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HIPAA Violation Examples: Real Cases & Lessons Learned

Written by Security Ideals | Feb 26, 2025 2:00:00 PM

HIPAA violations can cost businesses millions and compromise patient privacy. From accidental disclosures to cyberattacks, even small mistakes can lead to massive fines and reputational damage.

Let’s break down real HIPAA violation cases, the fines involved, and what organizations can learn from them.

1. Snooping on Patient Records (Curiosity Can Cost You)

Case: UCLA Health System – $865,000 Fine

Multiple UCLA employees, including a high-profile doctor, illegally accessed celebrity medical records without authorization.

Why This Was a Violation:

  • Employees viewed PHI without a valid work-related reason

  • The hospital failed to implement proper access controls

Lesson Learned:

Curiosity is not an excuse. Only authorized personnel should access PHI for legitimate healthcare purposes.

2. Exposing Patient Data on TV (Unauthorized Disclosures)

Case: New York-Presbyterian Hospital – $2.2 Million Fine

The hospital allowed TV crews to film patients in the emergency room for a documentary without obtaining proper consent.

Why This Was a Violation:

  • PHI was shared without patient authorization

  • The hospital failed to implement safeguards to protect privacy

Lesson Learned:

Always obtain written patient consent before using PHI for media or marketing.

3. Hacking & Data Breaches (Weak Cybersecurity = Major Fines)

Case: Anthem Inc. – $16 Million Fine

Hackers stole 79 million patient records after accessing the company’s unprotected database via phishing emails.

Why This Was a Violation:

  • Failure to encrypt PHI

  • Lack of multi-factor authentication to protect system access

Lesson Learned:

Strong cybersecurity is critical. Always encrypt sensitive data and use multi-factor authentication (MFA).

4. Sending PHI to the Wrong Person (Email & Fax Mistakes)

Case: Texas Health and Human Services – $1.6 Million Fine

Employees accidentally sent PHI to the wrong recipients, exposing patient details to unauthorized individuals.

Why This Was a Violation:

  • Improper data handling procedures

  • No verification process before sending PHI

Lesson Learned:

Double-check all emails and faxes before sending PHI. Implement secure messaging and encryption.

5. Improper PHI Disposal (Throwing Away Medical Records)

Case: CVS Pharmacy – $2.25 Million Fine

Investigators found prescription pill bottles with patient names in unsecured dumpsters.

Why This Was a Violation:

  • Failure to properly dispose of PHI

  • No employee training on secure disposal

Lesson Learned:

Always shred or securely delete PHI before disposal. Never discard sensitive data in regular trash.

6. Unauthorized Sharing with Third Parties (Business Associate Failures)

Case: North Memorial Health Care – $1.55 Million Fine

A third-party vendor handling PHI suffered a breach, exposing 9,497 patient records.

Why This Was a Violation:

  • Lack of a proper Business Associate Agreement (BAA)

  • Failure to ensure vendors followed HIPAA security rules

Lesson Learned:

Always have a Business Associate Agreement (BAA) with vendors handling PHI. Ensure they follow HIPAA security requirements.

HIPAA Violation Consequences: Fines & Penalties

HIPAA violations can lead to massive penalties, depending on severity:

Violation Type Fine per Violation Max Annual Penalty
Unintentional Violation $100 – $50,000 $1.5 million
Reasonable Cause $1,000 – $50,000 $1.5 million
Willful Neglect (Corrected) $10,000 – $50,000 $1.5 million
Willful Neglect (Not Corrected) $50,000 $1.5 million
Criminal Violation Up to $250,000 + 10 years in jail

 

Even small mistakes can lead to huge fines. It’s critical to have strong HIPAA policies in place.

How to Avoid HIPAA Violations: Best Practices

  • Encrypt PHI – Protect sensitive data from cyber threats.

  • Limit Employee Access – Use role-based access to restrict PHI exposure.

  • Train Staff Regularly – Employees must understand HIPAA rules.

  • Use Secure Communication – Encrypt emails and messages containing PHI.

  • Implement PHI Disposal Policies – Shred documents and wipe electronic records.

  • Monitor & Audit Access Logs – Identify suspicious PHI access.

  • Require Business Associate Agreements (BAAs) – Ensure vendors comply with HIPAA.

HIPAA compliance is not just about avoiding fines—it’s about protecting patient privacy and trust.

Frequently Asked Questions (FAQs)

1. What Happens If an Employee Violates HIPAA?

Employees can face termination, fines, and even jail time for willful HIPAA violations.

2. What Are the Most Common HIPAA Violations?

  • Unauthorized PHI access (snooping on records)

  • Data breaches & hacking incidents

  • Mishandling or improper disposal of PHI

  • Sending PHI to the wrong recipient

3. How Can Companies Prevent HIPAA Violations?

Education and security are key. Implement strong policies, encryption, and continuous training to prevent violations.

4. Can Patients Sue for HIPAA Violations?

No, but they can file complaints with HHS OCR or pursue state-level lawsuits for privacy violations.

Final Thoughts

HIPAA violations can happen due to small mistakes or major security breaches, but the consequences are always serious. By learning from real-world cases and implementing strong compliance practices, organizations can avoid hefty fines while keeping patient data safe.

Stay HIPAA compliant by securing PHI, training employees, and ensuring proper access controls. Prevention is always better than facing a multimillion-dollar fine.