The document is an e-newsletter from eMedicalFiles discussing medical identity theft and fraud. It notes that medical identity theft is growing and can cost thousands of dollars. It provides links to articles about how medical fraud affects patients, physicians and hospitals. It also provides information on an EHR demonstration project and survey.
In 2017 the Government Accountability Office (GAO) reported that Medicaid was responsible for one-quarter of all government-wide improper payments. These improper payments in Medicaid typically stem from overpaid, underpaid, or erroneous claims payments, amounting to a staggering $36.7 billion in wasteful spending.
Every year for the past 15 years, this issue has landed Medicaid on the GAO’s high-risk list. Policymakers on both sides of the political aisle are very aware of the issue and are committed to tackling the fraud, waste, and abuse in public health insurance programs. Finding better, more proactive ways to remedy Medicaid’s chronic problems with improper claims payments will save billions of taxpayer dollars. Syrtis Solutions (Syrtis) addresses this problem head-on and is a leader in the effort to reduce waste and help public health insurance programs function more efficiently.
In 2017 the Government Accountability Office (GAO) reported that Medicaid was responsible for one-quarter of all government-wide improper payments. These improper payments in Medicaid typically stem from overpaid, underpaid, or erroneous claims payments, amounting to a staggering $36.7 billion in wasteful spending.
Every year for the past 15 years, this issue has landed Medicaid on the GAO’s high-risk list. Policymakers on both sides of the political aisle are very aware of the issue and are committed to tackling the fraud, waste, and abuse in public health insurance programs. Finding better, more proactive ways to remedy Medicaid’s chronic problems with improper claims payments will save billions of taxpayer dollars. Syrtis Solutions (Syrtis) addresses this problem head-on and is a leader in the effort to reduce waste and help public health insurance programs function more efficiently.
Payment Processing Automation – BancTec – Leading BPO Company whitepaperjames Anderson
BancTec, a leading BPO service provider is determined to provide cutting edge payment processing solution to healthcare providers, visit www.banctec .com to discover what makes BancTec one of the trusted BPO Company and our innovative approach to client satisfaction.
Healthcare payers exceeded federally mandated medical loss ratio with esignat...DocuSign
Healthcare payers need strategic plans to reduce wasted administrative resources, prevent profit loss, and keep premiums reasonable. Electronic signatures is one way of solving this problem.
Billing and Reimbursement for Surgical Assistants - How to startLuis F. Aragon
A basic guide of what you need to know if you are looking into going into private practice as a non-physician surgical assistant in regards to third party billing.
American Hospitals--Averting A Crisis In Declining Revenuejuliejohnson15
By Jan Jennings, President and CEO of American Healthcare Solutions
"Optimizing Healthcare Delivery through Operational Integrity & Best Practice Solutions."
Payment Processing Automation – BancTec – Leading BPO Company whitepaperjames Anderson
BancTec, a leading BPO service provider is determined to provide cutting edge payment processing solution to healthcare providers, visit www.banctec .com to discover what makes BancTec one of the trusted BPO Company and our innovative approach to client satisfaction.
Healthcare payers exceeded federally mandated medical loss ratio with esignat...DocuSign
Healthcare payers need strategic plans to reduce wasted administrative resources, prevent profit loss, and keep premiums reasonable. Electronic signatures is one way of solving this problem.
Billing and Reimbursement for Surgical Assistants - How to startLuis F. Aragon
A basic guide of what you need to know if you are looking into going into private practice as a non-physician surgical assistant in regards to third party billing.
American Hospitals--Averting A Crisis In Declining Revenuejuliejohnson15
By Jan Jennings, President and CEO of American Healthcare Solutions
"Optimizing Healthcare Delivery through Operational Integrity & Best Practice Solutions."
Company names mentioned herein are the property of, and may be trademarks of, their respective owners and are for educational purposes only.
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How to Make a boring slide Interesting WITHOUT using imagesSyed Ashraf Ali
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This white paper discusses the various cyber threats targeting healthcare organizations and the challenges security professionals face in securing access to protected health information.
As hospitals and health care systems continue to expand their digital collection and capabilities, surveys show that their security measures lag behind those of other industries. Hospitals’ weaknesses include their failure to assess the security of staffers’ mobile devices and of medical monitoring equipment that store patient identifiers as well as medical information. Physician groups represent another vulnerability because they often fail to do any security risk analysis.
This session will examine best practices that providers can implement to help keep data safe and hackers at bay.
This white paper discusses the various cyber threats targeting healthcare organizations and the challenges security professionals face in securing access to protected health information.
Medical identity theft—the misuse of a person’s name or insurance information to obtain healthcare—is emerging as a problem with serious implications for consumers, government, and the healthcare industry.
As the nation moves toward the increased use of electronic health records, industry experts anticipate that occurrences of medical identity theft will rise dramatically.
