Identify theft, in general, can affect a person for a lifetime. Federal law defines medical identity theft as “A fraud committed or attempted using the identifying information of another person without authority to obtain medical services or goods, or when someone uses the person’s identity to obtain money by falsifying claims for medical services and falsifying medical records to support those claims.” (“Red Flag Rule - Identity Theft Prevention Policy”, 2009). However, medical identity theft is not as easily traced compared to something such as, credit card theft. With the crime being less traceable and the ever-expanding health care system, it is not surprising that medical identity theft is continually rising. Medical identity theft accounts
Hospital and health facility administrators face hardened criminals who hack medical records with ever-increasing sophistication. Hackers gain access to critical information, such as medical claims, financial data, Social Security numbers and credit card data that enable identity theft, credit card fraud and other privacy breaches. One of the major security failures in the news was the CareFirst BlueCross BlueShield attack that exposed 1.1 million of its members to thefts of their personal information.[1] Combined with high-profile breaches at Anthem and Premera Blue Cross, the breach illustrates the changing role of medical administrators
The risk of medical identity theft is a growing concern within the US and with more medical records becoming digitized medical theft will continue increasing unless the medical community will make more of an effort to protect the privateness and security measures of our records. Medical theft is relatively unknown to the general public, but it can be the most dangerous form of larceny of all because it not only, can affect your finances it could affect your health. (Weisman,2014 pg.
Medical identify theft is the biggest challenges face by both health care organization and patient. It is the practice in which someone uses another individual’s identifying information such as health insurance information, SSN, address, phone number and other personal information without individual knowledge or permission to obtain medial services, goods or to obtain money by falsifying claims for medical service and falsifying medical records to support those claims ( Mancini, 2014). Healthcare organization, Providers, insurance payers and patient are negatively affect by the medical identity theft. Among them, Patient are the biggest victims because they are the one who will receive unwanted treatment and medication which may be life threatening,
The rapid changes in technology over the past few decades has left the healthcare industry ill-prepared to operate in today’s environment. Most substantial protections of sensitive consumer information has come as a result of federal regulation, most notably in 1996 with the Health Insurance Portability and Accountability Act and 2009 as part of the American Recovery and Reinvestment Act. Protection of information in the healthcare industry has lagged behind all other industries, perhaps because the records aren’t financial in nature or sensitive government information. Implementing simple steps for many organizations may be enough to limit the vast majority of breaches, although a layered, comprehensive security approach should be the ultimate goal for companies.
Although the discussion focuses on the risk manager, most large health care organizations employ a team of individuals to reduce the risks of loss and increase patient safety from both a proactive and reactive stance. The health care environment is constantly evolving, but nothing has made change as pervasive as the Patient Protection and Affordable Care Act (PPACA) and the regulatory and compliance mandates contained within its wording. For instance, maintaining confidentiality of patient information, a key function of risk management, is now more difficult with the rise of cybercrime of medical information. According to Finkle (2014), the Federal Bureau of Investigation warns health care providers there is high demand for medical information by criminals to commit both impersonation crimes and financial fraud. These concerns were unheard of not long ago. Confidentiality and protection of patient information is only
I think that HIPAA is very important for the protection of patients’ private health information. I feel that if I would find out that my private health records had been breached in a local health care facility, I would be very concerned and upset. It’s expected by patients that the utmost care and discretion will be given to secure and protect their private information. I actually have been alerted of a cyberattack on the IT system of my health plan that was maintained through Anthem. They thought that the information that may have been accessed were names, birth dates, social security numbers, addresses, emails, and income data. It was not believed that the infiltrators had gained access to personal credit card or banking information or medical
Anthem Inc. is one of the largest health benefits company in this country. The merging of WellPoint Inc. and Anthem Inc. in 2004 was the start to this healthcare company. Anthem Inc. is a part of the Blue Cross and Blue Shield Association. They serve people primarily in 14 different states (“Company History, n.d.). At that point in time, it was the largest healthcare security breach in our history (Weise 2015). During 2015 in the month of February, Anthem Inc. announced to the public that it had suffered an attack that affected 78.8 million individuals. The Breach began around February 18, 2014 and was eventually discovered in late January 2015 leading to the announcement early February 2015. It was also concluded that the perpetrator of
Let’s analyze about financial impact of HIPAA violations in healthcare companies and find out how to prevent security breaches. Patients and healthcare facilitators both need to be informed on how to help these companies be protected and be prevented from identity theft. Also, there will be emphasis on what the penalties are in result to violation of HIPAA
Data security is used to prevent anything that is unauthorized, and it helps to protect all of the data from any corruption. Almost daily, media reports highlight the failure of health care organizations to safeguard the privacy and security of patient data, whether electronic or paper. Preventing data breaches has become more complex, and at the same time, the fines being levied against health care organizations for violating the Health Insurance, (Zamosky, 2014).# In this paper, I will discuss the security measures, how the security measures used and how well did the security measure work.
