HIPAA Breach News

Data Breaches Reported by Suncoast Skin Solutions, Raveco Medical, South City Hospital, and the Colorado DHS

Suncoast Skin Solutions, a network of 22 surgical, medical, and cosmetic dermatological care clinics in Florida, has recently started notifying 57,730 patients about a ransomware attack that was discovered on July 14, 2021.

Suncoast said when the cyberattack was detected, prompt action was taken to prevent the encryption of all of its systems and a third-party cybersecurity firm was engaged to conduct a forensic investigation to determine the nature and scope of the attack.

On October 14, 2021, the cybersecurity firm concluded its investigation and Suncoast conducted a preliminary review of its systems to determine if they contained any patient information. That process was completed on November 8, 2021, and a third-party vendor was engaged to review all affected files to determine the specific individuals whose information may have been compromised.

Suncoast has now confirmed that the following types of data were potentially viewed by the attackers: names, dates of birth, clinical information, doctor’s notes, and other limited treatment information. Suncoast said it is unaware of any attempted or actual misuse of patient data as a result of the security breach. Steps have been taken to prevent similar breaches in the future, including transferring all patient data to an encrypted system. Complimentary credit monitoring services have been offered to certain impacted individuals.

South City Hospital Reports Theft of Backup Server Containing PHI of 21,601 Individuals

South City Hospital in St. Louis, MO – formerly St. Alexius Hospital – was the victim of a burglary on November 13th or 14th and thieves stole a backup imaging server from one of its practice locations.

A review of the server confirmed it contained protected health information of 21,601 individuals, including names, Social Security numbers, health insurance information, radiology imaging, and/or other related medical information.

In response to the break-in, the hospital has implemented additional security measures to prevent further exposures of patient data.

Colorado Department of Human Services Affected by Cyberattack on Business Associate

The Colorado Department of Human Services (CDHS) has notified 6,132 individuals that some of their protected health information has potentially been compromised in a cyberattack on one of its vendors – Sound Generations.

Sound Generations is a Seattle, WA-based provider of services for adults with disabilities and CDHS contracts with Sound Generations to store data for its evidence-based fall prevention program – A Matter of Balance. Sound Generations investigated the breach and while no evidence of data misuse has been identified, it was not possible to rule out unauthorized data access.

The types of information potentially compromised includes names, addresses, phone numbers, email addresses, dates of birth, and whether or not clients have health insurance.

PHI of 4,897 Individuals Potentially Compromised in Raveco Medical Hacking Incident

Raveco Medical, a women’s health clinic in New York City, has notified 4,897 patients that some of their protected health information was potentially accessed by unauthorized individuals.

A security breach was detected on November 22, 2021, and a third-party cybersecurity firm was engaged to investigate the breach. The investigation confirmed files had been copied from its systems that contained patients’ first and last names, dates of birth, medications, diagnoses, Social Security numbers, and/or payment card information.

Raveco Medical said it is working to improve data security to prevent further hacking incidents. Affected individuals have been provided with complimentary access to credit monitoring and identity theft resolution services through IDX.

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Taylor Regional Hospital Still Recovering from January Cyberattack

Taylor Regional Hospital in Campbellsville, KY has suffered a cyberattack that has resulted in its IT and phone systems being taken offline. The cyberattack was reported by the hospital on January 24, 2021, and the hospital is still experiencing outages with certain computer systems and phone lines. Temporary phone lines have been set up to allow patients to contact the hospital while the cyberattack is resolved.

Cyberattacks such as this often involve ransomware, but no details have been released so far about the exact nature of the cyberattack, nor when its IT systems are expected to be restored. At this early stage, it is unclear if any patient information has been accessed or stolen by attackers.

A notice on the hospital’s website explains that quality care continues to be provided to patients and it is working as quickly as possible to safely bring its IT systems back online. Patients are encouraged not to delay seeking medical care; however, without access to IT systems, patients have been asked to bring lists of their medication with them to any appointments that have previously been scheduled.

The hospital said routine outpatient labs will only be performed during limited hours until further notice, and patients have been advised to bring a written order and patients should expect longer wait times than normal. The walk-in COVID-19 clinic is still open but will operate on a first-come, first-served basis.

