10 Warning Signs Of Medical Fraud And How To Protect Yourself

10 Warning Signs Of Medical Fraud And How To Protect Yourself

by | Sep 9, 2024 | Newsletter

Health insurance is designed to provide access to necessary treatments, preventive services and emergency care to individuals and families in need, and, apparently, now it’s also used to hand out paydays to scammers.

 

In February of this year, Change Healthcare fell victim to a cyber-attack that impacted thousands of health care providers, insurers and policyholders nationwide. Reports from this incident suggest that around 50% of all US medical claims could be at risk! To put that into perspective, if you’re in the waiting room with nine other people, there’s a good chance that five of you could fall victim to medical identity theft within the year. The aftermath of this fraud is staggering, affecting countless individuals and their access to health care. Once your medical information is exposed online, these identity thieves can use it to file false claims, buy expensive prescriptions and more, and it will all be conveniently billed to your account.

 

The worst part is how some people are finding out they were affected. Some are facing tax or mortgage fraud, but others are going to the doctor to find out if they need a procedure, but instead of getting a surgery date, they’re handed a rejection letter from their insurance provider, claiming the company won’t cover it because they’ve exhausted their benefits from multiple other procedures this year. But the thing is, THEY didn’t have any other procedures this year. Someone stole their medical ID and used it for their own procedures.

 

And it’s not just individuals you have to worry about. Manipulative organizations can use your medical information for fake billing schemes. What happens is that they submit false claims for medical services you never requested, received or knew anything about, then they collect their payday, and stick you with the bill. In July, 193 defendants, including 76 doctors, nurse practitioners and other licensed medical professionals, were charged for their alleged participation in several different health care fraud schemes that resulted in $2.75 billion in false billings to federal programs. Medical fraud happens!

 

How Do You Know If You’re A Victim?

Here are 10 signs that your medical ID may have been stolen and is currently being used by cybercriminals:

1.    Unexpected Medical Bills: Receiving bills for medical services you didn’t receive is a major red flag.

2.    Collection Notices: Being contacted by debt collectors for unpaid medical bills that aren’t yours.

3.    Errors In Medical Records: Finding inaccuracies in your medical records, such as treatments you never had, incorrect diagnoses or unfamiliar medical histories.

4.    Insurance Issues: Your health insurance claims are denied because your benefits have been maxed out or you’re told you’ve reached your coverage limit, despite not using the services.

5.    Notification From Your Insurance Provider: Receiving alerts from your health insurance provider about claims or services you don’t recognize.

6.    Unknown Accounts: Discovering new health insurance accounts or medical records under your name that you didn’t create.

7.    Discrepancies In Your Explanation Of Benefits (EOB): Your EOB statements from your insurer list medical services you didn’t receive.

  1. Being Denied Insurance: Having difficulty obtaining life or health insurance because medical conditions that you don’t have are listed in your records.
  2. Unfamiliar Prescriptions: Notices about prescriptions being filled in your name that you did not authorize or receive.

10.Calls From Medical Providers: Receiving calls from doctors or medical facilities about appointments or follow-ups for treatments you never had.

 

How Can You Prevent Becoming A Victim Of Medical ID Fraud?

Don’t become the next medical ID theft victim. Here are a few steps you can take to protect yourself:

  • Check For Health Care Breaches: Use a searchable database, like this one, to find out if your health care information has been compromised.
  • Secure Your Records: Store paper copies of medical records in a safe or lockbox to prevent unauthorized access. If your health care organization’s system is compromised and records are lost, altered or unable to be accessed, you will be glad you did this.
  • Shred Documents: Shred any documents with personal information before disposing of them.
  • Monitor Your Medical Records: Regularly request and review your medical records from your health care providers and look for unfamiliar treatments, diagnoses or other discrepancies.
  • Review Insurance Bills: Carefully review explanation of benefits (EOB) statements from your insurance provider for any services you did not receive and question unfamiliar or unclear charges. Contact your insurer immediately if you see any charges or services that you don’t recognize. Afterward, report any billing errors to the credit bureaus at IdentityTheft.gov.
  • Dispose Of Prescription Labels: Remove labels from empty prescription bottles before discarding them! These labels can contain information that, believe it or not, can be used to steal your identity.
  • Monitor Your Credit: At AnnualCreditReport.com, you are able to get three free reports a year to keep an eye on any suspicious activity.