The privacy portion of the Health Insurance Portability and Accountability Act of 1996 is a substantial portion of the law that has indeed gained the most attention and had the widest impacts – more so even than the insurance portability portion. The rules that make up the privacy piece of the law are intended to protect patients from having information about their medical history and medical care released to anyone that doesn’t have a right to know. The Security Rule supports the Privacy Rule in how it affects technological advances in healthcare – specifically, electronic medical records: Electronic Medical Records or Electronic Health Records (EMR’s or EHR’s, respectively). The Breach Notification Rule supports patients’ privacy not only by mandating reporting to
Peel’s interpretation of the HIPAA regulation is that “HIPAA does not protect privacy” (Peel, 2014). She explains that health data is continuously being bought and sold between multiple different agencies and that data breaches are due to a policy problem and not a technology problem (Peel, 2014). This stance on the lack of privacy and security under HIPAA is an accurate point of view. Amendments to the HIPAA in 2002 included eliminating required consent for PHI disclosure, changing the policy for obtaining patient consent allowing for the free oral communication between doctors to discuss patients’ PHI, clarifying the current physician’s discretion to provide or deny access to children’s health records, restricting PHI for marketing purposes or use by parties not directly involved in patient care, and provisions for providers regarding billing and business practices (Norman, & Burroughs, 2002, p. 865-866). These amendments that eliminate the need for patient consent further degrade the lack of protection of PHI. Dr. Peel challenges the medical community to expose the continuous transfer of vital patient records between third party corporations in an attempt to draw attention and make a positive change toward proper security of patient’s
The significance of patient privacy and the security of confidential information are increasingly vital given the approval of electronic health records. Healthcare providers have recognized striking prices due to security threats and subsequent breaches. According to U.S. Department of Health and Human Services (2002), under the Privacy Rule healthcare establishments must establish protections that establish procedures and rules that guarantee least levels of privacy in relation to patient information. When violations are recognized, it is required that a compliant be created by the individual or unit experiencing the violation. In the complaint, the name of the person who participated in the violation, in addition to the nature of the violation, must be comprehensive. The filing of the complaint initiates an investigation by the Secretary of the U.S. Department of Health and Human Services under HIPAA values (U.S. Department of Health and Human Services, 2013). The establishment of a procedure related to privacy violations has resulted in many cases relating to electronic data breaches. Next is a consideration of two such cases to demonstrate the role of privacy in regards to HIPAA and electronic health database breaches.
Security breaches of EMRs vary from someone without consent viewing the patient’s information, to a hacker using the information to steal one’s identity. According to Privacy Rights Clearing House, more than 260 million data breaches have occurred in the United States, including those of health related records. Approximately 12 percent of data breaches involve medical organizations (Gellman, 2012). According to Redspin, a provider of Health Insurance Portability and Accountability Act risk analysis and IT security assessment services, more than 6 million individual’s health records were compromised during a period from August 2009 and December 2010 (Author Unknown, 2010). A provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act requires all breaches affecting 500 or more people to be reported to the Department of Health and Human Services. This reporting is to be accomplished within 60 days of discovery. The Redspin report covering the period above involved 225 breaches of protected health information. The amount of people with access to an individual’s health record creates concern with confidentiality. According to the Los Angeles
The department of Health and Human Services protects and guides the health and well being of individuals here in America (Thacker, 2014). They fulfill these duties providing Americans with adequate and efficient health and human services and monitoring services designed to increase the efficiency of care in the health system (Thacker, 2014). One of the services being monitored by the department of Health and Human Services is the electronic health record system, which carries private and vital information of patient’s health record enabling all eligible participating health workers access to these records (Thacker, 2014). A breach of the protective health information of patients in a health organization creates chaos as these are against the health insurance portability and accountability (HIPAA) law (Thacker, 2014). Hence, measure will have to be put in place to determine what caused the breach and how to rectify it to ensure the breach never happens again (Thacker, 2014).