5 Tips for Preventing Medical Identity Theft in Healthcare

July 22, 2020/14739 views / 0 Comments/in BLOG, Clinical Efficiency, Connected Health, COVID-19, Cybersecurity, Data Breach, Data Integrity, Facial Reciognition, Health Care, healthcare, Infection Control, Iris Recognition, Medical Identity Theft, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

Hospitals, medical centers, and physicians’ offices are not only places where patients should feel safe about getting the right medications, but it should be a place where they also feel safe with their sensitive information. Unfortunately, with the rise in the number of healthcare data breaches, the market is even riper for medical identity theft. Over 41 million patient records were breached in 2019 alone and the majority of them were associated with hacking or cyber attack-related incidents.

Preventing medical identity theft has been one of the top priorities, yet many organizations still rely on antiquated patient identity management solutions. Many leading hospitals, namely, Terrebonne General Medical Center and The University Healthcare System have been successful in preventing medical identity theft and benefitted in many other ways since using RightPatient. Other benefits include eliminating duplication of medical records, improving patient identity matching rates, clinical efficiency, and boosting the overall revenue cycle. But what about medical identity theft? How are patients affected by it? What are the ways for preventing medical identity theft? Let’s find out.

What is Medical Identity Theft?

Medical identity theft occurs when a fraudster uses someone else’s personally identifiable information (e.g. name, DOB, Social Security Number, health insurance number) to fraudulently receive medications or services, including attempts to falsify medical billings. The healthcare industry would have billions of dollars in surplus if all healthcare providers could prevent medical identity theft. This crime involves the fraudulent use of someone’s health insurance information to obtain reimbursement for healthcare-related services provided to a person not covered by the policy. This is one of the most common reasons for the rise in the numbers of claim denials. It affects revenue integrity and requires organizations to put in more strenuous efforts and resources to identify and resolve the problem throughout the revenue cycle management.

How are patients affected by medical identity theft?

Patients may not be able to afford the cost: Financial consequences for the victims of medical identity theft can exceed the cost of credit card fraud. According to a study conducted by the Ponemon Institute, medical identity theft can cost an average American $13,500 to resolve.

Victims may not be aware of their information being stolen: In most cases, insurers or healthcare providers rarely inform the patients about the crime. In general, victims are completely unaware of when they became a victim and learn about the theft of their credentials about three months after the crime has occurred.

Reputations can be on the line: Found in many studies, victims said that their reputation was affected because of medical identity theft due to disclosure of personal sensitive health information. Many respondents believe they missed out on good career opportunities due to identity theft. Some said it resulted in the loss of their job.

5 Tips for Preventing Medical Identity Theft

Invest in modern patient identity management technology and software

With the transition of paper-based patient’s records to electronic-based record-keeping systems, it is necessary to invest in modern technology and software for preventing medical identity theft. For better security and matching rates, many healthcare providers have adopted RightPatient – a leader in touchless biometric patient identity management solutions. With RightPatient, healthcare providers can verify patients’ identities and protect access to medical records. RightPatient does not only help in preventing medical identity theft but it also drastically improves patient matching rates and eliminates the creation of duplicate records.

Just as facial recognition or iris scanning techniques are used in smartphone devices today, this platform uses similar biometric techniques in a healthcare setting for authenticating and verifying an individual’s identity. RightPatient uses an individual’s iris pattern or photos of their face to lock their medical records. Each time a patient arrives at the continuum of care, the platform will scan their iris pattern or photos of their face to authenticate their identity and retrieve their correct medical records. With secure-log-in monitoring, fraudsters will be instantly denied when they try to gain access to medical records by assuming someone’s identity.

Automating the patient registration and enrollment process

Automating the patient registration and enrollment process can eliminate the hassle of a long, complicated registration process, save valuable time and resources, and reduce errors at the same time. Criminals can easily obtain or use someone else’s common identifiers, such as names, SSNs, and DOB for fraudulent use. Many times common identifiers have also been the main cause of the creation of duplicate identities or record mismatching. Paper-based records are also vulnerable to how easily they can end up in the wrong hands. With RightPatient, transitioning to an automated patient enrollment system will be seamless.

Streamline workflow and maintain compliance

Protected health information (PHI) is like a treasure box for cybercriminals and thieves. PHI contains valuable sensitive information and can easily be worth more than credit card numbers on the black market. This is why the Health Insurance Portability and Accountability Act (HIPAA) was established to ensure confidentiality, integrity, and availability of PHI. HIPAA requires healthcare organizations to implement appropriate safeguards to better protect patients’ information so it doesn’t end up in the wrong hands. Maintaining compliance with HIPAA can be quite strenuous, but organizations can use HIPAA compliance software to streamline their compliance efforts and reduce administrative burden. Adopting the best security practices to limit unauthorized access or disclosure of patient information is crucial for preventing medical identity theft.

Robust bring your own device (BYOD) and network access policy

Personal devices should be secured before accessing a patient’s information across the network. A proper BYOD policy must be developed and maintained. For instance, is it safe for employees to bring company-issued devices back home? Many times, thieves get access to sensitive information when devices such as laptops, tablets, or smartphones get stolen from the office, home, or even from a car. Hospitals should also install a separate internet wi-fi network for visitors and patients to restrict access to the organization’s internal network.

Educate your employees and patients and instill a culture of best privacy practice

Not all data breaches are malicious – human error is inevitable. From emailing sensitive data to the wrong person to accidentally posting on social media or leaving a laptop open, information can be disclosed in many ways. It is essential for healthcare providers to conduct proper training and educate their staff members, working in any capacity with medical information on how to handle and access PHI in an appropriate manner and identify suspicious behaviors for preventing medical identity theft. Training can be easily streamlined using applications.

