HIPAA Journal provides the most comprehensive coverage of HIPAA news anywhere online, in addition to independent advice about HIPAA compliance and the best practices to adopt to avoid data breaches, HIPAA violations and regulatory fines. For one violation, fines can range from $100-$50,000 for each instance of wrongdoing. Read More, Southwest Surgical Associates in Texas took 13 months to provide a patient with all of the requested records between February 11, 2020, and March 5, 2021. The minimum fine is $100 per violation (up to $50,000) for Category 1 violations. 3 Examples of HIPAA Violation Cases Example #1: When it comes to HIPAA, curiosity can kill the cat or your career. By increasing its enforcement activity, OCR is sending a message to all covered entities, large and small, that violations of HIPAA Rules will not be tolerated. In some states, the amount of punitive damages awarded could far outweigh the maximum $1.5 million fine (per violation) that can be imposed by OCR. Read More, Lawrence Bell, Jr. D.D.S in Maryland failed to provide a patient with timely access to the requested medical records. Covered Entity: Pharmacies North Memorial has agreed to pay $1,550,000 to OCR to settle the HIPAA violation charges. Lahey Hospital and Medical Center has agreed to pay $850,000 to settle the case without admission of liability. A nurse working at a clinic in New York became one of many HIPAA violation examples when her sister-in-law's boyfriend was diagnosed with an STD (sexually transmitted disease). Issue: Access, A patient alleged that a covered entity failed to provide him access to his medical records. OCR intervened and closed the case but received a second complaint a year later alleging the records had still not been provided. Read More, OCR fined Pagosa Springs Medical Center $111,400 for the failure to terminate a former employees access to a web-based scheduling calendar, which resulted in an impermissible disclosure of 557 patients ePHI. The settlement resolves HIPAA violations that contributed to the university experiencing a malware infection in 2013. A patient alleged that a general hospital disclosed protected health information when a hospital staff person left a message on the patients home phone answering machine, thereby failing to accommodate the patients request that communications of PHI be made only through her mobile or work phones. Covered Entity: General Hospital Read More, The Department of Health and Human Services Office for Civil Rights has announced it has reached a settlement with North Memorial Health Care of Minnesota over alleged HIPAA violations from a 2011 data breach. By 2011, the UCLA Health System would agree to pay a fine of $865,000 to settle HIPAA privacy violations at its three hospitals. Brigham and Womens Hospital agreed to settle the alleged HIPAA violations with OCR for $384,000. In 2015, Premera discovered there had been a breach of the ePHI of 10,466,692 individuals. Issue: Impermissible Disclosure. 6) Keep Thoughts to Yourself. On Tuesday, the Department of Justice said Jeffrey Parker of Rincon . renewals of licenses or APRN authorizations, or both. ACMHS has agreed to settle the case with OCR for $150,000. Office for Civil Rights Headquarters. September 05, 2017 - A Kentucky hospital was found to have acted lawfully when it fired a nurse for committing a HIPAA violation, according to the Kentucky Court of Appeals. Entity Rescinds Improper Charges for Medical Record Copies to Reflect Reasonable, Cost-Based Fees Covered Entity: Private Practice Read More, OCR announced that it has reached a settlement for $125,000 with a Denver-based healthcare provider, Cornell Pharmacy, following the improper disposal of patient health records. Read More, For only the second time in its history, OCR has ordered a HIPAA-covered entity to pay civil monetary penalties for HIPAA violations. Between October 23, 2009, and March 7, 2010 part of its database of policyholders was accessible to unauthorized individuals. HIPAA violations are not uncommon. A settlement of $500,000 was agreed upon to resolve the alleged HIPAA violations. Read More, Fallbrook Family Health Center in Nebraska failed to provide a patient with timely access to the requested medical records. 200 Independence Avenue, S.W. In addition, the employee who made the disclosure was counseled and given a written warning. The case was settled for $202,400. A radiology practice that interpreted a hospital patients imaging tests submitted a workers compensation claim to the patients employer. There are two key events to consider when looking at the timeline of penalties for HIPAA violations the passage of the HITECH Act in 2009 which reversed the burden of proof for HIPAA violations, and the HIPAA Omnibus Rule in 2013 which enacted the passage of the HITECH Act making business associates liable for HIPAA violations that were their fault. The case was settled for $3 million. Disciplinary actions are part of the public record. A nurse at a Texas children's hospital has been fired for violating Health Insurance Portability and Accountability Act (HIPAA) Rules by posting protected health information on a social media website. A violation due to willful neglect which is not corrected within thirty days will attract the maximum fine of $50,000. Among other corrective