What Happens If a Doctor Violates HIPAA?

Doctors violating HIPAA face severe penalties, including fines up to $1.5 million annually, professional discipline, or even criminal charges. To ensure compliance, healthcare providers should use secure tools like Fax.Plus, a trusted HIPAA-compliant cloud fax solution.

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What Counts as a HIPAA Violation?

A HIPAA violation happens when a doctor or medical staff member fails to protect a patient’s health information (PHI). PHI includes things like names, medical records, Social Security numbers, or even email addresses tied to health data. Common Violations Include:

  • Unauthorized Disclosure: Sharing patient info without permission.

  • Improper Access: Looking at medical records for patients who aren’t under your care.

  • Lack of Safeguards: Failing to use secure tools, like sending a fax over an unencrypted line.

  • Refusing Patient Access: Not giving patients copies of their own records.

  • Responding Publicly to Negative Reviews: Posting any part of a patient’s health info online.

What Are the Penalties?

HIPAA violations fall into two main categories: civil and criminal.

  • Civil Penalties: These fines depend on the nature and intent of the violation. Fines can range from $100 to $50,000 per violation, with an annual maximum of $1.5 million.

  • Criminal Penalties: For intentional violations (especially those involving fraud or harm), doctors can face fines up to $250,000 and up to 10 years in prison.

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Real-World HIPAA Violation Cases Involving Doctors

Let’s look at five real examples of HIPAA violations involving doctors. These cases show how violations can happen, and what can be done to prevent them.

Doctor Shares Patient Info with Drug Sales Rep

Dr. Frank Alario allowed pharmaceutical rep Keith Ritson unauthorized access to patient records, helping Ritson earn commissions on prescriptions. Dr. Alario faced criminal charges, up to one year in prison, and a $50,000 fine. Unauthorized sharing of patient data for financial gain is illegal and unethical.

Celebrity Records Accessed Without Permission

 In 2008, 19 UCLA Medical Center staff accessed Britney Spears’ medical records without authorization out of curiosity. Despite HIPAA training, several were fired. Medical records must remain private regardless of patient celebrity status.

Doctor Accidentally Leaks Records Online

A Columbia University physician accidentally exposed 6,800 patient records online while attempting to deactivate a personal server connected to the hospital network, resulting in a $4.8 million fine. Proper handling and clear IT protocols are essential to prevent data breaches.

Doctor Posts PHI While Responding to Negative Review

A North Carolina dental practice disclosed patient information publicly while responding to a negative online review, resulting in a $50,000 fine. Protecting patient privacy is crucial, even when addressing criticism online.

Denial of Patient Access to Medical Records

Cignet Health refused 41 patients access to their medical records and failed to cooperate with federal investigators, leading to a $4.3 million penalty. Patients’ right to access their health information must always be respected.

How Doctors Can Prevent HIPAA Violations?

Using a secure, HIPAA compliant fax service such as Fax.Plus greatly reduces risks. Fax.Plus provides secure, encrypted communication channels designed specifically to meet HIPAA guidelines, ensuring your healthcare practice remains compliant and secure.

Why Fax.Plus Is a Safer Choice for Healthcare

Extremely Secure Solution

Built-in HIPAA Compliance

Fax.Plus is designed as a HIPAA compliant faxing solution with multiple layers of protection. Fax.Plus provides a signed BAAs with enterprise accounts.
All Fax Functions In Your Own App

Access to PHI Records

Streamline record management by accessing audit trails of sent faxes. Easily search your archive using dedicated notes to find stored faxes.
Secure

Secure HIPAA fax

We use strong 256-bit AES encryption for stored documents, with each user having their own unique encryption key.
Keep Your Current Fax Numbers

Easy Workflow for Staff

Our user-friendly apps bypass the complexity of Radiology Information Systems (RIS), Electronic Health Records (EHR), and Practice Management (PM) systems.
Seamless Integrations

Cost Efficiency

Enjoy visibility of all expenses, choosing from various plans tailored to meet admin demands, including options for high-volume needs.
Dedicated Support

Advanced admin controls

Streamline staff management with flexible tools to enhance security, compliance, and operational efficiency.

FAQs

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Not directly. HIPAA doesn’t give patients the right to sue. But they can file a complaint with the Office for Civil Rights (OCR), which may investigate and impose penalties.
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Even accidental violations can lead to fines. Medical practices are expected to train staff and sanction violations, regardless of intent. If an employee violates HIPAA because they weren’t trained properly, the organization could still be liable and subject to civil penalties. This is why regular, documented training is essential.
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Several factors play a role:
  • The type and intent of the violation

  • The number of people affected

  • Whether harm occurred

  • Whether the doctor or practice took corrective action

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Yes. Covered entities are responsible for ensuring staff are trained on HIPAA policies. If an employee violates HIPAA because they weren’t trained properly, the organization could still be liable and subject to civil penalties. This is why regular, documented training is essential.
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Yes, Fax.Plus is HIPAA compliant. We understand the importance of safeguarding sensitive medical information. To ensure the highest level of protection maintaining the privacy and security of healthcare data, we have implemented robust security measures and policies that encompass the confidentiality, integrity, and availability of your health information.
Learn more about our approach here.
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Most companies can get up and running within a day. Special circumstances like porting existing numbers into Fax.Plus may take a few days.

Discover Fax.Plus,
HIPAA compliant fax solution.

Want to see how our cutting-edge faxing solution can help your healthcare organisation?
Schedule a demo and one of our representatives will contact you for a customized demonstration.

DISCLAIMER: The information on this site is for general information purposes only, and Alohi cannot guarantee that all the information on this site is current or accurate. This is not intended to be legal advice and should not be a substitute for professional legal advice. For legal advice, consult a licensed attorney regarding your specific legal questions.