Page 9 of 15Capstone ProjectYaima OrtizIDS-4934.docxkarlhennesey
Page 9 of 15
Capstone Project
Yaima Ortiz
IDS-4934
March 1st, 2020
Abstract
Topic:
Privacy- What medical information should be confidential? Who, if anybody, should have access to medical records?
Thesis Statement
In healthcare centers and overall privacy is the right of every US citizen that should be protected in all its forms by the healthcare organization.
Rationale
1. The purpose of this paper is to identify why security measures are necessary to protect one’s privacy in the medical industry.
2. There are numerous laws, policies and healthcare organizational rules and regulations and statistics that would be helpful for conducting this research.
3. Privacy of a person whether this is me or you, is important then everything. I want to talk on this topic because I think most of us do not know what is happening to us.
4. I have selected textual analysis of books and available internet sources. The reason of this limited research methodology is that I cannot perform field study because of shortage of time.
Rough Draft Ideas
Identity theft in healthcare industry become a common practice and leads to information leakage that may destroy someone’s life. We can eliminate this human right violation by enforcing effective and practical laws. Healthcare organizations should understand their responsibilities and tighten security to protect information of patients.
Table of Contents
Introduction 3
Overview of Privacy Protections with Respect to Medical Records 4
Data Breaches in the Healthcare Industry 5
Healthcare is the biggest Target for Cyber Attack 7
Penalties and Punishments for Hacking Personal Information 9
Penalties 9
Devastating Consequences of Healthcare Data Breaches 10
Conclusion 10
Recommendations 11
Bibliography 12
Introduction
While operating in healthcare organizations need to gather patient’s information that is mostly personal information. It is the moral and legal responsibility of health care organizations to protect the information of their patients and do not share it with people outside of the organization without the patient’s consent. Protecting patient’s information is a crucial element of respect and essential for patients' autonomy and trust in the organization — the US healthcare industry currently facing patient mistrust that is caused because of a lack of trust. When patients experience a lack of confidence they do not share their information with a healthcare professional that causes ineffective treatment. In a 2018 study, Levy, Scherer, Zikmund-Fisher, Larkin, Barnes, & Fagerlin concluded that approximately 81.1% of people withheld medically relevant information from their health-care providers. Patients fail to disclose medically relevant information in front of their clinicians undermine their health and cause patient harm (Levy, 2018).
There are numerous components of patient privacy in healthcare that are personal space, religious and cultural affiliations, physical privacy ...
Page 9 of 15Capstone ProjectYaima OrtizIDS-4934.docxhoney690131
Page 9 of 15
Capstone Project
Yaima Ortiz
IDS-4934
March 1st, 2020
Abstract
Topic:
Privacy- What medical information should be confidential? Who, if anybody, should have access to medical records?
Thesis Statement
In healthcare centers and overall privacy is the right of every US citizen that should be protected in all its forms by the healthcare organization.
Rationale
1. The purpose of this paper is to identify why security measures are necessary to protect one’s privacy in the medical industry.
2. There are numerous laws, policies and healthcare organizational rules and regulations and statistics that would be helpful for conducting this research.
3. Privacy of a person whether this is me or you, is important then everything. I want to talk on this topic because I think most of us do not know what is happening to us.
4. I have selected textual analysis of books and available internet sources. The reason of this limited research methodology is that I cannot perform field study because of shortage of time.
Rough Draft Ideas
Identity theft in healthcare industry become a common practice and leads to information leakage that may destroy someone’s life. We can eliminate this human right violation by enforcing effective and practical laws. Healthcare organizations should understand their responsibilities and tighten security to protect information of patients.
Table of Contents
Introduction 3
Overview of Privacy Protections with Respect to Medical Records 4
Data Breaches in the Healthcare Industry 5
Healthcare is the biggest Target for Cyber Attack 7
Penalties and Punishments for Hacking Personal Information 9
Penalties 9
Devastating Consequences of Healthcare Data Breaches 10
Conclusion 10
Recommendations 11
Bibliography 12
Introduction
While operating in healthcare organizations need to gather patient’s information that is mostly personal information. It is the moral and legal responsibility of health care organizations to protect the information of their patients and do not share it with people outside of the organization without the patient’s consent. Protecting patient’s information is a crucial element of respect and essential for patients' autonomy and trust in the organization — the US healthcare industry currently facing patient mistrust that is caused because of a lack of trust. When patients experience a lack of confidence they do not share their information with a healthcare professional that causes ineffective treatment. In a 2018 study, Levy, Scherer, Zikmund-Fisher, Larkin, Barnes, & Fagerlin concluded that approximately 81.1% of people withheld medically relevant information from their health-care providers. Patients fail to disclose medically relevant information in front of their clinicians undermine their health and cause patient harm (Levy, 2018).