actions to resolve the specific issues in the case, OCR required the provider to develop and implement policies and procedures regarding appropriate administrative and physical safeguards related to the communication of PHI. 0:57. OCR's investigation confirmed that the use and disclosure of protected health information by the supervisor was not authorized by the employee and was not otherwise permitted by the Privacy Rule. Read More, Family Dental Care, P.C. Alternatively, financial penalties can be imposed if a breach of ePHI violates state laws. A violation that occurred despite reasonable vigilance can attract a fine of $1,000 $50,000. The office informed all its employees of the incident and counseled staff on proper faxing procedures. Read More, All Inclusive Medical Services, Inc. (AIMS) is a Carmichael, CA-based multi-specialty family medicine clinic. Read More, Cancer Care Group, an Indiana-based radiation oncology private physician practice, has agreed to settle with the Department of Health and Human Services Office for Civil Rights for $750,000, for potential HIPAA violations relating to a 2012 data breach. Covered Entity: Private Practice Scott Harris and the rest of our team at S J Harris Law will be ready to help you pursue any option available that allows you to keep your license and continue working, no matter what industry you are in. Among other corrective actions to resolve the specific issues in the case, OCR required that the pharmacy chain implement national policies and procedures to safeguard the log books. The infection resulted in the impermissible disclosure of the electronic protected health information of 1,670 individuals. November 16, 2022. An employee's medical record is protected by the Privacy Rule, even though employment records held by a covered entity in its role as employer are not. I personally would not expect a student to fully understand these things; correction and education would be in order rather than exaggerating the offenses to the level of HIPAA violation. These cases include civil monetary penalties, where it has been established that HIPAA Rules have been violated, and settlements, where HIPAA violations have been alleged to have occurred but the covered entity or business associate has decided not to contest the case and has instead chosen to pay a financial penalty to resolve the potential HIPAA violations with no admission of liability. Read More, Massachusetts General Hospital was fined for allowing an ABC film crew to record footage of patients as part of the Boston Med TV series, without first obtaining consent from patients. Read More, The Department of Health and Human Services Office for Civil Rights (OCR) imposed a $1.6 million civil monetary penalty (CMP) on Texas Health and Human Services Commission (TX HHSC) for multiple violations of HIPAA Rules discovered during the investigation of an exposed internal application containing ePHI. A number of patients were filmed, but consent had not been obtained. The pharmacy did not consider the customer's insurance card to be protected health information (PHI). When notified of the complaint filed with OCR, the dental practice immediately removed the red AIDS sticker from the complainant's file. Read More. But violations are also quite serious. MAPFRE has agreed to a $2,200,000 settlement with OCR. Read More, Coastal Ear, Nose, and Throat in Florida received a request from a patient for a copy of medical records on December 15, 2020, and again on January 8, 2021, but the records were not provided until May 20, 2021. The disclosed information included details of patients visits, treatment, and insurance. A staff member of a medical practice discussed HIV testing procedures with a patient in the waiting room, thereby disclosing PHI to several other individuals. The revised policy was implemented in the chains' stores nationwide. OCR settled the case for $20,000. Read More, WellPoint is one of the largest providers of Affiliated Health Plans, with almost 36 million policyholders across the United States. Read more, The Diabetes, Endocrinology & Lipidology Center, Inc, a West Virginia-based healthcare provider specializing in treating endocrine disorders, failed to provide a parent with a copy of her minor childs protected health information within 30 days. Read more, The dental practice with offices in Charlotte and Monroe, NC, impermissibly disclosed a patients PHI on a webpage in response to a negative online review. OCR provided technical assistance and closed the case, but the records were still not provided. A violation due to willful neglect which is corrected within thirty days will attract a fine of between $10,000 and $50,000. A New York City Hospital Is Investigating a Nurse for Sharing Video Footage With The Intercept Lillian Udell is being investigated for violating privacy laws after sharing video of nurses. Serious violations, even if the intent is not malicious, are likely to result in disciplinary action. Nope. In 2013 and 2015, protections on servers were accidentally removed and files containing ePHI could be accessed over the internet without the need for a username or password. Read More, Paradise Family Dental was investigated in response to a complaint that a parent had not been provided with a copy of her minor childs medical