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Navigating the consequences of a HIPAA violation can be a daunting task, especially if you're not sure where to start. A HIPAA violation attorney can help guide you through the process.
A HIPAA violation can result in fines of up to $1.5 million per year, which is a staggering amount for any organization. HIPAA violations can also lead to a loss of patient trust and damage to your reputation.
The Department of Health and Human Services (HHS) is responsible for enforcing HIPAA regulations and investigating complaints. They have the authority to impose fines and penalties on organizations that fail to comply.
Causes of HIPAA Violations
Lack of risk management process or failure to perform risk analysis is a common HIPAA violation. This can compromise personal data greatly.
Personal health data is always a target, and strong cybersecurity and a good risk management process are required to protect it. The longer data is left unsecured, the stronger the chances of a health data theft incident.
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Failure to perform a full risk analysis regularly leaves organizations unable to identify security vulnerabilities. This means data privacy risks remain unaddressed.
The failure to enter into a HIPAA-compliant agreement with third-party vendors is another common HIPAA violation. Clinics and hospitals must ensure the technology companies they work with are vetted and agree to the rules regarding patient privacy.
Encrypting protected health information transmitted through third-party vendors is an effective method of preventing healthcare data breaches.
Types of HIPAA Violations
HIPAA violations can be severe and costly, but understanding the types of violations can help prevent them. There are five common ways HIPAA rights may be violated.
Improper disposal of protected health information (PHI) can lead to severe penalties. This includes failing to shred or pulp paper records and not wiping or destroying electronic files when they are no longer needed.
Disclosing PHI to unauthorized individuals or entities is a serious HIPAA violation. This can include sharing medical records with a patient's employer or family members without consent.
Theft of unencrypted computers can also result in HIPAA violations, as can the careless handling of healthcare data.
Consequences of HIPAA Violations
If you're involved in a HIPAA violation, you could face serious consequences. Failure to meet the 60-day notification deadline can create a window of vulnerability where identities can be stolen, fraud can be committed, and patients are harmed by the exposure of their private data.
The Breach Notification Rule requires covered entities to report breaches of the HIPAA Privacy and Security Rules to individuals, the government, and the media on some occasions. This includes notifying affected individuals personally without unreasonable delay, but no later than 60 days after discovering the incident.
A breach is considered a "breach" if there is a significant risk of financial, reputational or other harm to the individual. Factors to consider include the identity of the entity or individual that impermissibly used the information, the steps taken to mitigate harm, and whether the information was returned before being accessed.
Covered entities must make substitute notice in accordance with specific procedures if an individual's contact information is insufficient or out-of-date. For fewer than 10 affected individuals, substitute notice can be made by telephone notice or any other means.
Here are the procedures for making substitute notice for insufficient or out-of-date contact information:
If a breach involves more than 500 individuals, the covered entity must publish notice of the breach in a prominent media outlet no less than 60 days after the discovery of the incident.
HIPAA Compliance and Security
Navigating HIPAA compliance and security can be a daunting task, but it's essential for healthcare providers to protect their patients' sensitive information. The HIPAA Security Rule protects electronic protected health information (EPHI) and requires covered entities to take responsibility for compliance and develop written policies and procedures.
A HIPAA Security Officer is responsible for overseeing compliance and employee training, which is a crucial aspect of HIPAA security. This includes conducting a Security Risk Analysis to identify and address risks within the entity.
Here are some key components of HIPAA security:
- Security Risk Analysis to identify and address risks
- Written policies and procedures for compliance
- Employee training on HIPAA security
- Compliance with the HIPAA Security Rule's technological and administrative components
In addition to these key components, healthcare providers must also be aware of the importance of conducting a Security Risk Analysis, which is required for meaningful use incentives associated with electronic health records (EHRs).
Electronic Information Security
Electronic information security is a critical aspect of HIPAA compliance.
To ensure the security of electronic protected health information (EPHI), covered entities must conduct a Security Risk Analysis to identify and address risks within their entity.
The HIPAA Security Rule requires the development and oversight of written policies and procedures, as well as employee training.
