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Healthcare Fraud

HIPAA and HITRUST for Healthcare: What’s the Difference?

by Christine Meyers 10 February 2013

Healthcare institutions are working hard to map audit and compliance efforts throughout their organization–especially across critical applications and mainframe systems with legacy applications. All of this effort will result in more secure EHRs and improvements in patient privacy protections. But in a world of constrained resources, where should care providers focus the bulk of their [...]

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HITECH, Meaningful Use and the 5 Pillars of Health Outcomes

by Christine Meyers 8 November 2012

The Meaningful Use program was first established by the U.S. Federal Government as part of the 2009 HITECH Act. The goal was to foster the creation of the infrastructure needed to support healthcare reform. As the 2014 deadline for Meaningful Use Stage 2 draws closer, organizations are planning now for improvements in the way they [...]

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Most Common HIPAA Violation? Small-Scale Snooping

by Christine Meyers 14 August 2012

Health privacy violations are lethal. They can create reputation management nightmares and generate stiff fines. Even a single HIPAA violation has serious financial consequences. The minimum fine now stands at $50,000, with a maximum penalty per year of up to $1.5 million per each provision of the rules. Since many healthcare privacy breaches involve multiple [...]

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Major security breaches hit healthcare

by Christine Meyers 1 May 2012

The statistics are startling: In April 2012 alone, three major security breaches that hit the Utah Department of Health (UDH), Emory Healthcare and South Carolina’s Department of Health and Human Services accounted for nearly 1.1 million records lost. And it was the work of insiders. According to an article entitled “Healthcare Unable to Keep Up [...]

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The Importance of Continuous Monitoring in Healthcare

by Christine Meyers 23 November 2011

Today’s next generation of fraud detection technologies can go a long way to supporting a HIPAA HITECH compliance effort and prevent privacy violations, misuse and abuse. Simply put, these systems provide visibility across multiple data channels to offer a comprehensive view of what is going on in your environment. Leading solutions offer screen-by-screen replay of [...]

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Medical Identity Theft–The Next Big Thing?

by Christine Meyers 8 November 2011

  I was speaking with a friend the other day about Medical Identity Theft, HIPAA compliance and enterprise fraud management. We were discussing a survey report published in March by the Ponemon Institute that found roughly 1.5 million Americans are victims of medical ID theft. In the survey, fourteen percent of respondents said the breach [...]

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The Challenges of HIPAA Compliance

by Christine Meyers 25 October 2011

Meeting the Challenge of HIPAA Compliance HIPAA, the Final Privacy rule and various state regulations governing patient privacy all have one thing in common. They all require organizations to demonstrate access to PHI on a minimum need-to-know basis. That places the burden of governing access on the institution. In an audit situation, that means the [...]

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