 

Health care will always be around and will also always be a target for hackers. Attacks on hospitals, doctors’ offices and other medical facilities will continue. It’s important that you are taking proactive measures to protect yourself. We can help you find out how you’re at risk with our FREE Dark Web Scan. Using this technology, we can quickly find out if your information has been put up for sale on the dark web or if you’ve been a victim of a data breach. To book your Dark Web Scan, call us at 216-800-7800 or click here.

 

Why IT Security Shortcuts Can Lead to Major Risks

Why IT Security Shortcuts Can Lead to Major Risks

by | Sep 4, 2024 | Newsletter

The National Cancer Institute in Maryland recently analyzed data from three major US health studies that gathered information on people’s daily multivitamin use. They discovered that people who took daily multivitamins had a 4% higher mortality rate than those who didn’t.

This surprising result echoes a scene from the movie Grumpy Old Men, where a character explains that, despite never exercising and having unhealthy habits, he has outlived many who followed strict health regimens. This highlights a crucial point: shortcuts to achieving meaningful, difficult goals often backfire.

 

In various aspects of life, including diet, we see that seemingly easy solutions can lead to significant problems. For example, “fat-free” or “sugar-free” labels might encourage overconsumption, negating their benefits. The Atkins diet, promising easy weight loss by avoiding carbs, led to various health issues due to an imbalanced intake. Similarly, weight-loss drugs like Ozempic have resulted in serious health complications, reminding us of the dangers of quick fixes, like Fen-Phen in the 1990s.

In the IT world, shortcuts are equally perilous. Many businesses attempt to meet compliance requirements or protect themselves from data breaches by taking the easiest, cheapest routes. It’s a common mistake to rely on free antivirus or firewall software found through a quick search, underestimating the risks. Small businesses often believe they are too insignificant to be targeted, but cybercriminals target precisely these businesses, knowing they are less likely to have robust protections in place.

Another frequent error is entrusting IT management to an acquaintance or someone with basic tech knowledge but lacking professional expertise. When businesses upgrade to professional IT services, numerous inefficiencies and vulnerabilities are typically discovered. The issue is not the intent but the lack of necessary skills and resources, which significantly increases risk.

Not all shortcuts are detrimental, though. Entrusting IT matters to an experienced managed services provider can be the optimal “easy button.” By partnering with professionals who understand your industry and its specific requirements, you can achieve compliance, security and operational efficiency without the associated stress.

Choosing the right IT provider is crucial. History shows us that experts can be convincing even when wrong, as demonstrated by past medical practices like lobotomies or financial scams like Madoff’s Ponzi scheme. Therefore, it’s vital to thoroughly vet potential IT partners, ask pertinent questions and seek testimonials from other clients.

When deciding which IT provider to let handle your network, take it seriously and don’t blindly follow anyone’s advice. It’s not your responsibility to know every technical thing that needs to happen with your network, but it is your job to ask questions, request testimonials from other clients and hire someone trustworthy. Your company’s security, reputation and, possibly, future depend on you not letting the wrong person come in and muck up your business. That’s one of the reasons I created a FREE guide that you can get here that lists out 21 questions you need to ask anyone before you let them touch your network. It’s a great resource for every business owner to have.

 

If you’re ready to hand off your IT to a reliable team of experts, our team of experts is ready to manage your network so you can focus on growing your business while we focus on what we do best: protecting it. (You can even check our website for real client reviews!)

To get started and find out what you need, give us a call at 216-800-7800 or click here to book your FREE Cyber Security Risk Assessment now.

 