Many hospitals always strive to do their best when it comes to securing patient information. The occurrence of medical identity theft is unfortunate but isn’t rare at all. Hospitals should also advise patients and encourage them to keep their sensitive information safe and be cautious when sharing sensitive information.

Preventing Medical Identity Theft with RightPatient

Even during this COVID-19 national emergency crisis, medical identity theft is continuously becoming a great threat to the safety of patients and healthcare providers. Besides being the leader in patient identity management, RightPatient offers completely touchless biometric modules for patient identification. With RightPatient, healthcare providers can easily prevent medical identity theft and improve patient safety along with hygiene in a facility by removing physical contact, thus, limiting the spread of contagious diseases.

Verifying Patient Identity – Top 3 Benefits

July 17, 2020/11032 views / 0 Comments/in BLOG, Clinical Efficiency, COVID-19, Duplicate Medical Records, Health Care, healthcare, Medical Identity Theft, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

The failure to accurately identify patients throughout the healthcare industry continues to result in medication and diagnosis errors, procedures on the wrong person, duplicate medical records, and health insurance fraud. Therefore, healthcare providers should properly collect and manage information for verifying patient identity to prevent medical identity theft, improve medical record accuracy, and comply with HIPAA.

The amount of information flow in healthcare is greater than any other industry, but it all means nothing if a patient’s identity is compromised, or cannot be matched with their records. Verifying patient identity before starting a medical treatment or service is vital for ensuring a positive patient experience. The inability of healthcare providers to accurately identify their patients during the COVID-19 pandemic has resulted in slow procedures, incorrect treatments, and even encouraged insurance fraudsters to take advantage of this chaotic situation.

That being said, RightPatient has been helping healthcare providers keep accurate records connected with the correct identity for years now, ensuring effective health treatment and recovery. The coronavirus pandemic has also been a prime catalyst for the consideration of futureproof biometric identity management solutions, such as RightPatient, for verifying patient identity. The reason for this is that our solution helps providers maintain a hygienic environment and limit the spread of contagious diseases. Here’s what else RightPatient can do for your organization:

Verifying patient identity to prevent medical identity theft

Even during this pandemic, security experts warn that the threat of medical identity theft is far from over, because attackers know they can take advantage of this situation. Healthcare providers, as well as patients, suffer from medical identity theft: the illegal access of a patient’s personally identifiable information and using this information to fraudulently obtain medical treatment, goods, or services.

The cost of proper medical treatment is exorbitant, especially if not covered by health insurance. It results in claim denials and negatively affects a health system’s bottom line. That is why verifying an individual identity is crucial before providing any kind of service. Health care providers, such as Terrebonne General Medical Center (TGMC) and the University Health Care System have successfully prevented many potential medical identity theft occurrences since using RightPatient.

Reduces information discrepancies in medical records

Arguably, the most damaging concern for healthcare providers is incorrect and potentially life-altering information being put on someone’s medical record. Inaccurate records have been the root cause of incorrect treatments, delays in procedures, and even the creation of duplicate records and overlays. Medical records are very difficult to change as they are meant to be a permanent and comprehensive account of an individual’s healthcare history. Thus, verifying a patient’s identity and accurately matching their information with their medical records can help providers to avoid financial losses due to fraudulent claims and improve data integrity.

Verifying patient identity for compliance

In the U.S., various state, federal, and industry-specific compliance regulations such as HIPAA and HITECH have been established for verifying patient identity. Not complying with these Acts can lead to hefty financial penalties being issued, and in worst-case scenarios, criminal charges being filed.

HIPAA, which stands for the Health Insurance Portability and Accountability Act of 1996, is a federal law that provides security provisions and data privacy, to protect a patient’s medical information. It enables smooth transitions of electronic records and requires appropriate controls over the use and disclosure of medical records.

Any organization that deals with protected health information (PHI) is required to comply with HIPAA’s rules and regulations. The law consists of several standard verification requirements for the disclosure of PHI. Under this subpart:

(i) Except with respect to disclosures under §164.510, verify the identity of a person requesting protected health information and the authority of any such person to have access to protected health information under this subpart, if the identity of any such authority of such person is not known to the covered entity;

Numerous stipulations suggest that it is lawful for organizations to take reasonable steps, such as using HIPAA compliance software and using platforms like RightPatient for verifying patient identity, to ensure compliance. HIPAA compliance also ensures that there are appropriate safeguards in place to protect PHI from unauthorized disclosure or breaches.

RightPatient – touchless biometric patient identity management platform

RightPatient is the healthcare industry leader in biometric patient identification. RightPatient also offers remote identity validation and appointment scheduling solutions for telehealth practitioners to ensure positive clinical outcomes during this pandemic. The platform verifies patient identities by comparing their selfie photos and ID (e.g. driver’s license). It helps healthcare providers save money on more costly identity-proofing solutions through credit agencies.

Even without this pandemic, exercising due diligence is vital. With the threat of medical identity theft looming even greater than before, healthcare providers need to have the most risk-conscious and thorough procedures in place to mitigate fraud. With RightPatient, healthcare providers can confidently stand under the near-perpetual spotlight of public scrutiny.

Optimizing Revenue Cycle Management in Healthcare is More Important Than Ever

July 9, 2020/7662 views / 0 Comments/in BLOG, Clinical Efficiency, Data Integrity, Duplicate Medical Records, healthcare, Patient Identification, Revenue Cycle Management /by Matt Gibson

While the US is still suffering from the effects of the highly contagious COVID-19, it has arguably hit its healthcare system worse than anything else. Around 1.4 million people working in healthcare have lost their jobs. The number itself is quite shocking, however, what makes it worse is that the pandemic has changed everything. For instance, the US healthcare system used to be unaffected by any recessions, but COVID-19 has shown otherwise. This is because numerous hospitals have declared layoffs, furloughs, or are even shutting down due to unimaginable financial pressure. With that in mind, as hospitals are opening up, they need to reduce their losses right off the bat, otherwise, it will be hard for anyone to survive. Thus, revenue cycle management in healthcare is more crucial than ever now.