There are numerous components of patient privacy in healthcare that are personal space, religious and cultural affiliations, physical privacy.
2017 Consumer Survey: Healthcare Cybersecurity and Digital Trustaccenture
Accenture’s 2017 Consumer Survey on Healthcare Cybersecurity and Digital Trust identifies consumers’ experiences with healthcare data breaches and their attitudes toward healthcare data, digital trust, roles and responsibilities, data sharing and breaches.
Page 1 Executive Summary Policy makers are looking.docxsmile790243
Page 1
Executive Summary
Policy makers are looking carefully at the best ways to improve our healthcare system with much
emphasis being placed on the need for electronic health records for every American. This effort also
includes creating an infrastructure to allow the exchange of these records at the regional, state and
national levels. With the passing of the American Recovery and Reinvestment Act of 2009 (ARRA), the
federal government is poised to invest over $19 billion in healthcare information technology (HITECH
Act).1 This investment will provide significant incentives for healthcare providers to implement electronic
medical record (EMR) systems over the next five years. This action has the potential to dramatically
change the landscape of modern medicine and is generally seen as a tremendous step forward; however,
we must ensure that this course achieves the ultimate goals of this initiative.
If we are to improve healthcare information management, we must start with the accurate identification of
each person receiving or providing healthcare services, and anyone accessing or using this information.
As we move away from paper-based medical records that are controlled by physical access to buildings,
rooms, and files, we need to have an infrastructure that supports strong identity and security controls.
The issues with establishing identity are compounded as electronic medical records are used by many
different organizations at the regional, state, and national levels. There must be a way to uniquely and
securely authenticate each person across the healthcare infrastructure, whether that interaction is in
person or over the Internet.
Until now, there has been a slow and uncoordinated transition toward electronic medical records. There
are a myriad of systems on the market today, each with its own methods for handling patient and record
identification and each with varying levels of security and privacy controls. Many systems rely on simple
usernames and passwords to identify and control access. Far fewer implement strong multi-factor
authentication (such as smart cards). It is critical that a set of standards be established for identifying the
patient, the medical provider, and all others handling electronic records so that information across
different locations can be shared easily and securely and so that patient privacy is maintained. Accurate
identification and authentication seem like capabilities that should already exist in healthcare; however,
identification and authentication are currently uncontrolled and not standardized among medical systems,
locations, and organizations within the healthcare community.
This paper introduces the current challenges and explains why identity management in healthcare is an
essential and foundational element that must be made a priority by policy makers in order to achieve the
goals of widespread use of electronic health records to support t.
BIOMETRIC TECHNOLOGY TOWARDS PREVENTION OF MEDICAL IDENTITY THEFT: PHYSICIANS...hiij
While Financial Identity Theft (FIT) has been an ongoing threat to the safety of American society with its
horror and inconvenience, Medical Identity Theft (MIT) is now an additional risk on the horizon and there
are many perils associated with this burgeoning phenomenon. This paper will examine the physician
perceptions and look at the menacing burden that MIT places on its victims. It will also discuss ways in
which the provider can better address issues by using biometric technology to combat this escalating
problem. Also, MIT can be more damaging than FIT because it can create mayhem for the victim and his
or her medical information when erroneous details have been created in the medical record due to a thief’s
scheming and deceitful usage of healthcare information. The literature suggests that biometric technology
can revolutionize the healthcare industry with scientific tools that can scan your eye, hand or thumbprint
and a person can be easily identified. This technology would add another layer of security to give greater
protection to healthcare users as well as providers. Biometric technology is an exciting untapped resource
that can make an incredible difference in the field of healthcare and PHI. This project will shed some light
on this technology and may help the healthcare community understand the viability of biometrics and how
it can possibly deter MIT.
Running head DATA PRIVACY 1 DATA PRIVACY10Short- and .docxtodd271
Running head: DATA PRIVACY 1
DATA PRIVACY 10
Short- and Long-Term Effects of Sharing Personal and Medical Data
1. Introduction
The advancement in technology has led to the production of a large volume of human information for economic and medicinal uses. Information plays a significant part in the identification of social issues and helps effective device solutions to daily problems in human life. Although personal and medical info is essential, there are at times when people who have access to the data misuse it for financial gains. When it comes to data privacy, a lot of controversies exists as most people are unaware of their right to privacy. People use internet services where they input sensitive personal or medical data. Most online platforms such as social media have become a significant source of traffic for advertising consumer products and services.
Most websites use the information which the users enter and optimize the searches on the internet. Search engines such as Google use browser cookies to direct specific ads to some clients depending on the critical works in the history of individual searches. Online targeted adverts seem like exploitation of internet users or a form of manipulating people to buy some products from an online store. The psychology of the ads employs smart algorithms which use human information to identify what someone likes on the internet. It is a form of attracting potential clients or generating substantial traffic to a website. As the online adverts become a social issue, there is a need for awareness concerning the impacts of sharing personal or medical info over the internet. Some people claim that information leakage leads to misuse of human information and hence there is a need to educate individuals on temporary and lasting consequences of sharing personal info.