Urgent Need for Robust Cybersecurity as Recent Attacks Target Businesses

Urgent Need for Robust Cybersecurity as Recent Attacks Target Businesses

by | Aug 26, 2024 | Newsletter

If the software your organization used to close deals and pay employees unexpectedly went down and you had no idea when it would be fixed, what would you do? Could you continue doing business? How much money would you lose? Unfortunately, in June, this happened to over 15,000 US- and Canada-based car dealerships when two cyber-attacks occurred on the popular industry software provider, CDK Global.
This software attack shut down the sales, financing and payroll systems for thousands of dealers, forcing them to either stop business or revert to the old-fashioned pen-and-paper method. This incident should be a wake-up call for all small business owners, highlighting the importance of robust cybersecurity measures.
What Happened?
The initial attack occurred on the evening of Tuesday, June 18. Once it was detected, CDK Global immediately took the correct action, bringing the entire system offline to investigate the issue. The system was up and running again the following day until a second incident occurred, which resulted in the company bringing the system back offline. It’s thought the system was brought back online prematurely, before all compromised areas were discovered, resulting in a second attack. Cybersecurity experts are saying it could be weeks before the system is back to being fully operational.
While some businesses were able to revert to manual processes, this incident highlights the vulnerabilities that come with relying on digital systems. In our ever-advancing digital world, where most transactions are a couple of clicks away, significant issues arise when systems go offline. Critical parts of the business process, such as completing transactions, managing payroll and interacting with financial institutions, can come to a standstill. This means that until the systems are back online, many business operations cannot be fully completed, leading to delays and potential financial losses. Business owners know that there is no sale until the check clears the bank!
So, What’s Next?
CDK Global didn’t disclose the exact cause of the attack. Whether that was intentional or they are still unsure remains to be seen. Their security team will need to meticulously comb over every area of the business to determine exactly what was compromised. It’s often difficult for large companies to get the details about cyber-attacks 100% correct after the first review because they may not be able to determine the extent of an attack’s network penetration if there are multiple points of vulnerability.
In the meantime, businesses need to take a hard look at their systems for selling and operational continuity. Will they be prepared to continue doing business if and when this happens again?
This incident should serve as a wake-up call for all business leaders. If you don’t have a business recovery and continuity plan in place, you’re putting yourself at risk. And if you do, you need to ask yourself if it is high-quality, tested often and able to handle a large-scale attack where multiple operational systems are disabled. If the answer is no, it’s time to do something about it.
We’ll do a FREE Security Risk Assessment that will achieve two important things:
  1. We’ll analyze your network for vulnerabilities. This will show you if and where an attack can occur, and we’ll offer solutions to patch it so you’re not actively setting yourself up to be the next cyber-attack victim.
  2. We’ll help you determine what continuity or recovery plan makes sense for your organization. Cybersecurity is an essential and necessary element of doing business, but even the most robust security solutions are not 100% foolproof. This means you must have a plan to bounce back and continue doing business if something should happen to your network or to a third-party piece of software you rely on, like CDK.
To get started, call our office at 216-800-7800 or click here to book your FREE Security Risk Assessment now.

