what kind of lawyer do i need to sue a hospital for a hippa violation

by Prof. Vanessa Luettgen Jr. 4 min read

Talk to a personal injury attorney about your rights to compensation for HIPAA violations. The Connecticut Supreme Court ruled that violations of medical privacy under HIPAA could lead to tort liability under Connecticut law, paving the way for Emily Byrne to win her lawsuit against the Avery Center.

Full Answer

Can a patient sue for a HIPAA violation?

Mar 03, 2022 · even when the HIPAA Rules have clearly been violated by a healthcare provider, and harm has been suffered by a patient as a aim consequence of that rape, it is not potential for patients to pursue damages, at least not for the rape of HIPAA itself .

How do I file a HIPAA complaint against a company?

If you are suspected of committing a HIPAA violation, you should contact an experienced attorney with experience in defending against these charges. The law and rules involved in HIPAA are complicated, and an experienced attorney will be able to help you understand the rules and work on compliance with the rules.

Why do I need a HIPAA lawyer?

Apr 24, 2019 · In legal terms, a HIPAA violation does not allow a “private right of action.” That means the government can punish the medical provider or business associate, but any penalties paid by the violator go to the government, not to you. You do have the right to report HIPAA violations to the Office of Civil Rights (OCR).

What government agencies handle HIPAA lawsuits?

Jun 07, 2012 · What kind of attorney handles a HIPPA violation? I agree completely with the previous poster, however, while HIPPA might not provide a private cause of action, other state statutes or common law causes of action may exist to allow for recovery under the facts as …

How do you prove a HIPAA violation?

Complaint RequirementsBe filed in writing by mail, fax, e-mail, or via the OCR Complaint Portal.Name the covered entity or business associate involved, and describe the acts or omissions, you believed violated the requirements of the Privacy, Security, or Breach Notification Rules.More items...

Is HIPAA violation considered medical malpractice?

When Are HIPAA Violations Not Considered Medical Malpractice? Most HIPAA violations do not constitute breaches in the standard of care, making it difficult to get them classified as medical malpractice in a court setting.

What are the damages for a HIPAA violation?

HIPAA Violation Penalty StructureTier 1: Minimum fine of $100 per violation up to $50,000.Tier 2: Minimum fine of $1,000 per violation up to $50,000.Tier 3: Minimum fine of $10,000 per violation up to $50,000.Tier 4: Minimum fine of $50,000 per violation.Jan 23, 2022

What are 3 common HIPAA violations?

The 5 Most Common HIPAA ViolationsHIPAA Violation 1: A Non-encrypted Lost or Stolen Device. ... HIPAA Violation 2: Lack of Employee Training. ... HIPAA Violation 3: Database Breaches. ... HIPAA Violation 4: Gossiping/Sharing PHI. ... HIPAA Violation 5: Improper Disposal of PHI.Mar 19, 2018

What happens after a HIPAA complaint is filed?

After the investigation, OCR will issue a letter with the results of the investigation. If it's found that you, the practitioner, did not comply with the HIPAA rules, then you must agree to 1) voluntarily comply with the rules, 2) take corrective action if necessary, and 3) agree to a resolution.Jun 17, 2021

Is there a reward for reporting HIPAA violations?

As a result of these tips, enforcement activities have obtained significant results that have improved the privacy practices of covered entities. However, unfortunately, whistleblowers who use the HHS complaint procedure are not eligible for a whistleblower reward as they are under the False Claims Act.Aug 11, 2020

Can you get fired for a HIPAA violation?

Depending on the nature of the violation, the incident may warrant disciplinary action against the individual concerned which could see the employee suspended pending an investigation. Termination for a HIPAA violation is a possible outcome.Mar 7, 2021

How long does it take to investigate a HIPAA violation?

A breach impacting 500 or more individuals must be reported to OCR within 60 days of the discovery of the breach, and within 60 days of year end for smaller breaches. The failure to investigate promptly may see that deadline missed.Nov 14, 2017

What is a HIPAA breach?

A breach is defined in HIPAA section 164.402, as highlighted in the HIPAA Survival Guide, as: “The acquisition, access, use, or disclosure of protected health information in a manner not permitted which compromises the security or privacy of the protected health information.”Nov 27, 2018

Is telling a story about a patient a HIPAA violation?

Usually one draws on one's work life experience to describe characters in a book or relay an interesting tale. However, even without mentioning names one must keep in mind if a patient can identify themselves in what you write about this may be a violation of HIPAA.Mar 6, 2018

What patient right is most often violated?

Violation of Patient's RightsFailing to provide sufficient numbers of staff. ... Failing to provide quality care.Failing to provide proper nursing services.Abandoning the patient.Isolating the patient.Failing to treat the patient with dignity or respect.More items...

How does the HIPAA law work?

It establishes appropriate safeguards that health care providers and others must achieve to protect the privacy of health information. It holds violators accountable, with civil and criminal penalties that can be imposed if they violate patients' privacy rights.