Even if an electronic health record (EHR) system is marketed as "HIPAA compliant", additional steps must be taken to ensure compliance with the Security Rule.
Some key components of the HIPAA Security Rule include:
- Security Risk Analysis
- Written policies and procedures
- Employee training
As a HIPAA Security Officer, it's essential to take responsibility for compliance and ensure that all necessary steps are taken to protect EPHI.
A Security Risk Analysis is a critical component of the HIPAA Security Rule, requiring covered entities to identify and address risks within their entity.
This analysis should be conducted regularly to ensure ongoing compliance with the Security Rule.
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The HIPAA violation lawyer should know that one exception to the rule is the "treatment, payment, and healthcare operations" exception, where a doctor may share a patient's PHI with another doctor without written authorization.
This exception contains language limiting its scope, so the lawyer must be familiar with these limitations. In this case, reasonable safeguards apply to the sharing of PHI.
When a provider faxes PHI to another provider they've never worked with before, they should first confirm the fax number with the intended recipient.
Lawyers who can recognize issues and provide answers on how the law resolves them are typically paid hourly or at a flat rate for consultation.
Finding a HIPAA Violation Attorney
A HIPAA violation attorney can help you navigate the complex legal landscape surrounding HIPAA regulations.
The Office for Civil Rights in the U.S. has warned that certain third-party tracking vendors like Google and Meta/Facebook are accessing what should be private medical data through pixel-tracking technologies.
To find a qualified HIPAA violation attorney, look for one with expertise in healthcare law and privacy regulations.
A class action lawsuit can help identify weaknesses in medical privacy protections, and secure compensation for the individuals affected.
A good place to start is by searching for law firms with dedicated healthcare practice groups or HIPAA compliance teams.
These firms can offer specialized expertise and resources to navigate complex HIPAA violation lawsuits successfully.
Some key qualifications to look for in a HIPAA violation attorney include experience in successfully litigating data privacy cases and a deep understanding of HIPAA regulations.
Here are some key questions to ask potential HIPAA violation attorneys:
- What experience do you have in handling HIPAA violation cases?
- How will you assess the specifics of my case and develop a strategic defense strategy?
- What resources will you have available to navigate complex HIPAA violation lawsuits?
Understanding HIPAA Violations
HIPAA violations can be complex and nuanced, but understanding the basics is key to protecting your rights. HIPAA violations can occur when healthcare providers fail to protect your personal health information, or when third-party tracking technologies like meta pixel tracking gather health-related data without your consent.
Some common ways HIPAA rights are violated include failure to meet the 60-day notification deadline for security breaches, denying patients access to their health records, and intentionally stealing patient medical records through digital hacking or theft.
Here are some key facts to keep in mind:
- Failure to meet the 60-day notification deadline can create a window of vulnerability for identity theft and fraud.
- Denying patients copies of their health records or failing to provide them within 30 days is a clear HIPAA violation.
- Intentional theft of patient medical records through digital hacking or theft is a serious HIPAA violation.
These violations can have serious consequences, including financial penalties and reputational damage. If you suspect your HIPAA rights have been violated, it's essential to contact an attorney with cybersecurity experience right away.
Late Security Breach Notification
Failing to meet the 60-day notification deadline can create a window of vulnerability where identities can be stolen, fraud can be committed, and patients are harmed by the exposure of their private data.
The HIPAA Breach Notification Rule requires healthcare entities to issue timely notifications of security breaches within 60 days of discovery. This deadline is non-negotiable.
If a covered entity determines that the inappropriate use or disclosure of protected health information was a "breach", each affected individual must be contacted personally without unreasonable delay, but no later than 60 days after discovering the incident.
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The notice must be written in plain language and include specific information as directed by the regulations.
If there are less than 10 affected individuals for whom there is insufficient or out-of-date contact information, substitute notice can be made to these individuals by telephone notice or by any other means.
If there are more than 10 affected individuals for whom there is insufficient or out-of-date contact information, the practice must either post notice of the breach on its website homepage or publish notice in a print or broadcast medium that is a major media outlet for the geographical area.