records, despite submitting multiple requests to the practice. OCR discovered risk analysis failures, risk management failures, a failure toconduct technical and non-technical evaluations following environmental or operational changes, and the disclosure of ePHI to a contractor without first entering into a business associate agreement. They split the fines and charges into two categories: reasonable cause and willful neglect. Nancy Brent replies: Dear Paige: The Health Insurance Portability and Accountabilty Act requires that all covered entities (including nurses, whether they work in a hospital or other healthcare setting) protect against unauthorized disclosure of a patient's personally identifiable health information. Issue: Access, Restrictions. HIPAA requires nurses and other health care professionals to report any violations they witness, even if they recognize it was accidental. Common HIPAA violations include verbal discussions of PHI in public areas of a healthcare facility, stolen laptops used in patient care, accessing PHI when the access is not directly related to or while providing care to a patient and, in this reader's case, placing a patient's healthcare document in the regular trash. Read More, Erie County Medical Center Corporation in Buffalo, NY, failed to provide a patient with timely access to his medical records. In response, the hospital instituted a number of actions to achieve compliance with the Privacy Rule. Operating as Agape Health Services, the company experienced a breach of the ePHI of 1,263 patients. The first bar in the group of three per year represents the complaints closed in which there was no violation, the second in which there was corrective action, and the third reflects the total closures. Moreover, the entity was required to train of all staff on the revised policy. Read More, Housing Works, Inc. is a New York City-based non-profit healthcare organization that provides healthcare, homeless services, and legal aid support for people affected by HIV/AIDS. Violating HIPAA law can result in fines, job termination, loss of licensure, and criminal charges. To resolve this matter, the mental health center revised its intake assessment policy and procedures to specify that the notice will be provided and the clinician will attempt to obtain a signed acknowledgement of receipt of the notice prior to the intake assessment. A Nurse's Guide to the Use of Social Media discusses the case of a hospice nurse whose cancer patient had posted about her depression. Read More, The Department of Health and Human Services Office for Civil Rights announced yesterday that the University of Mississippi Medical Center (UMMC) has agreed to settle alleged HIPAA violations and will pay a financial penalty of $2.75 million. Read More, Elite Primary Care is a provider of primary health services in Georgia. The maximum penalty for a single breach is $1.5 million per year. Breach News The case was settled with OCR for $300,640. Read More, Oregon Health & Science University (OHSU) has agreed to settle a case with the Department of Health and Human Services Office for Civil Rights stemming from two data breaches experienced in 2013. The four categories range from unknowing violations to willful disregard of HIPAA rules. Covered Entity: Private Practice OCR discovered a risk analysis failure, the lack of a security awareness training program, and a failure to implement HIPAA Security Rule policies and procedures. Massachusetts General Hospital agreed to settle the alleged HIPAA violations with OCR for $515,000. }); Show Your Employer You Have Completed The Best HIPAA Compliance Training Available With ComplianceJunctions Certificate Of Completion, Learn about the top 10 HIPAA violations and the best way to prevent them, Avoid HIPAA violations due to misuse of social media, Losses to Phishing Attacks Increased by 76% in 2022, Biden Administration Announces New National Cybersecurity Strategy, Settlement Reached in Preferred Home Care Data Breach Lawsuit, BetterHelp Settlement Agreed with FTC to Resolve Health Data Privacy Violations, Amazon Completes Acquisition of OneMedical Amid Concern About Uses of Patient Data, Willful neglect (not corrected within 30 days. Covered Entity: Private Practices The server had been purchased and a file-sharing application was installed, yet no changes were made to the application. The table above will be updated when the new penalty amounts for 2023 are finalized by the HHS. Private Practice Revises Access Procedure to Provide Access Despite an Outstanding Balance The case was settled for $3,500. Read More, The city of New Haven in Connecticut was investigated over an incident where a former employee accessed its systems after termination and copied a file containing the ePHI of 498 individuals. By Jill McKeon. U.S. Department of Health & Human Services 200 Independence Avenue, S.W. A settlement of $85,000 was agreed upon with OCR to resolve the HIPAA violation. A hospital employee did not observe minimum necessary requirements when she left a telephone message with the daughter of a patient that detailed both her medical condition and treatment plan. After OCR intervened, the records were provided, but it took 22 months from the initial date of the request.
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