Who handles HIPAA violations?

When there is a reported case of a HIPAA violation, it is usually the Department of Health and Human Services (HHS) that investigates violations. HHS usually deals with most of the civil violations, but if there were a suspected criminal violation of HIPAA, then the Department of Justice (DOJ) would handle the charges.

What to do if you are suspected of violating HIPAA?

If you are suspected of having violated HIPAA, speaking to a lawyer at the Health Law Group should be your first step. Being proactive and working with your attorney you may be able to avoid charges or lessen the severity of these charges.

Why is HIPAA important?

The security of a patient’s confidential information is important in the field of medical practice because communications are private between a patient and their doctor.

What is the Health Law Group?

The Health Law Group helps all kinds of healthcare providers, maintain compliance with the privacy and security sections of the Health Insurance Portability and Accountability Act, or as it is commonly known, HIPAA. This act and the rules that have been promulgated under it make it illegal to disclose personal information of patients.

How much is the penalty for HIPAA violations?

The penalties for violations ranges between $100-$50,000 for each violation of HIPAA with a annual cap between $25,000 and $1,500,000.

Why was a woman sentenced to 2 years in Anchorage?

Woman In Anchorage, Alaska Shares Patient Information. In 2015, a woman in Anchorage was sentenced to 2 years for violating HIPAA. She gave her co-defendant medical records of patients in order to victimize these patients.

What is HIPAA in healthcare?

An Overview of HIPAA. The Health Insurance Portability and Act (HIPAA) sets national security regulations for healthcare providers to protect information of their patients. When a patient goes to a doctor, they share a variety of confidential information that is protected by HIPAA. Disclosing this information can lead to violations.

What happens if you violate HIPAA?

Medical Privacy Under State Laws. If a medical privacy violation resulted in damages, meaning you suffered some kind of verifiable financial loss , you might have a civil claim against the individual who violated your HIPAA rights. Each state has different privacy laws governing personal health information.

What is HIPAA violation?

HIPAA Violation Questions & Answers. The Health Insurance Portability and Accountability Act ( HIPAA) is a set of complex federal rules and regulations that govern how medical institutions and their business associates treat your private health information (PHI). Penalties for HIPAA violations can be substantial, ...

What are HIPAA covered entities?

HIPAA does not always protect the privacy of your personal health information. Under federal rules, only certain types of “covered entities” are governed by HIPAA. Covered entities are categories of medical facilities and related businesses that might have access to your personal health information: 1 Health care providers: Health care providers include medical doctors, osteopathic doctors, dentists, chiropractors, nurses, lab technicians, pharmacies, and medical administrators supporting these providers. 2 Health plans: Health plans include HMOs, PPOs, Medicaid, Medicare, company medical plans, and military and veteran health care programs. 3 Health care clearinghouses: Health care clearinghouses include individuals or companies hired to process individuals’ personal health information. For example, billing service companies, health information systems, transaction facilitators, and other businesses that handle PHI. 4 Business associates: A “business associate” is a person or entity that performs certain functions on behalf of a covered entity who may have access to patient information. Examples of business associates are CPAs, attorneys, medical transcription services, and hospital utilization consultants.

What are the penalties for HIPAA violations?

Penalties for HIPAA violations can be substantial, ranging from fines to criminal prosecution and imprisonment. Even though it’s against the law for medical providers to share your health information without your permission, under federal law you don’t have the right to file a lawsuit or ask for compensation.

How long does it take to file a HIPAA complaint?

You must file your complaint within 180 days of the violation. File your HIPAA complaint online using the U.S. HHS Office for Civil Rights Complaint Portal. After the investigation is complete, the Office for Civil Rights will issue a letter describing the resolution of your complaint.

Why do we need HIPAA?

Why We Need HIPAA Laws. The main goal of the Health Insurance Portability and Accountability Act is to protect the privacy of your personal health information. HIPAA also works to create systems of confidentiality and accountability within healthcare facilities.

What is the difference between Title III and Title IV?

Title III: Provides guidelines for pre-tax medical spending accounts. Title III makes changes to health insurance laws about deductions for medical insurance. Title IV: Has guidelines for group health plans, such as the kind of health care plans offered by many employers.

Scott Michael Swafford

I agree completely with the previous poster, however, while HIPPA might not provide a private cause of action, other state statutes or common law causes of action may exist to allow for recovery under the facts as you describe them. This is a very fact-driven inquiry though that varies heavily by state.

Mitchell Paul Goldstein

Get the privacy policy. If you have damages, you may be able to file a breach of contract action as well.

L. Maxwell Taylor

None, since there's no private right of action for violating HIPAA. Persons aggrieved by unauthorized disclosure of their personally identifiable health information may file a complaint with the Office of Civil Rights at the Deparment of Health and Human Services, which is part of the executive branch of the federal government.