The numbers are drastic

It has already been mentioned that over 1.4 million healthcare professionals lost their jobs. That’s not where it stops, though. Since hospitals made the difficult but necessary choice to prepare for the overwhelming amount of COVID-19 patients by shutting down non-emergency care at their premises, they became financially crippled. The American Hospital Association stated that hospitals are losing a mindboggling $50 billion a month, due to the fact that they are seeing an extremely low number of patients – as low as 70%. Revenue cycle management in healthcare has always been a much-discussed topic, however, as the numbers show, it is of utmost importance now to optimize revenue cycles by reducing costs and mitigating losses – something that RightPatient can help healthcare providers with. But how does optimized revenue cycle management help hospitals deal with the financial crisis?

Benefits of optimized revenue cycle management in healthcare

Reduced denied claims

A streamlined revenue cycle depends on the level of accurate data present within the system. If there is a high level of accuracy, it reduces the chances of denied claims. Usually, denied claims occur when there are mistakes in payment claims. One example is when patients are mistakenly charged for services they have not used. RightPatient ensures that the patient is accurately identified from the beginning to the end of the process – substantially reducing denied claims.

Enhanced patient experience

An optimized revenue cycle means that the FTEs will spend less time on redundant tasks such as rechecking coding and billing for errors and focus more on providing better care to the patients – enhancing the patient experience.

Higher and faster collections

It is quite simple – if the revenue cycle is optimized, there will be higher collections with a lower number of errors. FTEs, thus, do not have their hands full of coding and billing errors – giving them the time to focus on the remaining collections, improving efficiency in the process.

Accurate patient information

An optimized revenue cycle means that you are ensuring patient data integrity; that is, from the beginning of caregiving to collections, the correct patient has been identified. This can be easily achieved using an accurate patient identification platform like RightPatient.

Better financial returns

One of the most vital parts of a healthcare provider that everyone scrutinizes, other than treating patients, is its financial performance. After all, these are the indicators as to how well a provider is doing. An optimized revenue cycle means that there are increased clean claims, faster collections, lower lost claims, and accurate patient data – all leading to improved revenue of the provider.

Since COVID-19 is still affecting the financial performance of providers, they need to ensure that their revenue cycle is as optimized as possible.

Optimize revenue cycle with RightPatient

Optimized revenue cycle management in healthcare means that you need to have the correct data for the patient and you are ensuring that he/she is being billed accurately throughout the whole process. Thus, for a better revenue cycle, you need to ensure accurate patient identification. This is where RightPatient can help you.

It is a touchless biometric patient identification platform and is used by leading healthcare providers for a number of reasons. It prevents medical identity theft, optimizes the revenue cycle, reduces denied claims, prevents duplicate record creation, enhances patient safety, and more – leading to improved financials, boosting the bottom lines in the process.

Upon registration, RightPatient locks the medical records of the patients with their photos. Whenever an enrolled patient comes in, all he/she needs to do is look at the camera and it identifies them within seconds, providing the correct patient record to the EHR user and ensuring accurate patient identification. This ensures that the correct patient is identified right from the start – reducing billing errors and denied claims and optimizing revenue cycle in the process. This is something that every provider needs to ensure to survive during this unprecedented situation.

RightPatient has years of experience and has been helping protect over 10 million patient records. Duke Health and Community Medical Centers, among others, are using RightPatient to ensure safe, hygienic, and accurate patient identification. Are you optimizing your revenue cycle sensibly?

How to Prevent Medical Identity Theft During COVID-19 as Experts Predict Rising Cases

July 9, 2020/5727 views / 0 Comments/in BLOG, COVID-19, Data Integrity, healthcare, Medical Identity Theft, Patient Identification, Patient Safety /by Matt Gibson

The world has been drastically changed due to COVID-19 – it seems as if the whole thing was adapted from a sci-fi horror story. While many parts of the world have been opened up with precautions, it looks like the coronavirus pandemic has yet to complete its significant mark on humanity. For instance, new cases are surfacing in the US – over 2.6 million Americans have been infected as of June 29th, 2020. However, that will not stop hackers from attempting to steal patient data, which ultimately leads to medical identity theft. In fact, experts have warned that such cases will rise due to the pandemic. That being said, everyone within the US healthcare system is working hard to survive, serve patients, and open up. With all these overwhelming odds, one might even not have time for the answer to the question, “How to prevent medical identity theft even during the pandemic?” Fortunately, there is an answer – RightPatient, but more on that later.

Rising medical identity theft

Medical identity theft is nothing new – it has been around for quite some time now. In fact, more than 2.3 million Americans are victims of medical identity theft each year, whereas healthcare providers might be forced to pay settlement costs of around $250,000. However, a security expert like Randy Pargman, an ex-senior computer scientist of the FBI, has stated that there will be more cases of medical identity theft during the pandemic as there is a lucrative window of opportunity for hackers.

But why is that so? Mr. Pargman has stated that since the patient information contains valuable and sensitive data like Social Security numbers, insurance information, DOB, names, and addresses, these can easily be used by actors. They can simply pretend to be the patients and obtain medical services while the victims are billed fraudulently. Cases like this will be quite common unless healthcare providers know how to prevent medical identity theft. Thankfully, RightPatient does that effectively. It also helps to improve quality and safety with its platform.

Why are such cases so common?

The answer is quite simple – medical records are the most profitable forms of stolen information. To put it into perspective, stolen credit card information sells for up to $110 on the dark web, whereas stolen patient records sell for up to a whopping $1,000!

