Patient Verification Helps Hospitals Deal with Decreasing Revenue as COVID-19 Cases Rise

August 31, 2021/6700 views / 0 Comments/in BLOG, COVID-19, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Hospitals and health systems are constantly being challenged by the pandemic. Sure, COVID-19 has affected virtually every business – many organizations have declared bankruptcy while others have shuttered their doors. However, most, if not all of these organizations, had their employees work from home. Healthcare providers, on the other hand, had to face unprecedented challenges head-on, such as frontline healthcare teams risking their lives, losing billions of dollars, patient verification issues, data breaches, and more.

Unfortunately, it looks like the battle with COVID-19 is far from over for healthcare providers. With the Delta variant once again wreaking havoc, caregivers are experiencing razor-thin margins. That being said, accurate patient verification CAN prevent many issues, helping hospitals survive this challenging period. Let’s take a look at a few stats that show how concerning the new variant is and how positive patient identification can help caregivers.

Some recent statistics that show a rise in margins and expenses

While things were definitely getting better with millions being vaccinated across the U.S. and businesses slowly opening up, the Delta variant of COVID-19 has struck back with full force. While healthcare providers have been facing lower losses and improved margins when compared to the first half of 2020, a new report sheds light on many facts. While many indicators show that things are going in the right direction, some show that the effects of COVID-19 are far from over.

The “median operating margin index” in June was 2.8%, excluding funding from the CARES (Coronavirus Aid, Relied, and Economic Security) Act. When taking funding into account, it was 4.3%.

What do these numbers mean for hospitals and health systems? Well, it’s an increase of almost 90% (excluding CARES Act Funding) or 48.7% (including the funding) when compared to the first half of 2020. All of these numbers are based on 900 hospitals that have participated monthly for the last three years.

When it comes to patient volumes, it’s a mixed bag. Patient volumes were higher when compared to 2020, but lower than they were before the pandemic. For those who want specifics, discharges between January and June of 2021 were 10.1% higher than in the first half of 2020, but when compared to the first half of 2019, patient volumes are down 4.4%. A similar trend can be seen for ER visits in hospitals, i.e. higher than in the first half of 2020 but lower than in the first half of 2019.

Fortunately, the revenue of hospitals and health systems has increased compared to both 2020 and 2019! According to the same report mentioned above, this is because of outpatient visits. “Gross operating revenue,” excluding CARES Act funding for January to June of this year, was 18.2% higher than the same period of 2020 and 7.9% higher than the same period of 2019.

But all of these statistics look good for hospitals, right?

Well, while all of these do look good, expenses have also increased – affecting margins significantly. The first half of 2021 saw an 8.5% rise in expenses when compared to the first half of last year, and an increase of almost 10% when compared to the first half of 2019.

While margins are increasing, expenses are increasing as well

Unfortunately, the COVID-19 pandemic is far from over – the Delta variant has reached the U.S. and has been in the news for the past few weeks. While healthcare providers have opened their doors to regular patients, COVID-19 cases are spiking once again, and this might be detrimental to hospital margins according to an official associated with the study mentioned above.

Hospitals need to identify ways to reduce losses, improve patient safety, and avoid unwanted incidents that hurt the bottom line. But how can patient verification help?

How patient verification helps improve hospital margins

Accurate patient identification has been a topic of discussion for several years now, and identification errors have also given rise to a number of studies.

Accurate patient identification helps

Prevent medical record errors such as duplicate medical records and overlays
Prevent medical identity theft in real-time
Protect patient data integrity
Reduce denied claims by ensuring accurate, consistent information within medical records
Prevent medical errors that might lead to patient safety incidents
Avoid dangerous patient mix-ups, including transplant mix-ups
Ensure CMS compliance by sending out proper e-notifications to appropriate caregivers
Improve patient outcomes
Reduce hospital readmissions

All of the above, when considered together, can drastically reduce losses and improve a hospital’s margin. We know this because our leading patient identification platform has been helping several healthcare providers for years.

Patient verification made easy with RightPatient

A number of healthcare providers have chosen RightPatient to manage their patients’ medical records. In a post-pandemic world, RightPatient’s touchless patient ID platform makes the most sense, as it keeps everyone safe by preventing physical contact (when compared to other methods of identification).

RightPatient reduces denied claims, improves patient safety, prevents duplicates and overlays, and prevents patient identity theft – boosting the bottom line of hospitals.

How are YOU planning to reduce losses and improve margins at your healthcare facility?

