While the digitization of healthcare records has been well-intentioned, it has also created an unintended consequence: medical identity theft. In 2014, the Medical Identity Fraud Alliance found that incidences of medical identity theft had nearly doubled since a similar study was conducted five years prior. In light of this finding, it’s crucial that patients and providers learn more about this new phenomenon and how to protect themselves. Here are some ways to achieve that goal. Dectction – Secure technology solutions are the leading financial investments among healthcare providers to detect medical identity theft. Along with secure IT, providers should implement […]

Medical identity theft is a terrible crime, risking the health and lives of patients whose information has been stolen. And with ransomware and other threats to healthcare data, it’s a crime that will only continue to grow. But with the right information, you can fight back. Patients are a vulnerable population. Their health, even their lives, rest in the hands of healthcare providers. Equally vulnerable are patient’s health records. In today’s connected world, this data is strewn across the digital universe. From electronic health records (EHRs) to physician’s iPads to wearable health devices, a patient’s confidential medical information is available […]

With the first round of HIPPA Audits behind us, the Office of Civil Rights (OCR) indicated back in March that it would finally launch the long-awaited round 2 of HIPAA audits in 2016. The Purpose of Audits Audits are done in order to further enforce regulations to ensure that practices are remaining fully compliant. HIPAA compliance is extremely important to enforce, due to the delicacy with which Protected Health Information (PHI) is needs to be handled. Therefore; the audits become a tool for maintaining privacy of such information, and ensuring that the right policies are put into place to continue […]

Accurately and proactively identifying patients in a provider’s office before healthcare services are performed significantly reduces the likelihood of phantom billing and medical identity theft – and the overwhelming financial implications of each. In response to a reporter’s question, notorious bank robber Willie Sutton was quoted as saying thieves rob banks “because that’s where the money is”. Today, the money is in a wide variety of areas beyond banks, including the enormous – and growing – healthcare business. The FBI estimates that healthcare fraud is an $80 billion annual challenge. With so much at stake, healthcare providers and insurance companies […]

BBB offers advice and best practices for managing your medical information. Identity theft affects millions of Americans every year, causing financial ruin and damaging credit histories that can take months or years to repair. Unfortunately, a specific type of identity theft is on the rise: medical identity theft. But, what is medical identity theft, and how does it differ from a classic case of identity theft? Medical identity theft occurs when someone steals your personal information in order to obtain medical care, buy drugs or submit fake billings to Medicare in your name, according to the U.S. Department of Health […]

Healthcare Industry Fraud Experts Share Wisdom on Fighting Medical Identity Fraud Medical Identity Fraud Alliance Members Provide Subject Expertise to Help Healthcare Organizations Navigate and Understand Medical Identity Fraud Washington, DC, November 1, 2016 – The Medical Identity Fraud Alliance (MIFA) released a paper based on the collective expertise of its members and partners, to help businesses within the healthcare industry better understand how to deal with medical identity fraud. Healthcare Industry Wisdom on Medical Identity Fraud offers various food-for-thought on what a healthcare organization or business associate might consider when building or fine-tuning their anti-fraud programs. The expertise shared […]

One in five Americans says that they’ve been a victim of identity theft or attempted identity theft in the past year. Most of us are familiar by now with the steps to take if your identity has been compromised. The process is a hassle, but it typically takes just a few days and involves minimal financial losses, according to the Bureau of Justice Statistics. The consequences for one form of identity theft can be much more severe, though. Cases where thieves steal your Social Security number and health insurance info to fraudulently obtain medical services or treatment can be much […]

Criminals are using health records to commit medical identity theft, a crime that causes even more suffering than financial identity theft. Think having credit cards or a mortgage opened in your name is a nightmare? Maybe, but it’s nothing compared to what victims of medical identity theft have suffered. Victims of this crime often suffer from financial fraud, just like those who have their credit cards compromised, says Ann Patterson, program director of the Medical Identity Fraud Alliance. Resolving medical identity fraud is much more difficult than cleaning up a case of financial ID theft. Whether you have just received […]

Buyers and sellers on the digital underground are trading healthcare records databases for as much as $200,000, according to a report from Intel Security. And that’s at a discount. Cybercriminals are selling databases of stolen medical records at a discount perhaps due to a glut of pilfered patient information available on underground web markets, according to a report from Intel Security. While the report, released Wednesday, underscores the demand for stolen medical records, it also shows how easy it is for criminals to obtain hacked patient information. Medical records, after all, provide digital thieves with a roadmap for stealing someone’s […]

2016 Healthcare Industry Wisdom on Medical Identity Fraud Healthcare Industry Wisdom on Medical Identity Fraud is a collection of expertise by anti-fraud experts to help businesses within the healthcare industry better understand how to deal with medical identity fraud. It offers various food-for-thought on what a healthcare organization or business associate might consider when building or fine-tuning their anti-fraud programs. Topics discussed in the paper include a look at the Medical Loss Ratio mandate and how it may be affecting health plans’ ability to invest more heavily in fraud prevention, health IT issues, and patient authentication. Key points include: 1. […]