Thus, it is quite natural that hackers would target healthcare providers more, as they can sell the records for far more money. Fraudsters can also obtain expensive medical services, unobtainable drugs, and medical equipment for a mere $1,000. They are saving thousands of dollars – healthcare can get quite expensive. It is simple economics – wherever there is demand, there will be supply.

While providers are required to protect patient data due to laws like HIPAA, they usually implement inadequate security, ultimately leading to healthcare data breaches and medical identity theft. As previously mentioned, not everyone is facing such cases. Healthcare leaders have taken it upon themselves to protect their patients from medical identity theft and saving themselves from unnecessary costs due to HIPAA violations. Saving costs is even more necessary during the pandemic. So, how are the leaders answering the question, “How to prevent medical identity theft?”

How to prevent medical identity theft with RightPatient

RightPatient has years of experience with leading providers. A touchless biometric patient identification platform, RightPatient solves a number of issues. But before that, how does it work exactly?

It locks the medical records of the patients with their photos during registration. After enrollment, the platform simply takes a photo of the returning patients, matches it to the one saved within the record, and provides the appropriate EHR within seconds. The best part is that it does so without requiring a single touch from the patient, making it the most hygienic patient identification platform.

Thus, if a fraudster comes in assuming the identity of someone else, RightPatient will immediately red flag the person – preventing medical identity theft in real-time. RightPatient also prevents duplicate record creation, reduces denied claims, and enhances patient safety. All these lead to boosting the bottom lines of hospitals – something which is very much needed for providers currently to survive.

So, how can you prevent medical identity theft during and after the pandemic? The answer is RightPatient.

Patient Identity Management is More Important Than Ever – Are you Doing it Right?

July 7, 2020/8985 views / 0 Comments/in BLOG, healthcare, Infection Control, Medical Identity Theft, Patient Identification, Patient Safety /by Matt Gibson

Patient identity management, to put it very simply, refers to how patients are being identified in hospitals. However, anyone who knows the US healthcare system is familiar with the fact that it is quite a significant problem for the majority of healthcare providers. Lack of proper patient identity management is a problem not only for healthcare providers but for everyone involved in healthcare, including patients and insurance companies. While healthcare providers incur financial costs as well as the loss of goodwill, patients face financial costs as well as the wrong treatment and medications, hampering patient safety. Even though there are effective solutions, the coronavirus pandemic has rendered most of them ineffective. Let’s dive deep into why patient identification errors occur, how they have been solved until now, and why the future of patient identity management will be different (read touchless) due to COVID-19.

Reasons for patient identification errors

Patient identification errors have always been present. Earlier, patient record mix-ups were the main reason when paper medical records were used. To put it simply, patient records were mixed up when the patients had common names and characteristics such as age, address, etc. Fast forward to the age of EHR (electronic health record) systems, where things have become quite complicated. Human errors, negligence, and relevant external factors have caused EHR systems to house duplicate medical records as well as overlays, causing patient identification errors to be more prevalent than ever.

Duplicate medical records can be created for the same patient. For instance, if a patient goes to avail of healthcare services, the first thing the provider would do is identify the patient’s medical record. For various reasons, the EHR user cannot identify the correct medical record (say, the EHR user sees that there are multiple records for the same name). Either the hospital staff spends more time painstakingly searching for the right medical record, or else creates a new record, the latter leading to a duplicate being created. This duplicate will lead to fragmented data and patient care – neither the correct record will house the most recent data of the patient nor the new one will contain the entire medical history of the patient. All in all, this will hamper patient safety, and increase costs.

Medical record overlays are created when multiple records are merged, and this can be for the same patient having duplicate records as well as a different patient having the same characteristics as another patient. As can be understood, overlays are quite dangerous as it mixes information from different patients.

On top of all that, the classic cases of patient mix-ups still exist. A few months ago, two patients got mixed up regarding a kidney transplant – the wrong patient got the kidney. Fortunately, nobody was hurt as the kidney was compatible with the wrong patient. This mix-up occurred due to the patients having similar names, age, as well as being lined up for kidney transplants, albeit on different dates. While both the patients surviving without major issues was a huge stroke of luck, not everyone is as fortunate. There have been many cases where mistaken patient identities caused deaths.

All in all, patient identification errors cause a plethora of problems for everyone involved, which makes an effective patient identity management solution like RightPatient all the more crucial, especially in a post-COVID-19 world.

Common patient identity management solutions

By far, the most common and obsolete way of patient identification is asking patients questions. Even in this day and age, many hospitals are still using this simply ineffective method. Patients are asked to state their names, addresses, and other relevant data to crosscheck against present medical records. This is slow, tedious, and also dangerous – someone can just assume the identity of another patient and commit medical identity theft. Healthcare data breaches are quite common, and hackers steal patient data, only to sell it later on the black market. An impostor can just buy the data and assume the identity of the patient, and if this outdated way of identifying patients with questions is used, the actor cannot be detected easily.

Another way healthcare providers identify patients is by using patient ID wristbands. While this might seem like a better patient identity management solution, it also has its flaws. To begin with, patient ID wristbands can be transferred, stolen, or lost. This can lead to medical identity theft as well. On top of that, it requires contact – something hospitals are quite wary of and now patients are too, given the coronavirus pandemic. Infection control issues have always been a headache for providers, but COVID-19 has made it a concern for the general public as well. For the next several years, people will be quite reluctant to touch anything, especially within hospitals.