Improving Patient Safety in Virtual & In-Person Visits is a Must as COVID Cases Spike

August 26, 2021/5862 views / 0 Comments/in BLOG, COVID-19, EHR, healthcare, HIM, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

While it seemed like the pandemic was waning in the U.S., it looks like it’s far from over. Unfortunately, the delta variant is here to wreak havoc once again – just look at the current scenario of the COVID-19 spikes across the states. The delta variant has even forced the Centers for Disease Control and Prevention (CDC) to update its guidance on wearing masks. CDC has once again asked even fully vaccinated individuals to wear masks, a decision that has sparked backlash and confusion among the general public. That being said, let’s take a closer look at the current situation, what hospitals are doing now, and how improving patient safety during patient visits (both in-person and virtual) is crucial – something that RightPatient can help with.

COVID cases are increasing once again

Florida has seen a huge spike – over 21,000 cases in a single day, and this is the highest since the pandemic! Earlier, the highest number of COVID-19 cases in a single day was slightly over 19,000 for the state.

Florida has also set a new record for COVID-19 hospitalizations – around 10,207 patients who were infected with the notorious virus. The previous record of the state was 10,170 patients per day.

Moreover, in San Fransico, around 233 healthcare workers tested positive for COVID-19, most of who were fully vaccinated.

In Massachusetts, there was a new surge of COVID-19 patients, and almost three-fourths of them were fully vaccinated!

Vaccinations are increasing too, fortunately!

Amongst all of the havoc caused by this new COVID-19 surge, vaccinations are fortunately increasing too. Around 800,000 people were vaccinated on July 25th – the highest doses in a single day in weeks.

How are hospitals responding?

Hospitals, especially in the U.S., never seem to catch a break, do they?

Well, many hospitals, if not all, are facing an increased number of patients – both COVID-19 and otherwise. Unfortunately, the non-COVID-19 cases are due to COVID-19 itself, ironically. These are the patients who couldn’t, or wouldn’t, get healthcare services since the pandemic began.

For instance, according to an official at Stanford Healthcare, they are completely full and are “outstripping” beds every day. These include both COVID and non-COVID cases. However, the non-COVID-19 ones need urgent care as they are quite ill. They delayed elective procedures themselves, or their dates were pushed back, due to, you guessed it, the pandemic.

Many hospitals, as a result, are once again, working hard towards improving patient safety. Healthcare providers are either postponing or reducing non-emergency and elective surgeries at their facilities. Others are changing their visitation policies, such as restricting in-person patient visitors (barring exceptional cases), allowing virtual visits, minimizing patient visitors, and so on.

As for providing healthcare services, the pandemic already showed how telehealth can be used to care for non-COVID-19 patients – the latter can just be in their homes and avail healthcare services. In fact, many healthcare providers are incentivizing patients for using telehealth during the surge. Lee Health, for instance, is waiving its charges for certain virtual visits.

However, the doors are still open for critical non-COVID-19 patients, and for improving patient safety, hospitals need to implement strategies that eliminate physical contact, prevent infection control issues, and improve patient outcomes.

RightPatient can help with all of that, fortunately.

Improving patient safety with RightPatient

RightPatient is the leading touchless biometric patient ID platform used by several healthcare providers. However, other than ensuring positive patient identification, using RightPatient benefits hospitals and patients in several ways.

RightPatient is perfect for the post-pandemic world as it identifies patients accurately safely and hygienically.

For appointment scheduling and virtual visits, patients only need to provide a selfie and a photo of their driver’s license during the registration process – RightPatient does the rest. For in-person visits, patients only need to look at the camera during the registration or verification process.

All of this ensures that the accurate medical record is selected every time, all without requiring the patient to touch any screens or devices – reducing infection control issues.

RightPatient also ensures that accurate information is fed into the appropriate EHRs each time – boosting patient data integrity, improving patient outcomes, and more.

RightPatient ensures accurate patient identification, is touchless, improves patient outcomes, prevents patient safety incidents, and reduces infection control issues for everyone in the facilities.

How are YOU improving patient safety at your healthcare facility?

Denied Medical Claims Are Costly but Preventable with Patient Identification

August 23, 2021/6049 views / 0 Comments/in BLOG, Data Integrity, Denied Claims, Duplicate Medical Records, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The U.S. healthcare system is no stranger to problems, unfortunately. In fact, it has been plagued by a plethora of issues for several years. While some of the problems are definitely solvable, external issues alongside other factors cause the problems to continue. Some of the many problems are astronomical prices, the lack of price transparency, interoperability issues, the abundance of data breaches, medical identity theft, and patient safety issues. While we have covered some of these topics at one point or the other, let’s take a look at another crucial problem, denied medical claims, how they are problematic for everyone, and how positive patient identification can prevent them.

Denied medical claims are costly and cumbersome for everyone involved

Denied claims are not a recent problem within U.S. healthcare – most hospitals and health systems are quite familiar with them. One can safely say that denied medical claims are quite expensive – an average hospital can lose around $3.5 million due to them. However, denied claims not only affect hospitals but also insurers and patients, albeit in different ways – let’s see how.

Claim denials in a nutshell

In the U.S., healthcare is closely related to reimbursements from Medicare, Medicaid, and commercial insurers. Patients get health insurance, go to their healthcare provider, get treated, and that’s about it. However, a lot more goes on behind the scenes regarding healthcare reimbursements.

After providing healthcare services to the patients, the hospital processes the information and sends the claims to the insurance company. While healthcare providers usually get reimbursed by the payer, some of them face expensive hiccups. Due to billing or coding issues, patient identification errors, medical record mix-ups, or other problems, the payer identifies inconsistencies after receiving claims, and they might reject or deny said claims. While some claims can be resubmitted, checking for and fixing the errors is time-consuming, costly, and requires a considerable number of resources.

All of the above leads to back-and-forth exchanges between care providers and payers. Insurers have to reject claims, caregivers lose out on a significant amount of revenue, and many patients even receive shocking, incorrect bills. However, some even lose healthcare services, especially those associated with Medicaid.

Let’s take a look at a few statistics to see how Medicaid patients suffer due to denied medical claims. However, do keep in mind that denied claims can be detrimental for any patient.

A worrying study regarding denied claims

A very recent study has shed light on denied claims and how physicians or hospitals are reluctant to see Medicaid patients due to reimbursement issues.

According to the study, at least 25% of Medicaid claims have been denied upon initial submission. On the other hand, 7.3% of Medicare claims were denied whereas commercial insurers denied 4.8%.

Moreover, the study also states that around 17% of revenue is lost due to billing problems associated with Medicaid patients, whereas the numbers are quite lower for patients covered by Medicare (5%) and other payers (3%).

While any type of denied claim is extremely costly, the statistics show that the Medicaid ones are quite problematic. Moreover, since Medicaid is associated with low-income families, reimbursements are lower as well.

All of this just leads to caregivers being reluctant to look after Medicaid patients.

Denied medical claims are preventable

One of the topmost priorities of physicians and healthcare providers is to look after the patients, Medicare or otherwise. Instead of worrying about denied claims, hospitals and health systems can work on reducing or eliminating them with the right tools and strategies.

Fortunately, RightPatient, the industry’s leading touchless biometric patient identification platform, can help reduce denied claims substantially.

Denied and rejected claims typically occur because of billing and coding errors – most of which can be traced back to medical record errors, patient mix-ups, and identification issues. RightPatient eliminates all of that, and more, as it ensures that the accurate information is fed to the correct EHR at all times. As a result, billing and coding errors are drastically reduced and so are denied claims – boosting the bottom line.

How are YOU reducing denied claims in your healthcare facility?

Misidentification of Patients Can Cause Deaths – How Are Hospitals Preventing Them?

August 20, 2021/5729 views / 0 Comments/in BLOG, EHR, healthcare, Medical Record Mix-ups, Patient Data, Patient Identification, Patient Safety /by Matt Gibson

Unfortunately, misidentification of patients is something that’s still a prominent issue in hospitals and health systems. In fact, just a few weeks ago, there was a patient who received the wrong kidney, which was just one example of the many wrong patient surgery cases. Fortunately, the patient survived but just imagine the implications if the patient didn’t live! Not everyone recovers from patient misidentification mishaps unscratched – some even lose their lives.

Although these cases are occurring more frequently, most healthcare providers are responding reactively rather than being proactive and preventing such cases entirely. That being said, let’s take a look at a couple of other patient mix-up cases and how RightPatient is ensuring identity management in healthcare facilities to avoid such cases.

Misidentification of patients – a few more cases

A patient got the wrong medications

This one is an old story but is worth mentioning since it shows the actual dangers of patient misidentification. A patient, Z, had gone in for cancer treatment and the patient mix-up occurred in a busy registration area, something that is quite typical in hospitals. The EHR user was quite new but followed the facility’s rules – she entered the patient’s name according to the driver’s license. Unfortunately, she clicked on the first EHR that appeared without checking the others or inspecting them to see if this was the patient’s medical record or not. She was oblivious to the fact that there can be other patients with the same exact name – something that is quite a common issue.

The patient was given a wristband with the wrong information. Later down the line, the EHR user asked the patient whether it was accurate or not – the patient responded positively. However, during a testimony down the line, the patient said that he wasn’t wearing any glasses to be able to verify it accurately and was actually depending on the hospital to ensure his safety.

The patient was later sent to a busy area and the nurse asked whether his name was Z or not and also his birthdate – the most common (but unreliable) patient identifiers used. While the patient agreed, a mistake had already been made – as a result, the patient received chemotherapy for an entirely different patient whose name was also Z but had a different D.O.B.

During the same testimony, it was found out that this all happened because of miscommunication – the room was too loud so that the patient couldn’t hear properly, and he also said that the nurse had an accent that was difficult to understand. The nurse, on the other hand, said that the instructions were written as “day 1, day 8”, and she assumed that the patient came in on the scheduled day. All of these problems could’ve been avoided with positive patient identification using RightPatient – more on that later.

Fortunately, while the patient received the wrong treatment, the side effects were few, although, it was classified as wrong medication administration, something that’s quite common when misidentification of patients occurs.

While patient Z was extremely lucky to have survived, not everyone does – just like the patient in the next case.

The wrong patient was taken off of life support

This was quite a devastating case – the wrong patient was taken off life support.

The patient, Samuel (pseudonym), was apparently admitted to St. Barnabas Hospital and was unconscious. Later down the line, it was detected that due to OD, he was left in a vegetative state and required life support. His sister was contacted, and after a few days, she made the very difficult decision to take her brother off of life support.

Afterwards, it was identified that it wasn’t actually her brother but a different person entirely! Once again, this is a case of misidentification of patients. When the actual patient was admitted to the ER, the social security card identified him with his actual name (Samuel Richard Jackson). However, the hospital staff chose the medical record of Samuel Jackson, an entirely different patient. While the patient’s fate might have been uncertain, at least the proper family would’ve been notified if the accurate medical record was chosen.

As can clearly be seen, patient identification errors have severe consequences for everyone involved. The patients receive the wrong medication and treatments, resulting in detrimental healthcare outcomes, hospital readmissions, or even deaths, whereas the healthcare providers face lawsuits, suffer from losses, and lose goodwill. All of this is entirely preventable by ensuring accurate patient identification.

RightPatient eliminates misidentification of patients

RightPatient has been protecting millions of patients in several healthcare facilities with its touchless biometric patient identification platform. During the registration process, it attaches a photo of the patient to their EHR, “locking” them essentially. Even if a patient with the same name or characteristics comes up, the registered patients’ records will be safe, since their faces don’t match.

By identifying patients accurately right from appointment scheduling, check-in, and beyond, RightPatient eliminates chances of duplicate medical records, overlays, and patient mix-ups.

How are YOU preventing such mix-ups within your healthcare facility?

Another One Added to Wrong Patient Surgery Cases – Is Patient Misidentification To Blame?

August 1, 2021/6932 views / 0 Comments/in BLOG, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

We’ve been talking about patient misidentification for quite a long time now, and for very good reasons. While many think that patient identification errors in hospitals are not that common or serious, but every now and then, a piece of news comes up that shows just how serious it can be. This time, a patient received a kidney that was actually meant for someone else – can you imagine? Without further ado, let’s dive deep into the unfortunate tale and see how wrong patient surgery cases can be prevented with positive patient identification.

A classic case of transplant mix-up

This unfortunate case of transplant mix-up is exactly what we warn healthcare professionals against – we’ve seen our fair share of wrong patient surgery cases.

It occurred in University Hospitals (UH) on the 2nd of July, and fortunately, the recipient survived, as the kidney was compatible with the patient. The patient is slowly recovering, according to a spokesperson, and the surgery of the actual patient who was supposed to get the kidney has been delayed. UH also notified UNOS (United Network for organ Sharing) about the transplant mix-up.

Moreover, UH isn’t divulging any more details about the situation as of now – they are analyzing the situation, investigating what caused the issue, and are working so that it never occurs again. However, the employees that were involved with the medical error are on administrative leave until the issue is figured out.

However, while this might seem quite unusual, wrong patient surgery cases do occur every now and then – something which we can confidently say occurs because of patient mix-ups due to poor patient identification systems.

Wrong patient surgery cases are uncommon, but not unheard of

Back in 2019, before the pandemic changed everything, wrong patient identification led to another transplant mix-up in Lourdes Hospital Transplant Center (which we’ve covered already). Coincidentally, it also was a case of a kidney transplant.

However, this was a much more transparent case as the patients had a similar name and age – something that we very well know leads to patient mix-ups, among other things. Fortunately, in that case, the patient who got the kidney survived as it was a perfect match.

This case was also reported to UNOS and the patient who was supposed to get the kidney had the transplant down the line.

However, in UH’s case, the patient who’s supposed to get the transplant is still on the waiting list. As already mentioned, UH isn’t releasing any details about the mix-up – but we are too familiar with such cases.

Wrong patient surgery cases occur due to poor patient identification

In Lourdes Hospital Transplant Center’s case, the patients had common names and were of similar age. This is a classic case of patient identification errors. Patient’s medical records are usually mixed up during registration, and if they have common characteristics, such devastating cases are generated.

We believe that whatever occurred in UH was due to patient misidentification, or the lack of proper patient identification.

Medical record mix-ups, poor quality patient data, medication administration errors, wrong transplants, detrimental healthcare outcomes, mistreatments, and adverse incidents are just some of the consequences of poor patient identification, and can even claim patients’ lives. The patients involved in the two wrong patient surgery cases above are extremely lucky to be alive – not everyone makes it out alive.

Such transplant mix-ups or patient mix-ups are deadly, but they ARE preventable – as long as the healthcare provider is ensuring accurate patient identification. We’re so concerned about such cases is because we help responsible hospitals and health systems prevent patient mix-ups with our industry-leading touchless biometric patient identification platform, RightPatient.

RightPatient prevents patient mix-ups and patient safety incidents

RightPatient prevents patient identification errors right from the start. It takes patients’ photos during registration and locks the medical records with them. Whenever a patient comes up later on, the platform provides the accurate medical record after comparing the saved photo with the live one. This makes sure that patient mix-ups are eliminated, as it uses the one characteristic that cannot be mixed up – patients’ faces.

RightPatient has a vast amount of experience with ensuring accurate patient identification in several hospitals and health systems, and we’re confident that it could’ve prevented such cases.

Are you preventing such mix-ups at your healthcare facility effectively?

The Importance of EHRs Shows Why Medical Record Errors Must be Prevented

July 30, 2021/6847 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Medical Record Mix-ups, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

When caregivers are asked about the most important tool they have at their disposal to treat their patients, what answers are expected? Some would say their healthcare team, the cutting edge technology/procedures they have access to, the different solutions they have that improve healthcare outcomes, and so on. However, the most underrated and crucial tool is definitely the electronic health records or EHRs. Think of it – where would healthcare be without EHRs? EHRs ensure that the right information regarding the right patient is provided to the right medical team. However, this is applicable only as long as certain issues are prevented, especially medical record errors.

That being said, let’s take a deeper dive into how EHRs are the most important tool for healthcare providers and why ensuring patient data integrity is a must.

Healthcare is evolving but the starting point remains the same

Let’s go back to a time before the deadly pandemic. If someone went to a healthcare provider and told them that telehealth would become mainstream in the future, the provider would most likely say that they’re crazy! Look at the reality now – telehealth is still preferred by many, even while users are decreasing due to hospitals opening up.

Healthcare has been evolving – rapidly in some areas and steadily in others. One certain thing is that healthcare isn’t limited to the four walls of hospitals and health systems anymore – one of the consequences of the pandemic. However, whether it’s in-person visits or virtual ones (telehealth/telemedicine), the foundation for providing care to patients remains the same – EHRs.

EHRs are more important than most realize

Patients, caregivers, and others are quite satisfied with telehealth now.

Patients on the younger side have stated that they would like to continue using telehealth even if the national health emergency is over. That’s probably because it’s more convenient, easier, and safer – all the patients need is an internet connection with a communication device.

Caregivers have a bit more complex process to go through.

Caregivers who are providing telehealth services have to consider a lot of factors – the telehealth platform, the portal, the EHR system, identifying the right patient, rules and regulations, ensuring patient safety online, and more. Also, while providing virtual services to the patients, the physicians need to ensure that the necessary information is being fed to the EHRs of the patients accurately – just as they do during an in-person visit.

The bottom line is that whether the healthcare provider is seeing the patient within their facility or online, the one thing that basically remains constant is the patient’s EHR. However, issues such as medical record errors can mess EHRs up, derailing healthcare outcomes among other things – let’s see how.

Why it’s crucial to prevent medical record errors

One of the starting points of providing healthcare is the EHR. When the patient interacts with their healthcare provider, usually to schedule an appointment, one of the first things done by the caregiver is pulling up the patient’s EHR. It basically provides the entire medical history, recent lab test results, and other information required to treat the patient. Moreover, any new information captured by the caregiver will be added to the EHR. EHRs, by providing timely, relevant, comprehensive, and accurate information to the physicians, improve healthcare outcomes, optimize healthcare delivery, boost coordinated care, and reduce adverse events.

Now, imagine if an inaccurate EHR is selected – the consequences can be devastating!

Medical record errors such as duplicates and overlays lead to patient mix-ups. Patient A’s treatment will be based on patient B’s medical record, leading to detrimental healthcare outcomes, adverse effects, and worse. Patient data within the EHRs becomes unreliable as it is fragmented, erroneous, and inconsistent.

However, all of this can be prevented with positive patient identification with RightPatient.

RightPatient prevents medical record errors – and more!

By identifying patients correctly right off the bat, RightPatient ensures that accurate, high-quality data is fed to the EHRs every time the patient checks in for a healthcare visit. Patients only need to look at the camera – the touchless biometric patient identification platform does the rest.

With RightPatient, responsible healthcare providers are not only ensuring patient data integrity, but they are also improving patient outcomes, preventing patient safety incidents, and providing optimal healthcare services to patients.

Another Patient Misidentification Case Shows Why Hospitals Must Prevent It

July 28, 2021/6333 views / 0 Comments/in BLOG, EHR, healthcare, Medical Record Mix-ups, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Patient misidentification strikes again. It’s not surprising at this point, as patient misidentification cases have been occurring frequently in hospitals and health systems. There are a plethora of consequences attached to it, which is why patient safety goals quite frequently have “improving patient identification” listed as one of the top goals to address. That being said, let’s take a look at the patient identification error in detail and how these cases are preventable with a robust patient ID solution.

A recent occurrence of patient misidentification, but certainly not the last one

Fortunately, the problem was detected before it caused any patient harm. While the patient, Ronnie (pseudonym), was waiting for a virtual visit, she was trying to convince the medical assistant that she didn’t have the rare condition called hereditary nonspherocytic hemolytic anemia. Ronnie doesn’t know how it got added to her EHR, however, that was not her only concern regarding the matter. As she was trying to get this inaccurate information removed, she experienced a lengthy and tedious process.

The assistant informed Ronnie that only the person who added the condition can remove it – EHRs are quite sensitive documents, and access to modify them is restricted to only a handful of people. However, the assistant provided the name of the doctor, and the surprise here is that Ronnie had never had any physician by that name.

The assistant was adamant that Ronnie might have had some encounter she forgot about – for instance, it might have occurred in an ER visit. However, Ronnie never went to the ER and got diagnosed with such a rare condition. She backed up her statement by adding that if she actually had hereditary nonspherocytic hemolytic anemia, she would’ve been informed about it. The assistant just reiterated that the physician has added it. Most probably, this occurred because Ronnie’s EHR was mixed up with some other patient and it was a condition that belongs to another “Ronnie” – a classic case of medical record mix-up caused by wrong patient identification.

Unfortunately, the tale doesn’t end here – there’s far more to it.

Ronnie had to go to extreme lengths to address the problem. As the discussion with the medical assistant got her nowhere, the condition was still present in her EHR. When Ronnie explained it to her physician, the latter tried to remove it but couldn’t, and neither could Ronnie’s other physicians. After trying everything, Ronnie submitted a formal request to modify her EHR – something many patients need to do to resolve patient identification errors.

We believe that Ronnie’s among the lucky ones – many such cases remain undetected until it’s too late, causing detrimental healthcare outcomes.

EHRs are beneficial but are bogged down due to patient misidentification

EHRs have a host of benefits and have been helping physicians see everything in one place, improve patient outcomes, and more. However, since EHRs contain sensitive information, editing them to rectify the errors is quite cumbersome – just look at the case above! Moreover, since caregivers have to share with other physicians due to coordinated care, these errors are seen by everyone involved in the patient’s treatment.

This is just one case, and fortunately, Ronnie was able to identify the issue. As previously mentioned, this might have occurred because of a medical record mix-up – we know, because we’ve heard about numerous cases from hospitals and health systems. Unfortunately, there are thousands of patient identification errors in hospitals that are undetected and cause a plethora of issues – both financial and physical. How do we know so much about patient misidentification?

Because our touchless biometric patient identification platform, RightPatient, prevents it and helps healthcare providers identify their patients correctly at all times.

RightPatient ensures accurate patient identification at all touchpoints

RightPatient could have very well prevented the error in this case study – we have prevented such cases in numerous hospitals and have even drastically reduced duplicate record creation. The patients only need to look at the camera – our platform does the rest. During registration, RightPatient takes a photo of the patient and attaches it to the EHR. Whenever the patient comes in, the platform takes another photo and matches it with the saved one – providing an accurate EHR every time.

RightPatient has been protecting millions of patient records in several hospitals and health systems. It ensures accurate patient identification, prevents medical identity theft in real-time, prevents duplicates and overlays, and more – ensuring positive patient outcomes.

Don’t become a mistaken patient identification story and contact us now to see how we can help you boost your bottom line.

Ensuring Healthcare Data Quality Boosts Hospitals’ Digital Transformation Efforts

July 23, 2021/5839 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

The U.S. healthcare system has always had a complex relationship with technology, to say the least. While it has always been open to ideas that can transform healthcare, there have been certain impediments. For instance, the concept of a unique patient identifier is around two decades old, but due to many concerns, one doesn’t exist yet. As a result, healthcare providers are either struggling with patient identification errors or are using a robust patient identification platform to resolve the issues. Moreover, new research demonstrates the complex relationship between healthcare and technology – healthcare is lagging behind other industries in terms of digital transformation. Let’s take a closer look at the study, why some are reluctant to pursue digital transformation, and how ensuring healthcare data quality can boost digital transformation, among other things.

Some stats regarding digital transformation

The study was conducted with over 300 C-level executives, and while it includes a variety of industries, it also compares healthcare with the others, providing a different perspective.

Overall, a whopping 82% of the respondents from all industries stated that data quality is a barrier to data integration. This falls in line with the problems faced in U.S. hospitals and health systems – healthcare data quality can be inconsistent and problematic.

Healthcare was found to be comparable to financial services and the telecommunications industry in digital transformation – most of the respondents from these organizations stated that they were witnessing success rates of around 60%. While this number might be encouraging to some, healthcare lags behind organizations such as software and tech companies, who naturally are advanced in digital transformation, as well as transportation and logistics firms.

While different industries were surveyed, some commonalities show digital transformation exists as a common problem between them. For instance, around 80% of respondents stated that they found “enriching” existing data quite difficult, impeding the quest to find new insights or meaningful patterns. This is also an issue seen in hospitals and health systems, as ensuring healthcare data quality can be a considerable challenge for many – something which is preventable with proper patient identity management – more on that later.

Healthcare data quality issues also lead to losing time and resources as data needs to be rectified for usage. The survey also reflected this issue – around 40% of the respondents stated that their data teams have to spend time to clean the data, time which they could’ve spent doing something more productive, as data quality issues should not exist in the first place.

Healthcare data quality issues have a long history

It’s no secret that patient misidentification is a crucial issue in health systems and hospitals, and it leads to patient data integrity failure. Just imagine that a patient named Sam Jackson comes to the hospital and is assigned the medical record with the name “Sam Jackson”. However, the EHR actually belongs to a different Sam Jackson! The modified EHR will be full of errors and will be unusable and dangerous for both the Sams.

Such problems have been going on for a long, long time, leading to patient data quality issues, medication errors, wrong treatments, detrimental healthcare outcomes, readmissions, and more.

High-quality patient data is a must

Hospitals and health systems have been investing considerable money and resources in population health management, big data, analytics, and other projects that can transform healthcare for their patients in a variety of ways. However, the only way these efforts can work is if they have access to patient data that is complete, accurate, timely, and relevant. Unfortunately, when patient data is corrupted because of duplicate and overlay records from identification issues, these investments are diluted and affect ROI, patient safety, and healthcare outcomes.

Digital transformation in healthcare, as a result, requires high-quality patient data, and everything depends on identifying the accurate patient record right from the start – something which RightPatient is built for.

RightPatient ensures patient data integrity

RightPatient has been ensuring patient data integrity for several hospitals with its touchless patient identification platform. Registered patients are identified accurately right from the start – all they need to do is look at the camera and the platform provides the right medical record. By ensuring that accurate patient information is fed into EHRs every time, RightPatient ensures that high-quality data is present within the facilities to boost digital transformation efforts and investments – improving patient outcomes and reducing unwanted incidents in the process.

How Identity Management in Healthcare Helps With the Interoperability & Patient Access Rule

July 14, 2021/6265 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Patient Data, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

With COVID-19, telehealth, data breaches, and other challenges, healthcare providers have had their hands full. Because COVID-19 is a national health crisis, CMS pushed back compliance with its Interoperability and Patient Access rule until July 1, 2021, though it’s been effective since the start of 2021. Nevertheless, with mass vaccinations across the country, as well as hospitals slowly opening, CMS (Centers for Medicare and Medicaid Services) will require healthcare providers to comply from July 1. So, let’s examine a few of these requirements, the way it mandates correct information of patients, and the way proper identity management in healthcare facilities can ensure patient data integrity.

The reason CMS is gambling hugely on this rule

Like all the rules out there, the CMS Interoperability and Patient Access rule is comprehensive – the majority of it requires healthcare facilities to remove any restrictions which normally prevent patient information exchanges all across the healthcare gamut.

Under this rule, CMS plans to improve interoperability along with patient access – assisting the providers as well as patients to ensure proper healthcare outcomes.

Concerning interoperability, CMS wants the rule to aid in assisting healthcare providers to share and access patient information securely and effectively. That will assist in improving collaboration and improving healthcare outcomes as it will help make informed decisions more accurately.

On the other hand, patients, when they’ll get access to their health information, will be more involved with care decisions, increasing patient engagement.

Improving patient data access across the care continuum has several benefits such as improving healthcare outcomes, cutting costs, reducing redundant lab tests, reducing inefficiencies, and boosting collaboration among the caregivers – improving healthcare results as well. Though, all that will happen only if patient data integrity is rigorously maintained, and this requires immaculate identity management in healthcare facilities.

Healthcare providers must support e-notifications

As a segment of this rule, CMS necessitates healthcare givers (which utilize EHR systems) like critical access, acute care facilities, and psychiatric hospitals must deliver e-notifications to the patient’s other caregivers like primary care doctors, post-acute providers and suppliers, amongst other entities during ADT (admission, discharge, or transfer) events – appropriate for ED as well as inpatient admissions. This data has to consist of the patient’s basic information, the name of the sending organization, and if needed, the diagnosis of the patient.

But how does identity management in healthcare facilities play a part here?

So, patient identification in the majority of hospitals as well as health systems is yet a substantial dilemma for several causes. The outcomes can be distressing – patient misidentification can lead to making errors with medical records, mixing up patients, medical identity theft, damaging healthcare results, getting readmitted to a hospital or it could end up killing someone!

Think about it. What if an incorrect alert gets delivered to the incorrect caregiver because of a patient identification error – it would end up a disaster for everyone, if unnoticed. Not just would it impede the outcome for the patient, it would additionally compromise CMS compliance – affecting reimbursements, something that is very important for the majority of healthcare suppliers.

Whilst incorrect patient identification is quite common in the majority of healthcare facilities, reliable caregivers are utilizing RightPatient to guarantee immaculate identity management in healthcare facilities.

The Way RightPatient guarantees accurate identity management in healthcare facilities

RightPatient is the leading patient ID platform that identifies patients accurately at any touchpoint in the care continuum. By accurately identifying patient records right from registration and beyond, RightPatient prevents false alerts and ensures that the appropriate healthcare organization receives e-notifications. Since RightPatient also ensures patient data integrity by protecting patient information, it also leads to lower readmissions, boosting CMS compliance down the line. RightPatient also enhances patient safety, prevents medical errors, red-flags fraudsters in real-time – improving the bottom line in the process.

How are YOU planning to ensure CMS compliance at your healthcare facility?

Claim Denials are Damaging More Than 30 Percent of Hospitals – Are You Stopping Them?

July 12, 2021/5921 views / 0 Comments/in BLOG, Data Integrity, Denied Claims, EHR, healthcare, Patient Identification, Patient Safety, Revenue Cycle Management /by Matt Gibson

Claim denials have always been a problem – it is a fact that they have occurred in all kinds of health issues for many years. Nevertheless, it got pushed to the back of the line due to the COVID-19 as well as problems with IT in the healthcare field, efforts to get people vaccinated, etc.

Sadly, claim denials have gone up – they are happening much more often now. In fact, it’s reported they have gone up 20 percent in the last 5 years! That, along with other gloomy statistics, was announced in a recent study from Harmony Healthcare. With that out of the way, it’s time to look more closely at this situation and how revenue cycle management in healthcare operations can be improved by identifying patients correctly.

A short update on claim denials

Claim denials, additionally called denied claims, are simply claims normally sent in by a healthcare supplier to the authorized payer, except for particular reasons, they were deemed “unpayable.” That occurs because of issues with coding and billing, mixing up medical records, missing filing deadlines, inadequate medical needs, or additional pertinent explanations.

So, here is what’s going on currently regarding denied claims.

Several disturbing statistics concerning denied claims

The COVID-19 pandemic triggered nearly everything to become worse, including denied claims. In fact, the earlier stated study showed a massive one-third of hospitals stated their denial rates were 10% or over. The study included more than 130 healthcare providers all over the United States and this rate of denial ranged between 6 and 13%. The accepted “danger zone” for denied claims is touted as 10%.

This study likewise explained why hospital administrators think denied claims happen. Thirty-two percent said it was caused due to coding errors while twenty percent said the reason was front-end concerns. Nonetheless, both these issues may be based on mix-ups with medical records, which comes from patients being misidentified – we will speak more on that topic later.

Whilst these revealed denied claim frequency, what’re the real issues denied claims cause?

The massive effect of denied claims

Denied claims are exceedingly expensive if faced – and may amount to around $4.9 million for the healthcare supplier. No matter how big or small a provider is, that is a huge portion of cash, and could even cause some hospitals to close.

Understand, denied claims are not merely expensive on their own, FTEs or full-time equivalents must do their best to fix any coding errors so the successive claims won’t be refused or refuted. This means the FTEs aren’t doing their normal job, which slows down other work and causes the whole process to be ineffective. Altogether, these facts cause a major blow to the bottom line of these hospitals.

As earlier stated, numerous denied claims are generated because of issues at the front end as well as coding mistakes, which happen a lot due to misidentifying patients.

The way denied claims and misidentifying patients are linked

This is very easy to figure out – it begins at the registration desk. The incorrect EHR gets noted with the patient, so, incorrect info is placed in the medical record. That may occur because of an error like an overlay or duplicate. If no one discovers the error before the treatment is concluded, the patient’s provider ends up sending the wrong claim info to the authorized payer.

As the claim is being processed, the authorized payer closely inspects it and sees there are errors, thus the claim gets denied. Misidentifying patients causes coding errors and front-end problems. These issues can be averted if the patient is identified properly.

RightPatient decreases claim denials, and goes beyond!

RightPatient helps many healthcare facilities protect millions of their patients’ records. It’s the industry’s top touchless biometric patient identification platform. It works by identifying patients via facial recognition, thus averting overlays, duplicates, and mix-ups with medical records from the beginning. Therefore, this averts the claim from being denied, thus saving hospitals lots of money. It just may be the answer you need to reducing denied claims.

The benefits of RightPatient do not end there. Besides reducing denied claims, RightPatient improves patient safety, enhances healthcare outcomes, and ensures positive patient outcomes.

Does your healthcare facility prevent denied claims efficiently?