Here are the substitute notice procedures for insufficient or out-of-date contact information:
Regardless of the number of individuals involved, all breaches must be aggregated and reported via the Office of Civil Rights website within 60 days after the end of the calendar year.
Denying Patient Access to Records
Denying patients their health records is a clear HIPAA violation. This can happen when healthcare providers fail to provide patients with copies of their medical records within 30 days.
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HIPAA Privacy laws give patients the right to access their medical records at any time. This is a fundamental right that ensures patients have control over their own health information.
Denying patients access to their records can have serious consequences, including the loss of trust in the healthcare provider. In extreme cases, it can even lead to patients seeking medical care from outside providers.
Patients have the right to request their medical records, and healthcare providers must comply with this request within a reasonable timeframe.
The HITECH Act
The HITECH Act was enacted as part of the American Recovery and Reinvestment Act of 2009 on February 17, 2009.
The HITECH Act created the "meaningful use" incentive program and directed the promulgation of additional regulations to strengthen the HIPAA Privacy and Security Rules.
Increased penalties for noncompliance were introduced, and periodic audits of health care providers became mandatory, shifting from a complaint-driven process.
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The Office of Civil Rights (OCR) began training state attorney generals to enforce HIPAA and eventually harmed individuals will be able to share in the penalties assessed.
Business associates are now held to the same standards as covered entities regarding HIPAA Privacy and Security Compliance and will be assessed the same penalties for noncompliance.
Regulations require more extensive "accounting of disclosures" for covered entities that maintain an EHR.
Covered entities must now comply with an individual's request that information not be disclosed to a health plan, if the disclosure is not for the purpose of treatment and the services have already been paid in full out of pocket.
Privacy
Privacy is a fundamental right that is protected under HIPAA. Healthcare providers have a duty to protect your data from unauthorized access, including access by third-party pixel tracking.
Websites may use tracking technologies such as cookies, web beacons or tracking pixels, session replay scripts, and fingerprinting scripts. These technologies did not exist in 1996 when HIPAA was first implemented, but your protections remain the same.
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Healthcare providers must protect your information from all prying eyes. If you know or suspect your HIPAA rights have been violated, contact an attorney with cybersecurity experience right away.
Here are some common ways HIPAA violations take place:
- Unauthorized access to protected health information (PHI)
- Failure to implement adequate safeguards to protect patient data
- Denying patients copies of their health records, or failing to provide them within 30 days
- Intentional theft of patient medical records through digital hacking or by stealing computers, tablets, or phones that store the data
The HIPAA Privacy Rule provides restrictions on uses and disclosures of “protected health information”. Almost all of the information maintained or created by a healthcare provider or supplier will be considered “protected health information” (PHI) for HIPAA purposes.
Frequently Asked Questions
Are attorneys covered by HIPAA?
Attorneys who access patient records are covered by HIPAA, but those specializing in non-medical areas like real estate or contract law may not be affected. HIPAA compliance is required for law firms that handle protected health information.
How do I start a HIPAA lawsuit?
To initiate a HIPAA lawsuit, contact the relevant authorities including your local MTF's HIPAA Privacy Office, the Defense Health Agency's Privacy and Civil Liberties Office, or the Department of Health and Human Services' Office for Civil Rights. You can also seek guidance from a qualified attorney specializing in HIPAA law to explore your options.
How much can you win from a HIPAA violation lawsuit?
HIPAA violation fines range from $100 to $50,000 per incident, with annual maximums of $25,000 and $1.5 million respectively. Understanding the full scope of HIPAA penalties is crucial for healthcare organizations to avoid costly fines and reputational damage
Sources
- https://crowleyfleck.com/practice-areas/healthcare/
- https://thelyonfirm.com/class-action/data-privacy/hipaa-violations/
- https://www.wachler.com/practice-areas/hipaa-compliance-lawyers/
- https://floridahealthcarelawfirm.com/lawyer-hipaa-violation/
- https://compliancy-group.com/what-is-a-hipaa-violation-lawyer/
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