That brings us to touch-based biometric patient identification solutions like fingerprint and palm-vein scanning. While these are far more effective patient identity management platforms, as there is no way for anyone to fool biometrics, these too pose threats to patient safety. Even before COVID-19, one of the main factors healthcare providers considered before choosing a patient identification platform was how safe it was and whether any infection control issues would arise from using the platform. For both fingerprint and palm-vein scanning, patients had to touch the devices, leading to potential infection control issues. On top of that, cleaning the devices after every use would be a nightmare, to say the least.

The futureproof patient identity management solution

RightPatient is the most apt patient identification platform, moving forward. Why? Because RightPatient is a touchless biometric patient identification platform. It locks the medical records of the patients with their photos upon registration. Whenever a patient comes to the healthcare provider, all the patient needs to do is look at the camera and the platform identifies the correct medical record within seconds, making it the easiest, most seamless, and completely touchless experience.

Leading healthcare providers like Terrebonne General Medical Center, University Health Care System, and Community Medical Centers, among others, have chosen RightPatient because it creates no infection control issues – one of the benefits of being a touchless solution.

Moving forward, the majority of healthcare providers are opening up in phases, and they would need to ensure patient safety. Hospitals have already lost a lot of money due to the pandemic, and they need to start mitigating losses. RightPatient can help providers with that – by both ensuring accurate patient identification and eliminating any touch-based interactions required during the process. This helps reduce denied claims, improves the revenue cycle, and prevents medical identity theft. Mitigate losses now with RightPatient.

Patient Identity Verification Must be Touchless After COVID-19

July 6, 2020/9626 views / 0 Comments/in Biometric Terminology, BLOG, COVID-19, Future of Biometrics, healthcare, Infection Control, Patient Matching, Patient Safety /by Matt Gibson

The coronavirus pandemic has been the biggest changemaker in recent decades. After months of lockdown, social distancing, and gradual reopening of society, new cases are being seen in the US again. While everything may seem uncertain for now, one thing is for sure – COVID-19 has changed reality for everyone. Going to restaurants and hanging out with friends are things of the past now and there is no telling when all this will be normal again. The coronavirus has highlighted one thing in particular that will stay for us with a long time to come – how to reduce physical contact with others. Healthcare providers have had headaches of infection control issues for years now, but it is the headache of the average patient after the pandemic shook the world. While there will be a rise in usage and demand in touchless technology in the future, such as facial/voice recognition attendance systems, printing board passes via gestures, etc., one area where it is crucially needed is during the patient identity verification process. Let’s analyze the current condition of patient identification processes used, why a uniform identifier is not used by providers, and how leading healthcare providers are ensuring accurate patient identification.

Patient identity verification – the current scenario

Patient identification errors have been a much-discussed topic in this space, and for good reason. It is still one of the biggest problems healthcare providers are facing – leading to denied claims, medical identity theft, increased losses, and patient safety issues. While ineffective patient identity verification is a prevalent issue, different providers are implementing different solutions to solve them. But shouldn’t there be a uniform method of patient identification present? That is where the UPI comes in.

The mythical UPI

UPIs, or unique patient identifiers, have been the talk for years now. UPIs can be anything that is, as the name suggests, unique to a single patient. Its absence has led to quite a few problems within the US healthcare system, including duplicate medical records, waste, and preventable medical errors. In fact, John Hopkins has said that over 250,000 people in the US die due to medical errors, many of which are due to incorrect patient records and data. These unfortunate deaths could have been avoided with accurate patient identification. But why, then, is UPI still not a thing? Why do healthcare providers still struggle with patient identification?

Healthcare providers, as well as respected leaders in the healthcare system, have been clamoring for a UPI for years now. In fact, HIPAA (Health Insurance Portability and Accountability Act) mandates that a UPI be created for patients. However, there have been concerns since the beginning of talks regarding a UPI – how it might be stolen, misused, or worse, just like Social Security numbers. Basically, lawmakers were concerned as to how UPI could be kept private and confidential so that third parties cannot gain unauthorized access to it. Thus, back in 1998, Congress banned the authorization of a state-funded UPI. The stance has not changed after all these years. Even in 2019, the House of Representatives voted to revoke the ban, but the Senate let it stay. The lack of an effective patient identifier has been haunting the US healthcare industry ever since the UPI was banned in 1998.

How is the US healthcare system verifying patient identity?

Different healthcare providers are using different methods for patient identity verification. However, most of them are rendered ineffective now due to the coronavirus pandemic. Earlier, only healthcare providers used to think about infection control issues. Now, it is a headache for the patients as well.

While some are waiting around for the government to approve a state-funded UPI, they are facing a constant struggle with the usage of an obsolete means to identify patients – asking them questions. This has a lot of loopholes – it is slow, tedious, and anyone can assume the identity of the patient as long as they have the patient’s data with them, leading to medical identity theft.

Others are using patient ID wristbands. While more effective than asking questions, this, too, can be stolen, transferred, and used to commit medical identity theft. Not to mention, these require physical contact as well, something that patients will very much be reluctant to do nowadays – a result of the pandemic.

An effective patient identity verification system is biometric patient identification. Once again, not all modalities are effective, safe, and practical. As mentioned earlier, the pandemic has changed reality for all of us – patient identification is no exception.

While biometric modalities like fingerprint and palm-vein scanning are effective, they require the one thing patients will not be ready to do for a long time – touch the device to verify their identities. Hospitals are the epicenter of infection control issues, and while every provider has been dealing with COVID-19 patients, regular patients will be quite hesitant to touch anything. This is especially applicable during patient identification, as they know all patients pass through this location, and contact-based devices might lead to infections.

Touchless patient identity verification is the future

This is where RightPatient comes in. We have been providing hospitals with a touchless biometric patient identification platform for years now. Since the beginning, our focus was to ensure patient safety, which is why we always suggested healthcare providers consider our touchless solution that eliminates any infection control headaches related to patient identification. Unlike touch-based solutions, our devices do not require cleaning after every use.

