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. […]

Whether digital or paper records, personal health information should be handled with the same vigilance as financial records to guard against theft and fraud. Although often taken for granted, good health is treasure without equal. Personal health information is also valuable, and lack of care with paper and electronic records could be costly. Among the people who traffic in stolen data, health information is generally the most highly valued, said Jim Weldon, North Mississippi Health Services chief information officer. “It’s so data rich,” Weldon said. “They call it the honey pot of records.” Health data can be used for more […]

Medical identity theft is an overlooked but pervasive crime that’s on the rise. Most savvy consumers are already on the lookout for online identity theft and are proactive about protecting their finances, but medical identity theft is an overlooked but pervasive crime that’s on the rise. The number of patients impacted by medical identity theft has increased nearly 22 percent in the last year alone. Untangling medical identity theft is messy and difficult, especially if your children become victims. It’s not always obvious that your medical identity has been stolen until it’s too late. Here are the signs to look […]

One Grand Valley woman almost falls victim to a Medicare scam, and now she’s sharing her story so the same thing doesn’t happen to you. A Grand Junction, Colo., woman who lives alone was moments away from falling victim to medical identity theft. The woman, who wishes to remain anonymous, said, “He was with Medicare and he needed to update my information.” She received a phone call insisting she give out her personal information. “He started trying to catch me up, he had my phone number, he tried to tell me my email address which was incorrect, by a small […]

This report uses new data arising from consumer medical identity theft complaint reporting and medical data breach reporting to analyze and document the geography of medical identity theft and its growth patterns. Medical identity theft has existed in various forms for decades, but it was in 2006 that World Privacy Forum published the first major report about the crime. The report called for medical data breach notification laws and more research about medical identity theft and its impacts. Since that time, medical data breach notification laws have been enacted, and other progress has been made, particularly in the quality of […]

Cyber crime is quickly becoming one of the greatest threats to businesses, government institutions and individuals. This year alone, victims of one type, ransomware, lost $5 billion dollars. In the world of the dark web, 2017 is defined by devastating cyber attacks like the Equifax breach. Here are Top 7 Cyber Security Threats for 2018: 1. Health Insurance Hacks. Medical identity theft is the most serious form of ID theft both personally and financially, it’s the only form of Identity theft that can actually kill you and it’s getting worse. 2. Cryptocurrency Scams 3. Ransomware Spike 5. Natural Disaster Scams […]

2017 Know Your Patient (KYP) Training Guide This training deck for use by healthcare providers to aid in their understanding of medical identity fraud and to inform their processes regarding patient identity. Key points include: 1. Definition of Know Your Patient and its importance. 2. Understanding your patient identity risks. 3. Identity proofing and verification, including validation checks. 4. Gathering proofing materials. It also includes a links to standards and other useful information regarding identity management. The information in the slide deck does not constitute “best practices” or “industry guidelines” and should not be viewed as such. The information may […]

If you have Medicare, you can protect your identity and help prevent health care fraud by guarding your Medicare card like you would a credit card. Identity theft arising from stolen Medicare numbers is becoming more common. Medicare is in the process of removing Social Security numbers from Medicare cards and replacing them with a new, unique number for each person with Medicare. Medicare will mail new Medicare cards with the new numbers between April 2018 and April 2019. The new card won’t change your Medicare coverage or benefits. And there’s no charge for your new card. But watch out […]

High-profile data breaches are making headlines, and affected consumers are no-doubt on high alert when it comes to their credit, banking, and brokerage accounts—but have you thought about the relation between identity theft and medical care? According to the Federal Trade Commission, medical identity theft occurs when a thief uses “your name or health insurance numbers to see a doctor, get prescription drugs, file claims with your insurance provider, or get other care. If the thief’s information is mixed with yours, your treatment, insurance and payment records, and credit report may be affected.” If you were affected by a data […]

You check your credit and bank statements regularly, don’t give out your Social Security number to anyone, and are scrupulous about avoiding phishing emails and online scams. But have you checked your doctor’s bill lately? According to the Identity Theft Resource Center, more than 171 million Americans have had their personal records exposed to hackers between January and mid-October this year. And while run-of-the-mill ID theft is a huge hassle to deal with, most ID theft victims shelled out just $55 in 2015 to deal with the problem. On the other hand, medical ID theft victims spent nearly $13,500, including […]

Identity theft has become increasingly more common in recent years. What Medical Identity Theft Really Is Medical identity theft is a specific category of identity theft crime that involves the stealing of a name and/or health insurance numbers in order to obtain prescription drugs, use the victim’s insurance provider to file claims, get appointments with doctors, or receive other health-related care. Identity theft and scam expert Rob Douglas explained that “of the many types of identity theft, medical identity theft poses the greatest risk to the physical safety of victims.” He also went on to say that “once a medical […]