Data Stolen in Cyberattack on Connecticut Accountancy Firm

The Glastonbury, CT-based certified public accountancy firm, Fiondella, Milone & LaSaracina, has announced it was the victim of a cyberattack in September 2021. The security breach was detected on September 14, 2021, with the forensic investigation determining the hackers had access to its systems from September 9, 2021.

On or around October 13, 2021, it was determined the hackers copied files and folders from its system that contained the sensitive data of certain individuals. The information potentially compromised was mostly limited to names and Social Security numbers, with some individuals also having information stolen related to ambulance trips, including date and tracking numbers, service level, payor types and category, mileage information, charge/payment information, billing review information, and remittance advice details, which may have included medical information.

Fiondella, Milone & LaSaracina said a review of security measures has been conducted and additional safeguards will be implemented to prevent further security breaches. There is no mention in the website breach notice of credit monitoring and identity theft protection services.

The breach has been reported to the HHS’ Office for Civil Rights as affecting 6,215 individuals.

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PHI of 138K Individuals Exposed in 3 Email Security Incidents

Hackers have gained access to email accounts containing protected health information at Injured Workers Pharmacy, iRise Florida Spine and Joint Institute, and Volunteers of America Southwest California.

Injured Workers Pharmacy

Andover, MA-based Injured Workers Pharmacy has recently reported a data breach to the Maine Attorney General that was discovered on or around May 11, 2021, when suspicious activity was detected in an employee email account. The account was immediately secured and third-party computer forensics specialists were engaged to investigate the breach. The investigation revealed 7 email accounts had been compromised between January 16, 2021, and May 12, 2021.

Third-party data review specialists were engaged to check the emails and attachments in the compromised accounts, which confirmed they contained the protected health information of 75,771 individuals such as names, addresses, and Social Security numbers. After the review, Injured Workers Pharmacy validated the results, and that process was completed on or around December 14, 2021. Notification letters started to be sent to affected individuals on February 3, 2022.

Injured Workers Pharmacy said it has augmented its email security measures and is offering affected certain individuals complimentary credit monitoring and identity restoration services.

iRise Florida Spine and Joint Institute

The iRise Florida Spine and Joint Institute has discovered an employee email account containing the protected health information of 61,595 patients has been accessed by an unauthorized individual. The forensic investigation revealed the email account was accessed between February 24, 2021, and February 26, 2021.

A comprehensive review of emails and attachments was conducted, and the process was completed on November 22, 2021. iRise said the following types of information may have been viewed or acquired in the attack: Names, dates of birth, diagnoses, clinical treatment information, physician and/or hospital name, dates of service, and health insurance information. A limited number of individuals also had their Social Security numbers, driver’s license numbers, financial account information, credit card numbers, and/or usernames and passwords exposed.

Affected individuals have been notified and a 12-month complimentary membership to a credit monitoring service has been offered to individuals whose Social Security numbers were exposed. iRise has reviewed its email security measures and has implemented additional technical safeguards, including multifactor authentication. Additional training on email security has also been provided to the workforce.

Volunteers of America Southwest California

The San Diego, CA-based social service organization Volunteers of America Southwest California recently announced it was the victim of a phishing attack. An employee received an email that appeared to be a voicemail message, that included a link to a website that required login credentials to be entered to listen to the message. The login credentials were captured and used to access the employee’s email account.

The email account was accessed by the attackers on or around November 16, 2021, and the intrusion was detected and remediated on November 16. A review of the email account revealed it contained the first and last names of clients in the vast majority of cases, with some of the records also including individuals’ COVID-19 vaccination status.

The breach appears to have been fully remediated and third-party experts have been engaged to validate the containment measures. Email security has been enhanced in response to the breach.

The breach was reported to the HHS’ Office for Civil Rights as affecting 1,300 individuals.

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RI Attorney General Subpoenas RIPTA and UnitedHealthcare Over 22,000-Record Data Breach

The Rhode Island Attorney General is investigating UnitedHealthcare and the Rhode Island Public Transit Authority (RIPTA) over a cyberattack and data breach that resulted in hackers gaining access to RIPTA’s network that contained the sensitive personal and protected health information of up to 22,000 individuals.

The Office of the Rhode Island Attorney General was notified about the security breach on December 23, 2021. RIPTA said it discovered and blocked a cyberattack on August 5, 2021, with its investigation confirming the hackers gained access to its network on August 3, 2021. Files stored on the compromised part of its network included extensive information on its employees, including names, dates of birth, Social Security numbers, and health plan ID numbers, along with the sensitive information of thousands of state employees who had never worked at RIPTA.

RIPTA reported the breach to the HHS’ Office for Civil Rights as affecting 5,015 individuals but said in its breach notice that the incident had resulted in the exposure of the personal data of 17,378 individuals. The difference in the numbers was due to UnitedHealthcare, RIPTA’s previous health insurance provider, providing RIPTA with files containing the data of non-RIPTA employees.  In total, up to 22,000 individuals had their sensitive data stolen in the attack. The files were stored on RIPTA’s servers and were not encrypted and the hackers exfiltrated approximately 40,000 files from RIPTA’s systems.

RIPTA sent notification letters to affected individuals, including those that had no association with RIPTA, triggering a barrage of complaints to the Office for the Attorney General questioning why their personal data had been compromised in a breach at RIPTA when they had never had any association with the quasi-public agency. The delay in issuing notification letters was due to each of those 40,000 files having to be manually searched, which was a labor-intensive and time-consuming process. RIPTA said only a small number of people were involved in the document review to prevent sensitive data from being further exposed.

On Monday this week, RIPTA administrators testified under oath at a Senate oversight committee hearing about the incident. RIPTA Chief Legal Counsel Steven Colantuono said at the hearing, “We don’t believe that anyone did anything wrong on our end, but we are still investigating it.”

RIPTA Director Scott Avedisian confirmed that reports downloaded by RIPTA from a UnitedHealthcare portal between 2015 and 2020 were ‘filtered files’, and the data unrelated to RIPTA was supposed to remain hidden. While not confirmed, the description suggests the downloaded files were Excel spreadsheets with certain rows hidden. The secure links to access the files on the portal were emailed to RIPTA by UnitedHealthcare.

At the hearing, officials at the state Department of Information Technology confirmed there is a statewide policy requiring the encryption of sensitive data such as personally identifiable information, personal health information, and federal tax information; however, RIPTA is not one of the agencies or quasi-state agencies assisted or supported by the Department of Information Technology, so RIPTA is not required to comply with the state’s encryption policy.

UnitedHealthcare’s VP of external affairs was scheduled to appear at the hearing but backed out after initially agreeing to appear. UnitedHealthcare said it is investigating the breach to determine what went wrong. At this stage, there is no listing of a breach at UnitedHealthcare on the HHS’ Office for Civil Rights breach portal.

In addition to the investigation by the Rhode Island Attorney General, Colantuono said there will also be a federal investigation and discussions are currently being had between the Department of Justice and the HHS’ Office for Civil Rights to determine which of the two agencies will be conducting the investigation. There is also the possibility of legal action being taken against UnitedHealthcare and RIPTA by state employees affected by the data breach.

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Data Breaches Reported by Jefferson Health and Allegheny Health Network Home Infusion

Allegheny Health Network Home Infusion Patients Affected by Ransomware Attack on Vendor

Pittsburgh, PA-based Allegheny Health Network Home Infusion has been notified about a ransomware attack on one of its vendors, Vantage Healthcare Network, Inc.

On October 17, 2021, Vantage detected suspicious activity within its network and engaged a third-party cybersecurity firm to investigate the security breach. AHN Home Infusion was informed on November 22, 2021, that the systems accessed by the ransomware gang contained patient data, some of which had been exfiltrated by the attackers prior to file encryption.

AHN Home Infusion conducted its own investigation alongside Vantage to determine which patients had been affected, and the types of information that had been compromised and has confirmed the following types of information had potentially been accessed or exfiltrated in the attack:

Names, billing information, nurse’s notes, patient referral information, prescriptions, treatment and therapy records, medical device orders, scheduling information, and a small number of Social Security numbers. AHN Home Infusion said the investigation into the attack and the document review is ongoing. So far there are no indications that any patient information has been or will be misused.

Vantage has confirmed it has restored all data encrypted in the attack. Individuals whose Social Security numbers have been compromised will be offered complimentary credit monitoring services.  The breach has been reported to the HHS’ Office for Civil Rights as affecting 7,500 patients.

Hacker Gained Access to Jefferson Health Insurance Portal

Philadelphia, PA-based Jefferson Health has discovered unauthorized individuals gained access to an online health insurance portal that was used to submit billing information for payment. The breach occurred on November 18, 2021, and the attacker attempted to divert wire payments intended for Jefferson Health.

On November 22, 2021, Jefferson Health discovered the attacker had obtained a remittance sheet that included the billing information of 5,239 patients of Thomas Jefferson University Hospital and 3,475 patients of Abington Memorial Hospital. The remittance sheet included names, month and year of birth, date(s) of service, treatment codes, and treatment costs. No Social Security numbers, health insurance information, financial account information, or other treatment information were compromised.

Jefferson Health has sent notification letters to affected individuals and said it is reviewing and enhancing its security protocols.

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Former South Georgia Medical Center Employee Arrested Over 41K-Record Data Breach

The Hospital Authority of Valdosta and Lowndes County Georgia has recently reported a data breach involving the unauthorized copying of patient data by a former employee of South Georgia Medical Center.

On November 12, 2021, security software generated an alert indicating an employee had downloaded data from the hospital’s systems onto a USB drive. The investigation confirmed the downloaded data included patients’ names, dates of birth, and test results. The breach was recently reported to the Department of Health and Human Services’ Office for Civil Rights as involving the protected health information of 41,692 individuals.

The employee had been provided with access to patient data in order to complete work duties, but no authorization was given to copy patient data and remove it from the hospital. The employee left employment at the hospital on November 11, 2021.

South Georgia Medical Center said no data was erased from its systems and the copied files have now been recovered. The data theft incident was reported to law enforcement and the Lowndes County Sheriff’s Office investigated the breach and the recovered files.

South Georgia Medical Center CEO, Ronald Dean, said there is no reason to believe any of the copied information has been misused in any way, and financial data and Social Security numbers were not removed from the premises; however, individuals whose protected health information was removed from the hospital have been offered a complimentary membership to a credit monitoring and identity theft restoration service.

The sheriff’s office confirmed to the Valdosta Daily Times that a 43-year-old former employee of the hospital has been charged with felony computer theft and felony computer invasion of privacy in relation to the incident. The motive behind her copying the data is unclear.

South Georgia Medical Center said changes have been implemented following the incident to improve security, including limiting the use of USB drives and providing further training to the workforce.

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Concerning Healthcare Data Breach Reporting Trend

The HIPAA Breach Notification Rule calls for data breach notifications to be issued to the Secretary of the HHS “without unnecessary delay” and no later than 60 days after the date of discovery of a data breach. The same time frame applies to issuing notification letters to affected individuals.

There has been a trend in recent years for HIPAA-regulated entities to wait the full 60 days from the date of discovery of the breach to issue notifications to affected individuals and the HHS, but recently growing numbers have taken the date of discovery as the date when the breach investigation has been completed, or even the date when the full review of impacted documents is finished. In some cases, notifications have been issued many months after the initial system breach was detected. There may be valid reasons for a delay in reporting, such as a request from law enforcement to delay making a cyberattack or data theft incident public to avoid interfering with the law enforcement investigation; however, it is rare for individual notifications to mention these law enforcement requests.

Delays to individual notifications oftentimes mean individuals’ PHI has been in the hands of cybercriminals for many months before they are told about the data theft and are given the opportunity to take steps to protect against any misuse of their personal data. Notification letters cannot be sent to affected individuals until those individuals have been identified, but any delay in issuing notifications is a compliance risk. There have been several cases where ransomware gangs have stolen patient data, posted the data on their data leak sites, and for that information to be available for months before notification letters are issued. In some cases, the notification letters have not made any mention of data theft.

Promptly sending individual notification letters and being transparent about the risk individuals face will allow them to take appropriate action to protect their identities and could reduce the risk of a data breach lawsuit. Several recent lawsuits have cited unnecessary delays in issuing notifications, which has placed breach victims at a much higher risk of harm.

Risk of Penalties for Delayed Breach Notifications

The HHS has made it clear in guidance on its website that the deadline for reporting breaches to the Secretary of the HHS is 60 days from the date of discovery of the breach. If the number of affected individuals is not known at the time of reporting, an estimate should be provided. The breach report can then be appended at a later date when further information about the breach is known. Some covered entities report the breach within 60 days of the detection of a cyberattack and use a total of 500 or 501 affected individuals as a place marker until the document review is completed.

While there have been few enforcement actions to date over the late reporting of data breaches, a missed deadline does place a HIPAA-regulated entity at risk of a substantial fine. Given the number of data breaches now being reported to the HHS well after the 60-day deadline, non-compliance with the HIPAA Breach Notification Rule reporting requirements could well be an area where the OCR decides to take enforcement actions in the future.

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February 11, 2022: Deadline for Providing GAO With Feedback on HHS Data Breach Reporting Requirements

The Government Accountability Office (GAO) has launched a rapid response survey of healthcare organizations and business associates covered by the Health Insurance Portability and Accountability Act (HIPAA) seeking feedback on their experiences reporting data breaches to the Secretary of the Department of Health and Human Services (HHS). The questionnaire was initially due to remain open until 4 p.m. EST on Friday, February 4, 2022., but the deadline has now been extended by a week to February 11, 2022. The survey is being conducted through Survey Monkey and can be accessed here.

Congress requested the GAO review the number of data breaches reported to the HHS since 2015, and the survey seeks to identify some of the challenges, if any, faced by covered entities and business associates in meeting the data breach reporting requirements of the HHS. The GAO will also determine what efforts the HHS has made to address any breach reporting issues and improve the data breach reporting process.

The survey is being distributed by the Health-ISAC, Health Sector Coordinating Council (HSCC) and the American Hospital Association (AHA) on behalf of the GAO, and responses will be provided in aggregate to GAO.

GAO has requested only one survey be completed by each covered entity and business associate. GAO said it will not attribute specific comments to specific individuals and/or organizations when it produces the report, and the only individually identifiable information passed to GAO will be the email address provided in the survey along with any individually identifiable information provided voluntarily in any of the open-ended questions.

“This is an important opportunity to inform the work of the GAO and help identify the benefits of, along with the many issues of concern expressed over the years by hospitals and health system victims of cyberattacks, regarding the ensuing HHS Office for Civil Rights audit and investigation process,” said John Riggi, AHA national advisor for cybersecurity and risk.

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Cyberattacks and Data Theft Incidents Reported by Medical Healthcare Solutions and Advocates Inc.

Advocates Inc., a Massachusetts-based nonprofit provider of support services for individuals experiencing life challenges such as addiction, autism, brain injury, intellectual disabilities, mental health, and behavioral health, has announced it recently experienced a sophisticated cyberattack and data theft incident.

Advocates was informed on October 1, 2021, that an unauthorized individual had gained access to its network and copied files containing the sensitive data of patients and employees. A leading cybersecurity firm was engaged to assist with the investigation, which revealed an unknown individual had accessed its network and copied files over a four-day period between September 14, 2021, and September 18, 2021.

The files contained names, addresses, dates of birth, Social Security numbers, health insurance information, client ID numbers, diagnoses, and treatment information. After confirming the individuals affected, Advocate collected up-to-date contact information to allow written notices to be provided, hence the delay in issuing notification letters.

The cyberattack was reported to the Federal Bureau of Investigation and regulators. The breach report submitted to the Department of Health and Human Services’ Office for Civil Rights indicates the protected health information of 68,236 individuals was included in the stolen files. Advocates said it is unaware of any attempted or actual misuse of the stolen information; however, as a precaution, affected individuals have been offered complimentary credit monitoring and identity theft protection services.

PHI Stolen in Cyberattack on Medical Healthcare Solutions

The Boston, MA-based medical billing company Medical Healthcare Solutions, has recently announced it was the victim of a cyberattack. The attack was discovered on November 19, 2021, and steps were immediately taken to secure its network to prevent further unauthorized access. The investigation confirmed an unauthorized individual had accessed its network between October 1, 2021, and October 4, 2021, and copied certain files from its network.

A review of the stolen files revealed they contained the following types of data: Name, address, date of birth, sex, phone number, email address, Social Security number, driver’s license/state ID number, financial account number, routing number, payment card number, card CVV/expiration, diagnosis/treatment information, procedure type, provider name, prescription information, date of service, medical record number, patient account number, insurance ID number, insurance group number, claim number, insurance plan name, provider ID number, procedure code, treatment cost, and diagnosis code.

A final list of individuals affected by the breach was obtained on January 8, and notification letters have now been issued. Complimentary credit monitoring and identity theft protection services have been offered to affected individuals. The incident has been reported to the HHS’ Office for Civil Rights, but it has not yet appeared on the breach portal, so it is currently unclear how many individuals have been affected.

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