2. Personal Data
In Europe, personal info means more than human names alone. A simple detail is shown in the identification documents, bills, and other critical documents which reveal the identity of an individual. Information is a broad field of knowledge which helps Europeans to be aware of their cultural identity, internet addresses, and even critical locational data. In Europe and other modern countries with advanced internet infrastructure, an IP address is personal information which is essential for human identification (ICO, 2018). Own names, addresses, and location data identifies are used to keep a human updated with the time of his location since it is provided by the satellites, and hence information plays an essential role in the process of identifying what people who use the internet. Internet service users do love various things which they search on the internet in their life and the intelligence gathered is then applied in designing catchy adverts which generate traffic to people and benefit some individuals.
There is various information which people input in website forms to open accounts on th.
Reasons for the Popularity of Medical Record TheftOPSWAT
After a slew of data breaches in 2014, the FBI warned the healthcare industry that cyber-criminals would be directing more attention their way in 2015. The healthcare industry has become an increasingly valuable target for cyber thieves, and in some cases, a much easier target to attack, due to their often less than adequate investment in cyber security. What is it about the healthcare industry that has captured the cyber criminals' interest in the last few years?
This white paper covers various topics including industry data breach statistics, the value of credit card data versus medical record data, healthcare spending on cyber security and the impact of BYOD on industry vulnerability to data breaches. This white paper also highlights various solutions for protecting medical record data including multi-scanning, email security and the protection of endpoint devices.
Reasons for the Popularity of Medical Record Theft
December 2008 E Newsletter
1. eMedicalFiles® e-Newsletter
eMedicalFiles® Company Links
Consultive e-Newsletter
Our Website
Atlanta, GA - December 16, 2008 - eMedicalFiles® is in a great position to
share a solution on Medical Fraud and Abuse. When your wallet or purse Products
is stolen or lost most people are concerned with closing their financial
accounts and regaining a new drivers license. Services
Over a relative short period of time, your medical identity has become More About Us
just a valuable as your credit or ATM card. Thousands of dollars can be
charged to your insurance with all of the parties involved not even
Articles on Medical
realizing that someone is creating medical fraud.
Fraud and Identity
Practice Managers, Hospital Administrators, Information Theft
Technology Managers and Physicians are constently dealing with the
growing need for decreasing financial loss. Not collecting a co-pay or not World Privacy Forum Report
getting paid for an emergency procedure adds up to a tremendous yearly 2006
loss.
Medical ID Theft
As we discussed in last months e-newsletter, Revenue Cycle Management
(RCM) is becoming understood to everyone who is involved in patient Coalition Against Insurance
care. Read the articles and column pieces for a better understanding on Fraud
how medical fraud and abuse effects everyone.
Website
Sincerely,
Judson P. Bruno IntelliFinger™
National Sales Manager
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Do You Know Where Your Medical ID Card is?
by Michael Brandt Practice Management
If you think identity theft and Electronic Medical Records
fraud are only associated with
lost or stolen credit cards or IntelliFinger™
Social Security numbers think
again. As the fastest growing Practice Management
form of healthcare fraud, medical Reports
identity theft continues to be a
significant financial drain on the health system. Insurance Verfication
Drug/Lab/Allergy
Sample Forms
2. Read More....
Patients, Physicians and Hospitals become victims Our Partners
by Michelle Andrews
If identity thieves were to disregard
your financial accounts and instead
target your medical information, your email link
first thought might well be, "Take my
medical identity. Please." What nut
would want your high cholesterol, trick knee, and family history of
Alzheimer's? The answer is simple: one without health insurance who
needs surgery or prescription drugs, or someone who sees a medical ID as
the open sesame that will allow him or her to collect millions in false
medical claims.
Events
Find out more....
In January
American Academy of Pain
Medicine's
25th Annual Meeting
January 28-31
The Centers for Medicare and Medicaid Services (CMS) Electronic Health Honolulu, HI
Record (EHR) Demonstration Project is a five-year, Medicare project that
will provide incentive payments to physicians for using certified electronic In February
health records to improve the quality of patient care. If you are
interested in this project please contact: Towards the Electronic
Patient Record (TEPR) 25th
Altamese Morris, Annual Conference
Executive Assistant February 2-5
Office of Health Information Technology & Transparency Palm Springs, CA
Office - 404-656-7282
Fax - 404-656-9655
Email - amorris@dch.ga.gov
If you would like information on the project please open these links and
please fill out the survey...
Georgia EHR Project
Georgia EHR Community Partnership
Georgia EHR Project Survey
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