How long does it take to file a HIPAA complaint?

Complaints must be filed within 180 days of the discovery of the violation, although in limited cases, an extension may be granted. Complaints can also be filed with state attorneys general, who also have the authority to pursue cases against HIPAA-covered entities for HIPAA violations.

How to file a complaint against HHS?

The first step to take is to submit a complaint about the violation to the HHS’ Office for Civil Rights. This can be done in writing or via the OCR website. If filing a complaint in writing, you should use the official OCR complaint form and should keep a copy to provide to your legal representative. You will then need to contact an attorney ...

Who is Steve Alder?

Author: Steve Alder has many years of experience as a journalist, and comes from a background in market research. He is a specialist on legal and regulatory affairs, and has several years of experience writing about HIPAA. Steve holds a B.Sc. from the University of Liverpool.

Can OCR investigate a complaint?

While complaints can be filed anonymously, OCR will not investigate any complaints against a covered entity unless the complainant is named and contact information is provided. A complaint should be filed before legal action is taken against the covered entity under state laws.

Can a patient sue for HIPAA violations?

There is no private cause of action in HIPAA, so it is not possible for a patient to sue for a HIPAA violation. Even if HIPAA Rules have clearly been violated by a healthcare provider, and harm has been suffered as a direct result, it is not possible for patients to seek damages, at least not for the violation of HIPAA Rules.

How to file a HIPAA lawsuit?

Contact an attorney if you wish to file a lawsuit against the individual, business or organization based on the privacy violation. Wait until you have filed the official HIPAA complaint before filing the lawsuit. Bring the complaint form package and any supporting documentation to the attorney at your first meeting. Provide your attorney with copies of all documents as well as contact information of witnesses who corroborate your claim.

What is the law that protects privacy?

Lawsuits violating privacy are protected under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and filed with the U.S. Department of Health & Human Services' Office for Civil Rights (OCR).

What is the OCR?

The OCR investigates alleged violations, initiating corrective action and enforcing penalties where deemed necessary. Filing a complaint is not filing a lawsuit, but is the first step in recording the alleged violation.

Jay Raftery Jr

As Attorney Strom stated, under HIPAA law, there is no private right of action. Basically, an individual cannot bring a lawsuit against a provider simply because the provider violated its obligations under the HIPAA Privacy Rule.

Eric L. Strom

Probably not. The HIPAA statute does not provide an individual cause of action. It really functions as a basis for a government audit and associated fines.#N#However, a HIPAA violation could be evidence of negligence or malpractice on the part of a health care worker.

What happens if a doctor makes a mistake?

If a doctor or other staff member makes a mistake then the hospital can still be found liable as their employer. This is known as vicarious liability. However, if the doctor is not directly employed by the hospital but instead works on a contract or floating basis, then the hospital may not be an appropriate defendant.

What is medical malpractice?

Medical malpractice is when a medical professional acts negligent when treating a patient and they are injured as a result. These individuals will be held to a higher standard of care, which will depend on their type of profession/job title. As noted, the hospital can face liability as the employer in these situations.

What is mandatory arbitration?

This means that before the person can file a civil lawsuit, they will need to go through mandatory arbitration. This is when the dispute is put before an arbitrator, who is a neutral third-party. The arbitrator listens to both sides, looks at the evidence, and tries to help the parties reach a resolution.

How to find a lawyer?

1. Search for attorneys in your area. You can start your search by visiting the website of your state or local bar association. They typically have searchable directories of licensed attorneys that you can use to find someone with the expertise and experience you need.

What happens if you can't settle a case?

If you are unable to reach settlement independently or through mediation, a trial will be scheduled for you to present your case to a judge or jury. You must work with your attorney to build your case and develop a strategy. In most cases, your attorney will prefer a trial by jury .

Can medical malpractice be a cause of action?

Your state's medical malpractice statute may provide a cause of action for medical privacy violations. Once you have a list of attorneys, visit their websites to learn more about their practice areas and experience. ...

Who is Jennifer Mueller?

Jennifer Mueller is an in-house legal expert at wikiHow. Jennifer reviews, fact-checks, and evaluates wikiHow's legal content to ensure thoroughness and accuracy. She received her JD from Indiana University Maurer School of Law in 2006.

Is medical information protected by state law?

You also will need to be able to identify the individuals or entities you allege violated your medical privacy. Doctor-patient confidentiality is protected by state law. That confidentiality is breached if your private medical information is disclosed to a third party without your consent.

Can you sue for invasion of privacy?

In other situations, such as if the information was disclosed by an employee of your health insurance company, you might sue for invasion of privacy. An invasion of privacy lawsuit also would be appropriate if the information was revealed publicly.

Can you sue for HIPAA violations?

However, if your medical privacy is violated, you can't sue in federal court under HIPAA. To sue for medical privacy violations, you must file a lawsuit for invasion of privacy or breach of doctor-patient confidentiality under your state's laws.