification numbers, addresses, dates of birth, email addresses, and employment information. In addition to the impermissible disclosure of ePHI, OCR’s investigation revealed that Anthem failed to conduct an enterprise-wide risk analysis, had insufficient procedures to regularly review information system activity, failed to identify and respond to suspected or known security incidents, and failed to implement adequate minimum access controls to prevent the cyber-attackers from accessing sensitive ePHI, beginning as early as February 18, 2014. In addition to the $16 million settlement, Anthem will undertake a robust corrective action plan to comply with the HIPAA Rules.  The resolution agreement and corrective action plan may be found on the OCR website at here