The medical records of the patients are locked with their photos upon registration. Whenever the patient returns, RightPatient identifies the right medical record within seconds after the patient looks at the camera.

RightPatient has been serving leading healthcare providers like Community Medical Centers, University Medical Center, and Duke Health. It has helped with eliminating the creation of duplicate medical records, preventing medical identity theft, and enhancing patient safety through accurate patient identification in a hygienic manner.

We shared the same concerns healthcare providers have – how to ensure accurate patient identity verification while eliminating infection control issues. After the pandemic, patients have the same concern too. Are you addressing it correctly? If not, contact us right away.

Identify Patients Correctly to Reduce Significant Healthcare Costs

July 2, 2020/5364 views / 0 Comments/in BLOG, EHR, healthcare, Medical Identity Theft, Patient Identification /by Matt Gibson

The coronavirus pandemic has thrown the whole world off-balance, and even though the world is opening up in places, it is still continuing to affect lives on a daily basis. Amidst all the chaos, healthcare became one of the most important parts of the economies across the world, and the US is no exception. However, with the overwhelming number of coronavirus patients who needed the utmost care, hospitals had to reallocate all of their efforts towards the affected patients – leading to hard decisions for other services provided. This resulted in the past few months being full of furloughs, layoffs, and salary cuts due to huge financial instabilities. As the US healthcare system slowly continues to open up in phases and resume its normal practices, healthcare providers need to focus on reducing costs further. One of the most effective ways to do that is to identify patients correctly.

Why hospitals need to identify patients correctly

There are a lot of issues associated with the US healthcare system. Even before the coronavirus pandemic, hospitals had their fair share of problems. One of the more prominent ones was the lack of accurate patient identification.

Whenever a patient comes to the hospital, the EHR (electronic health record) user will ask for information such as name, DOB, address, etc., which will help them obtain the correct medical record from the system. This will prepare the patients to obtain healthcare services, expecting to leave with better health after the treatment. Thus, healthcare begins with the hospital identifying the accurate medical record of the patient.

Even though it sounds quite easy and straightforward, that is not the case. Human errors, negligence, and inconsistencies can lead to issues within the EHR systems. Even the smallest of mistakes can lead to large problems, jeopardizing patient safety. The most common problems within the EHR systems are known as duplicate medical records and overlays. Other than that, even patients with common names and demographic characteristics can be mixed up by healthcare providers, leading to disastrous consequences.

Some examples

Last November, Virtua Our Lady of Lourdes Hospital mixed up two patients, which led to a patient getting the wrong kidney transplant. Thankfully, the wrong patient was compatible with the kidney, so no serious harm was done. However, not every patient mix-up case is as lucky. The same is true for misidentifications caused by duplicate records and overlays. After the incident at Virtua Our Lady of Lourdes Hospital, they started using four identifiers altogether. Practically, it will still be quite ineffective, as human errors are bound to happen. Moreover, if there are duplicate medical records or overlays in the EHR system, like the majority of healthcare providers, then even the four identifiers will not prove useful. The EHR user will simply get confused between the duplicates and overlays and may end up choosing the wrong record inadvertently.

Finding the accurate medical record of a patient within an EHR system that has duplicates is akin to finding a needle in a haystack. Take the case of Harris Health System. After a thorough analysis, they found some interesting numbers. It houses around 3.4 million patient records, out of which 7.3% had the common case where two or more patients had the same first and last names. 2.2% had a common case where five or more patients shared the same first and last names. There were 2,488 patients named Maria Garcia, out of which 231 Maria Garcias had the same DOBs. It is more than likely that some of those 231 records of Maria Garcias are duplicates or overlays. This can easily confuse any given EHR users while identifying patients, and unless an effective way to identify patients is used, the problems will keep on compounding.

How big a problem is patient misidentification?

According to AHIMA, smaller hospitals can have around 5-10% of duplicate medical records. On the other hand, larger health systems can house up to 20% duplicate records within the EHR systems of their different hospitals. These duplicates can easily cost up to $40 million for any provider.

Patient misidentification also hampers patient safety. Whenever a patient is wrongly identified, he/she will be treated based on the wrong medical record, medical history, allergies, medication, lab test results, and so on. The bigger the complexity, the more danger the patient faces. There have even been cases where patient mix-ups have caused deaths. These seriously damage the goodwill of the healthcare providers. Not only that, but providers also face heavy financial repercussions in the form of denied claims, lawsuits, and poor revenue cycle management. Lack of proper patient identification leads to increased medical identity theft as well – all of which RightPatient can prevent.

Is it possible to identify patients correctly?

Patient misidentifications have been around for years, and with them, talks of an effective patient identifier have been around as well. While many healthcare leaders have been clamoring to get the archaic ban on state-funded UPI (unique patient identifier) lifted for years, it has not led to fruition yet. Last year, while the House of Representatives supported abolishing the ban, the Senate did not agree, leading to more misidentification cases, increased medical identity theft, and avoidable deaths.

However, healthcare leaders have taken it upon themselves to identify patients correctly. Many are using different platforms to identify patients accurately – fingerprint scanning, palm-vein scanning, and so on. However, due to the coronavirus pandemic, all of these will be considered dangerous as they require patients to touch the device every time they come in for healthcare services. Everyone now knows how big of a deal infection control issues are, and patients will be extremely hesitant to touch any such device in the foreseeable future. Moreover, maintaining such devices is quite taxing – cleaning it after a patient uses it is itself a nightmare.