Cybercriminals Are Faking Data Breaches and How AI Is Fueling This New Scam

Cybercriminals Are Faking Data Breaches and How AI Is Fueling This New Scam

by | Aug 21, 2024 | Newsletter

Just when you think cybercriminals will run out of new ideas for how to scam people, they find a way to get creative and surprise you. Now they’re faking data breaches, hoping to steal money from unsuspecting business owners and dark web data buyers alike.
Earlier this year, Europcar, an international car rental company from France, discovered a cybercriminal selling private information about its 50 million+ customers on the dark web. The car rental company immediately launched a formal investigation, only to find that the data being sold was fake. The information was falsified, most likely done with the help of generative AI.
How Did They Do It?
With AI-powered tools like ChatGPT, it’s easy for cybercriminals to generate realistic-looking data sets quickly. Smart cybercriminals do their research and design data sets that look complete, with correctly formatted names, addresses and e-mails, and can even include local phone numbers to match. They will also leverage online data generators that can quickly create large, fake data sets designed for software-testing purposes to develop authentic-looking data sets. Once they have these, hackers choose the target they claim to have stolen the data from and post the information on the dark web.
Why Are They Doing It?
Why would a hacker fake a data breach? There are a couple of reasons, besides reaping the same benefits without the work of hacking a network’s security system.
  1. Creating Distractions. One of the best ways to get a company to let down its defenses is to focus on something else, like finding a breach in its system. The company will be so intent on finding where a hacker was already able to get into its network that it will likely miss an attack from a different angle.
  2. Bolstering Their Reputation. Reputation is highly valued within the hacker community. Targeting a well-known brand publicly is a way for them to earn notoriety and get noticed by other hacker groups.
  3. Manipulating Stock Prices. For publicly traded companies, a data breach can cause a rapid 3% to 5% (or more) drop in the stock. This can cause widespread panic, allowing cybercriminals to manipulate stocks for financial gain.
  4. Learning Security Systems. Faking a data breach can allow cybercriminals to gain insight into the company’s security processes to prevent, detect and resolve attacks. Knowing threat response time and security capabilities can help them fine-tune their attack strategy.
Why Is This Bad For Businesses If The Data Is Fake?
By the time the public is made aware that the information is fake, the damage is already done. For example, in September 2023, Sony was targeted by a ransomware group that announced it had breached the company’s network and acquired its data. The breach was all over the news, where reporters repeatedly dragged Sony’s brand through the dirt, and by the time the investigation concluded that the hacker’s claim was false, irreparable damage had been done to their name.
What Can You Do To Prevent Fake Data Breaches?
If you want to avoid being the victim of a fake data breach, these are good steps to follow:
  1. Actively Monitor The Dark Web. You or your cybersecurity team should routinely monitor the dark web. If you encounter an attacker selling your data, investigate the claim immediately to prevent extensive damage.
  2. Have A Disaster Recovery Plan In Place. Don’t let your team wonder what they should say if a data breach occurs. This communication plan needs to be developed in advance and fine-tuned if or when a breach occurs.
  3. Work With A Qualified Professional. You are in business to do what you love to do, not deal with IT-related issues. Working with a cybersecurity expert who knows what to look for, how to resolve issues and how to prevent breaches takes tasks off your plate and gives you peace of mind, and will make sure #1 and #2 are taken care of.
Data breaches can create enormous problems for your organization. Get ahead of the issue and have someone proactively monitor your network and the dark web to keep you secure. If you want a no-obligation, third-party opinion on whether or not your network is vulnerable to an attack or properly secured, we’re happy to provide one for FREE. Call us at 216-800-7800 or click here to book your FREE Security Risk Assessment with one of our cybersecurity experts.

Outdated Technology Is Costing Your Organization Money

by | Aug 7, 2024 | Newsletter

Is your organization currently bleeding money due to its reliance on outdated technology? The answer is likely yes. A recent survey by Deloitte revealed that a staggering 82% of companies failed to meet their cost-reduction targets last year, with an inefficient technology infrastructure being the primary culprit.
The 2024 poll of nearly 300 business leaders on business margin improvement and technology transformation efforts revealed that challenges with their technology infrastructure are the biggest barrier to organizations seeking to improve margins by cutting costs. This same study found that over 50% of the respondents reported that leveraging data and generative AI strategies for improving margins would be their focus for 2024.
What does this tell us? Organizations are looking to adopt new, automated, AI-powered ways of doing business to save money and improve efficiency but are held back by antiquated technology.
Why Should Businesses Upgrade Their Technology?
Legacy systems, typically categorized as technology that’s at least a decade old, can quickly become expensive to maintain. They are slower, need constant updates and patches, and don’t leverage new features as they’re developed. As a result, businesses struggle to keep up with their tech-savvy competitors in every area of the organization, from scaling and cloud usage to human resources and customer service operations.
But that’s not the only issue. Outdated technology increases your risk of cyber-attacks. Old technology typically cannot keep up with the rapidly changing world of cyber security. As new, more malicious threats emerge, older technology eventually becomes incapable of keeping up with the latest updates required to keep your network secure.
So, why do business owners put off updating technology when the data clearly shows that it will positively impact productivity and the bottom line? There are a couple of reasons, the main one being sticker shock. Seeing the price of updating technology infrastructure can feel overwhelming. Smart business leaders run through risk-related questions like “What if something breaks?” or “What if it doesn’t work like they say it will?” However, the data shows that maintaining old technology could be more costly. A separate Deloitte study of CIOs in 2023 found that respondents spent an average of 55% of their technology budget on maintaining their existing systems.
There’s also the cost of switching. What will bringing systems down and transitioning to a new system cost? What will the cost be to train employees to use the software? These are all questions your IT team can help you answer BEFORE you start upgrading your technology. An experienced technician will help you analyze your system to see what needs to be updated and when, and map out a plan to upgrade your system in the most efficient way possible. It’s easier than most business leaders think and pays off in increased productivity and profitability.
If you’re looking to upgrade your technology or are just tired of slow, outdated tech and want to see what the next step could look like, we’ll do a FREE Network Assessment. Our techs will dig into your system and determine what you need to get technology that helps you run your business better. To book your assessment, call us at 216-800-7800 or click here to schedule now.