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2 Minute Drill

When the Apology Is the Phish | 2 Minute Drill with Drex DeFord

6:03

with Drex DeFord

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About this episode

On Monday, October 26th, the University of New Mexico Health Sciences Center spotted a cyber event in Albuquerque. By about 12:30, ambulances were being turned away from UNM Hospital — New Mexico's only Level I trauma center, burn unit, and children's hospital — and for about two hours the most seriously injured people in the state had to go somewhere else. That evening a new ransomware gang calling itself Byod claimed the attack, saying they took out 36,000 systems, Active Directory, the entire Microsoft Entra tenant, and walked away with Social Security numbers, payroll, patient information, and Cerner EHR rosters. UNM says the attack hit some end-user devices but did not penetrate core systems or servers, critical systems were coming back online by the 27th, and it made no concessions. Then Byod posted again — this time to apologize, offer free decryption keys for hospitals only, and say they would pay affected patients up to $2,500 each. Tucked into that apology was a line that said they were still going to keep the data, and the offer asked patients to provide proof over Session, an encrypted messaging app. Drex's read: that looks a lot like a phishing lure. UNM moved fast, warning patients and staff not to respond and to report contact to the FBI at ic3.gov. Health systems plan for downtime and diversion; what they often don't plan for is the week after, when attackers or copycats contact patients with fake refunds and fake billing calls. If you get hit tomorrow, is your patient scam warning already written and ready to post on day one?

Thanks to Zscaler Healthcare for sponsoring today's show. Drop Drex a note at drex@229project.com.

Remember, Stay a Little Paranoid.

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Transcript

[00:00] Hey everyone, I'm Drex, and this is the Two Minute Drill.

[00:02] Thanks to Zscaler Healthcare for sponsoring today's show.

[00:05] It's great to see you today.

[00:07] Here's some stuff you might wanna know about.

[00:09] So this story kicks off at about,

[00:12] on Monday, October 26th at about 11 in the morning

[00:16] in Albuquerque.

[00:17] The IT team at the University of New Mexico

[00:20] Health Science Center spot a cyber event unfolding

[00:24] and they start containment.

[00:26] By around 1230, ambulances are being turned away

[00:29] from UNM hospital.

[00:31] That's New Mexico's only level one trauma center.

[00:34] It's also the state's only burn unit

[00:36] and it's also the state's only children's hospital.

[00:40] For about two hours, the most seriously injured people

[00:43] in the state have to go somewhere else.

[00:46] Outpatient surgeries and appointments,

[00:48] all those things are canceled for that day.

[00:51] And that evening, a brand new ransomware gang

[00:54] claims the attack.

[00:55] They call themselves BYOD, BYOD,

[00:58] like bring your own device.

[01:01] Bill Tulis at Bleeping Computer found the post

[01:04] on BYOD's data leak site.

[01:07] BYOD claims they took out 36,000 systems,

[01:11] active directory, the entire Microsoft intra tenant

[01:15] and they claimed they walked away with social security

[01:17] numbers and payroll and patient information

[01:20] and Cerner EHR rosters and maybe some other stuff.

[01:25] In BYOD's own words, quote,

[01:27] this is your entire network and infrastructure compromised,

[01:31] the entire university completely.

[01:34] The English may feel a little broken

[01:36] but the message is loud and clear.

[01:39] Now UNM tells their side of the story like this.

[01:42] They say the attack hit some end user devices

[01:45] but did not penetrate core systems or servers.

[01:49] By the 27th, critical systems were coming back online.

[01:53] UNM says it made no concessions.

[01:56] The FBI is investigating.

[01:58] None of BYOD's claims are confirmed at this point.

[02:03] But also on Tuesday, BYOD post again.

[02:08] And it's like something I've never really seen before.

[02:11] They said they were sorry.

[02:12] They said they didn't know that the machines

[02:15] they were attacking were assisting patients in real time.

[02:19] So they're offering the decryption keys for free.

[02:22] Hospital sector only.

[02:23] And then they say, quote,

[02:25] to any patient that was affected,

[02:28] please provide us proof and we will pay you up to $2,500

[02:31] each for the inconvenience.

[02:33] We're sorry once again.

[02:35] We have morals and we have a heart

[02:37] and we're not the villains, end quote.

[02:39] And tucked right into that apology by the way

[02:42] was also a line that said

[02:44] we are still going to keep the data.

[02:47] So the hackers said they were sorry

[02:50] but they're still going to hold on

[02:52] to all the data that they've stolen.

[02:54] Now, Cyberthud crews have apologized before.

[02:58] Lockbit apologized to Toronto Sick Kids Hospital

[03:02] back in 2023 over a cyber attack that they were involved in.

[03:06] But offering cash directly to patients,

[03:09] that's a whole new thing.

[03:10] And if you read the offer again,

[03:12] it says patients will have to provide us proof.

[03:17] Feel free to contact us on Session,

[03:20] which is an encrypted messaging app.

[03:22] Now the paranoid guy in me says

[03:24] that's really just the phishing message.

[03:26] The criminals already have whatever it is that they took.

[03:30] What they don't have is the patient online

[03:33] volunteering proof of who they are

[03:36] and where they were treated

[03:37] and in order to get paid maybe even access to a bank account.

[03:42] And UNM thankfully picked up on this very quickly

[03:46] and followed up on this potential scam very quickly.

[03:50] By Wednesday, they were telling patients and staff,

[03:52] don't respond to these messages.

[03:55] Don't click, don't send personal or financial information

[03:59] and report any contact you have with these cyberthugs

[04:03] to the FBI at ic3.gov.

[04:08] So here's what we know, something happened

[04:11] and we'll eventually get the whole story.

[04:13] But what seems clear is that UNM has now moved

[04:17] into the recovery phase.

[04:19] So health systems and CIOs and CISOs,

[04:22] we plan for these outages all the time,

[04:24] downtime procedures, business continuity procedures,

[04:27] paper processes, diversions.

[04:30] What we often don't plan for are the week

[04:34] or the weeks after the attack when the attackers

[04:37] or the copycats start to contact the patients

[04:43] directly, they're offering fake refunds

[04:46] or fake compensation or they're making fake calls

[04:49] from the billing office to those patients.

[04:52] Your patients trust your name.

[04:56] After the outage, that trust is usually the next target

[05:00] for these kinds of cyberthugs.

[05:02] So here's today's questions.

[05:04] If you get hit tomorrow,

[05:06] is your patient scam warning process already written

[05:10] and approved and ready to post on day one

[05:13] or will legal and the comms team still be wordsmithing

[05:17] something on day number four?

[05:20] Who owns patient communications during a cyber incident?

[05:25] And do they know that they own patient communications

[05:29] during a cyber incident?

[05:30] Because a lot of times they don't.

[05:32] And when a patient calls and says,

[05:34] the hackers offered me money, should I take it?

[05:37] What will the person who answers your phone say?

[05:41] Open book test, start preparing now.

[05:45] That's it for today's two minute drill.

[05:46] Thanks Skin Disease Scaler Healthcare

[05:48] for sponsoring today's podcast.

[05:50] Drop me a note.

[05:51] Let me know what you're working on.

[05:52] I'm always happy to hear from you.

[05:53] I'm Drex at 229project.com.

[05:57] Thanks for being here.

[05:58] Stay a little paranoid and I will see you around campus.