Progressive leaders have opted for a futureproof solution – RightPatient. It is a touchless biometric patient identification platform that locks the medical records of the patients with their photos. After registration, all the patient needs to do is look at the camera and RightPatient matches their photos and accurately retrieves their medical records within seconds. It is not only easy to use but is also hygienic, as it requires no physical contact nor cleaning after every use, making it the only sensible choice as hospitals are opening up. Leading providers like Terrebonne General Medical Center, University Health Care System, and several others are using RightPatient to protect over 10 million patients – preventing duplicate record creation, preventing medical identity theft, reducing denied claims, and minimizing losses. Are you cutting down these costs effectively, since it is of utmost importance now?

Patient Identity Matching – Solving an unsolved crisis with RightPatient

June 30, 2020/11101 views / 0 Comments/in BLOG, Clinical Efficiency, COVID-19, Duplicate Medical Records, EHR, Facial Reciognition, healthcare, Infection Control, Iris Recognition, Medical Record Mix-ups, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

Accurate patient identity matching holds paramount significance across the U.S. healthcare system. Delivering the best possible patient experience, including safety and outcome, hinges on the ability of the healthcare providers to keep and maintain accurate medical records. Healthcare providers continue to struggle to accurately match their patients’ identities to their health records, and blame it on inaccurate and incomplete patient data, says the Government Accountability Office (GAO). Physicians should be able to retrieve accurate records on each patient’s medical history, including lab results, diagnoses, medications, imaging, surgeries, etc. to deliver the best patient care. Needless to say, accurate patient identity matching during the COVID-19 crisis is vital for ensuring a positive patient experience.

Can healthcare providers solve the patient identity matching crisis? Yes, and the solution is RightPatient – a leading touchless biometric patient identity management platform that has been successfully helping many leading hospitals address this specific issue.

Accurate patient identity matching ensures that the right patient is associated with the right medical records within a healthcare system. It means knowing with certainty that a piece of medical information belongs to the correct individual. There are many consequences if records are mismatched, such as incorrect treatment, improper data entries which can lead to the creation of duplicate records, and medical identity theft. Effective patient identity matching is not just about patient safety, it also helps healthcare providers avoid financial losses associated with duplicate records and claim denials from medical identity theft.

How costly are patient identity matching errors?

Let us look at this example. A patient’s kidney was surgically removed by the time physicians realized that there was no tumor. This blunder in the operating room of Saint Vincent Hospital in Worcester, Mass., occurred when the patient’s CT scan was accidentally mixed up with the record of another patient who had the same name. The incident was widely reported in July 2016 when regulators came to investigate what exactly happened. Most people who read the accounts thought it was a rare blunder. But this type of blunder is not rare at all.

Every day in medical clinics and hospitals, physicians assume they have an accurate picture of a patient’s medical history, diagnoses, lab results, and other information when they click into an electronic medical record (EMR). But this assumption can lead to fatal consequences, like the example mentioned above.

The problem is called patient identity matching error, a crisis that RightPatient has been addressing for years. One of the most severe match errors is when two patients’ medical records, with a similar or same name, get merged, leading to an erroneous organ removal or other nightmares. More common than this is the creation of duplicate medical records. For instance, Christina Elizabeth Smith, Cristina E. Smith, and C. E. Smith refers to the same individual, but her medical information is filed under three separate records. Neither the physician nor the patient will be aware of missing data points when they are discussing treatment decisions or procedures.

The problem with common identifiers

Duplicate medical records can be created in many ways. One of the most common sources of duplicate records is making errors during the patient registration process. Other variations can be associated with identifying an unconscious patient when they are in the ER. Many times, duplicate records are also created due to demographic changes for the patient. Registrars face difficulties when patients change their last name or move to another place, so they create a new record for that individual.

Patient identity matching errors can also occur when there is a variation in using common identifiers during the registration or identification process. A simple typo or mishearing the correct word can result in a mismatch in records.

Common identifiers are also used to commit medical identity theft, an issue that healthcare providers have been trying to avoid for the past several years. A fraudster can easily get access to this type of information and fraudulently imitate someone else’s identity to get medication/benefits for their own use.

These kinds of problems can be mitigated if common identifiers such as names, DOB, SSNs, or other demographic data used during the initial registration and identification process are replaced with the unique identifiers that RightPatient uses. For instance, identifying and authenticating an individual by using their iris pattern or a photo of their face.

Accurate Patient Identity Matching with RightPatient

RightPatient is a touchless biometric patient identity management platform. Problems pertaining to duplicate records, medical identity theft, and record mismatch have been successfully mitigated by using RightPatient. Leading healthcare providers such as Terrebonne General Medical Center and The University Health Care System have successfully eliminated these sorts of problems and are continuously delivering the best experience for their patients with utmost clinical efficiency.

During the initial patient enrollment process, RightPatient will lock an individual’s medical records using their iris pattern or a photo of their face. Each time a patient arrives at the continuum of care, RightPatient will verify and authenticate their identity through an iris scanner, camera, or a webcam and retrieve their accurate medical records.

As a leader in the patient identity matching process, RightPatient helps healthcare providers to keep and maintain accurate medical records of their patients. Patient identity matching problems related to aggregating patient data via Health Information Exchanges (HIE) can be eliminated if all the healthcare providers adopt RightPatient, ensuring the best clinical outcome and data integrity across the healthcare system.

Due to the COVID-19 pandemic outbreak, touchless biometric technologies will play a key role in the next few years. RightPatient ensures safety and hygiene in a health facility by limiting physical contact between people and frequently touched high-risk surfaces, such as fingerprint scanners. Adopt RightPatient and make sure that one patient does not have multiple records in the master patient index (MPI) and that each piece of health information ends up in the correct patient record.

