Archive for the ‘Health Care Fraud’ Category
Medical Identity Theft from a Victims Perspective
See Fox News clip on You Tube: http://www.youtube.com/watch?v=Pz__DUISB6E&feature=player_embedded
Data Breaches for the first half of 2010
Despite the law stating medical breaches involving more than 500 people must be listed on the Health and Human Services (HHS) breach list, the Identity Theft Resource Center recorded medical breaches which never made the list. Do you know why? The HHS list allows the loophole of “risk of harm” without requiring federal law enforcement verification. One state has reported more than 200 breaches. Most are not included in the Identity Theft Resource Center Breach Report because they did not include sufficient pertinent details regarding the event. Some states now harbor a protected breach list which is not made public at all, or is only accessible by exercising the Freedom of Information Act. Doesn’t this make you wonder why is it all so protected? Read the entire article from the Office of Inadequate Security
http://www.databreaches.net/?p=12436
Medicare Fraud, Nine Hospitals, Seven States, and another Whistle Blower Suit
Alabama, Florida, Indiana, Michigan, Minnesota, New York and South Carolina–will pay a combined $9.4 million to settle a whistleblower suit by two former employees of the company responsible for the therapy–Kyphon, Inc., and now part of Medtronic Spine LLC. The Department of Justice announced the hospitals were accused of keeping patients overnight after having kyphoplasty, typically an outpatient back procedure, merely so that they could bill Medicare at a higher rate.
Read entire article from Fierce Healthcare at: http://www.fiercehealthcare.com/story/nine-hospitals-pay-9-4-million-medicare-fraud-settlements/2010-05-18?utm_medium=nl&utm_source=internal
Phony Health Care Coverages
There are 73 various health plans that are not truly legitimate, are being investigated and are worrisome; not only with today’s economy, but the new health care reform. These plans are there to take your money, but not pay your claims. Follow the link to the web site of the Coalition against Insurance fraud and make sure you don’t have one of them: http://www.insurancefraud.org/healthplan_watchlist.htm
WellPoint Data Breech possibly exposes 470,000 enrollees’ to Identity Theft
It is happening again, a large corporation has the potential loss of data due to a security breech. this means medical records, social security numbers even credit card information may have been exposed. The threat of Medical Identity Theft is even greater in a a case like this. Read California Health Line article at: http://www.californiahealthline.org/articles/2010/6/30/wellpoint-breach-could-have-exposed-enrollees-medical-financial-data.aspx
Medical Identity Theft continues through other sources
Data breeches, mismanagement of files, lost hard drives, health plans are more at risk, not just hospitals for identity theft. Last month, Blue Cross and Blue Shield of Tennessee revealed that up to 1 million patients could be impacted by the theft of 57 computer hard drives that were encoded but not encrypted.
Read article by Caralyn Davis at: http://www.fiercehealthpayer.com/story/data-breaches-another-opportunity-bad-publicity/2010-05-17?utm_medium=nl&utm_source=internal#ixzz0oEOm6c5P
Red Flags of Fraud Delayed again by the FTC
Here we go again. The Federal Trade Commission on May 28 announced it would delay enforcement of the Red Flags Rule from June 1 to Dec. 31, 2010. Is this the result of all the doctors protesting the changes required by their offices or is it just the unnecessary inconvenience. If you have ever had your identity stolen or your medical identity compromised it is a detriment for you financially and your for health records and various treatments, due to HIPAA. Read the HealthData Management article at: http://www.healthdatamanagement.com/news/ftc-red-flags-rule-enforcement-delay-40345-1.html?ET=healthdatamanagement:e1288:44339a:&st=email&utm_source=editorial&utm_medium=email&utm_campaign=HDM_Alert_052810.
Now the scary part is the number of breeches of unsecured protected health information that have occurred. See the list of hospitals and practices at: http://www.healthdatamanagement.com/issues/18_5/list-of-breaches-40158-1.html
Electonic Health Record Security
More worries about the security of patient information and private medical data with the onset of Electronic Healthcare Records. Read the article available at:
http://www.healthcareitnews.com/news/survey-personal-health-information-less-secure-2010
Chrildren and Identity Theft
Five ways you can help prevent your child’s identity from being stolen.
1. Think first before you post. Guide children to share only the information that they wouldn’t mind sharing with strangers and their friends. Make them aware of identity theft – in their language – so they think before sharing nuggets of information that might be useful to an i.d. thief. By the way, how many of us post things about our kids, and family online? Before you go announcing your sister’s new baby on your social networking site, in email, on a blog, etc. consider the information you might be making available for thief. (Remember: place of birth and date of birth is all they need to become a new person.)
2. Don’t use your children’s real names. Wherever possible, enforce the use of code or nick names instead of a child’s real name online, whether for establishing an email address, registering on a kid-friendly website (to use the games, for example), or for setting up a profile on a social networking site.
3. Use privacy settings. For social networking fanatics, make sure only the people you know and trust can see what you’re posting and doing.
4. Use reputable, up-to-date security software. While identity theft can happen through offline sources as well as online, having good, updated security software will help prevent information-stealing software from getting onto your computers or smart phones in the first place. Use security software on any device that you store personal information on.
5. Shred and lock. The ITRC recommends that you shred all documents that contain personal information (whether about yourself or your children) and lock your mailbox if you can.
If you are resident of the U.S. and believe you or your child has become a victim of identity theft, contact the Identity Theft Resource Center for free assistance at:
(888) 400-5530
You can also find additional resources and prevention tips at www.idtheftcenter.org
Medical Identity Theft, or how the system can take your children away from you.
Watch YouTube and see how devastating Medical IdentityTheft can be to you, your records and your family:



