Electronic Medical Records Fraud & Medical Malpractice

The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 invested over $2 billion to promote health information exchange and use of personal health information. The Healthcare Information and Management Systems Society (HIMSS) invested over $18 billion to measure the adoption and functionality of these healthcare changes including medical records (EMR). The results of these investments have been limited. Physicians don’t follow these rules, and health information exchange (HIE) which is meant to allow for the easy and secure communications of patient records remains inoperable. 

The concept of this “big data” revolution has yet to show real improvements. Providers with access to timely electronic medical record data are beginning to show a competitive advantage, although the investments and risks are great.

Capsicum has years of experience auditing, assessing, investigating, and improving the technology and data making up the healthcare industry. We have identified fraud in medical records and images; analyzed nursing home videos for malpractice; and paid bitcoin for ransomware attacks. Our forensic technology experts work with providers, covered entities, business associates and their legal counsel to respond to breaches and assure compliance.

Whether in the context of HIPAA/HITECH, cyber and data breaches, OCR letters, we work on:

• Projects which assess the compliance of HIPAA / HITECH
• Computer forensic investigations
• Strategic technology and incident/ disaster response plans
• Network, data and infrastructure enhancements
• Cyber security reviews
• Data breach 
  • Incident response
  • Penetration testing, code review, cloud security & more
  • Security awareness training & tabletop exercises
• Civil and criminal litigation