Improve Quality and Safety in Healthcare With Touchless Patient Identification

June 25, 2020/10546 views / 0 Comments/in BLOG, COVID-19, Facial Reciognition, healthcare, Infection Control, Iris Recognition, News, Patient Engagement, Patient Experience, Patient Matching, Patient Safety, Photo Biometrics /by Ryan Stephens

In the medical field, elective procedures are surgeries that can be scheduled in advance, including those that are medically required. The U.S. healthcare industry is losing millions of dollars due to canceled elective procedures. Studies have found that surgical stays account for approximately 48% of hospitalization costs and elective procedures bring in $700 more per admission than emergency room admissions. For obvious reasons, many people have stopped going to hospitals, even those with critical medical conditions, since the COVID-19 pandemic outbreak. On the bright side, more than half of the health consumers now feel moderately safe about returning for elective procedures. But much of it will hinge on ensuring quality and safety in healthcare.

Hospitals are considering when and how to recommence elective procedures as the surge in COVID-19 patients in some areas of the country has slowed down. But families and patients will want to know what changes the healthcare providers made from when they were told to stay at home. They want reassurance that hospitals have undertaken appropriate measures for ensuring quality and safety in healthcare delivery, and it will take time and proper resources for physicians to convince the consumers.

Key takeaways

In a recent webinar panel discussion with some patient and family advisors conducted by Vizient, they found out that patients are likely to return to elective procedures in waves. The initial wave will include those who will come forward no matter the risks, such as oncology patients, patients with impairment affecting their daily life activities, or those in pain. This will be followed by the second wave, who may return if they feel safe about hospital hygiene, for instance, low risks of getting infected or a low-risk procedure with a minimum follow up. Other findings also include transparency and communications. To feel safe, patients will want to know that safety and infection prevention processes are in action, including cleaning of handrails, elevators, and other high-touch surfaces, and clinicians wearing personal protective equipment throughout the care.

Feel safe with RightPatient’s touchless patient identification platform

As the aforementioned examples suggest, patients will demand assurance from providers that they are taking actions to ensure quality and safety in healthcare delivery. Adopting RightPatient’s platform is an ideal strategy to make sure of that. Elective procedures or not, at the initial stage, identifying patients accurately and matching their medical records is an integral part of the healthcare delivery process. As an industry leader, RightPatient has helped many healthcare providers tackle the patient identification crisis and improved quality and safety in healthcare delivery. With patients demanding more hygienic solutions, RightPatient’s touchless identification process can help hospitals convince healthcare consumers to come in during this or a post-COVID-19 crisis.

RightPatient is an entirely touchless biometric patient identification platform. From pre-procedure through discharge, this platform can match a patient’s identity and pull up their correct medical records throughout the continuum of patient care. All a patient needs to do is get their photo captured by a smartphone, tablet, or a webcam from a safe distance, and RightPatient will instantly identify the patient and bring up their medical records. Additionally, RightPatient also has a remote patient authentication model. During this process, RightPatient can validate patient identities while they are at home by comparing their ID (e.g.driver’s license) and selfie photos.

Clinical efficiency and positive patient experience will play a key role in hospitals gaining back their momentum. With RightPatient, patients can be reassured that their medical records are secure and healthcare providers can be at ease knowing there is zero chance of making a blunder in matching a patient’s identity. Besides accurate identification, this platform helps prevent medical identity theft and duplicate medical records as well, overall enhancing quality and safety in healthcare delivery.

Enhance Patient Safety – Are you using a touchless solution for patient identification?

June 16, 2020/10148 views / 0 Comments/in BLOG, COVID-19, Facial Reciognition, Future of Biometrics, healthcare, Infection Control, Iris Recognition, Patient Experience, Patient Identification, Patient Safety /by Ryan Stephens

We are living through the COVID-19 pandemic. In times of crisis, the ability to provide treatments quickly and delivering clear communication are crucial. The U.S healthcare system is responding to this crisis by detecting, testing, treating, isolating, and mobilizing patients as well as healthcare staff members. However, how healthcare providers are identifying their patients remains a key concern. Are they using contact-dependent or touchless solutions? Touchless solutions for patient identification have many benefits over contact-dependent options. Especially during a pandemic, the most important one might be obvious – they are ideal for hygiene and infection control. This can play an important role in patient safety.

The COVID-19 outbreak has been a prime catalyst for the growth and adoption of touchless identification processes. Many healthcare providers are also looking for ways to enhance patient safety while they secure a patient’s identity and their medical records in a hygienic manner. Let’s examine both contact-dependent and touchless solutions for patient identification with regards to hygiene and infection control.

Infection control concerns about fingerprint and vein scanners

Fingerprint and vein recognition models for patient identification are currently used across the U.S. healthcare system. However, hygiene and infection control must be considered with these contact-dependent biometric scanners. Since the COVID-19 outbreak, numerous studies have determined that there is a risk of infection through commonly touched surfaces. Reports determined that this virus can survive from hours to days depending on the type of surface the particles land on. For fingerprint recognition, patients are required to touch a sensor that carries a level of surface contamination that is equivalent to door handles.

Vein recognition, on the other hand, requires users to place their entire hand or finger on a plastic mold that helps with proper positioning over the biometric sensor. This increases the amount of contact-dependent surface area and overall risk.

In addition, fingerprint and vein scanner surfaces need to be cleaned after each use to prevent the risk of infection transmission. This necessary precaution introduces an additional cost and resources burden for healthcare providers while preventing employees from focusing on more important tasks.

Facial and iris recognition modalities for patient identification

Touchless patient identification systems such as facial or iris recognition, on the other hand, completely eliminate the risk of spreading infection by allowing patients to be identified without needing to touch anything. Furthermore, according to a study, iris recognition has a far better success rate for identification compared to fingerprint recognition.

Besides being more accurate, iris and facial recognition techniques will enable healthcare providers to identify their patients from a safe distance. By eliminating patient identification errors, hospitals can enhance patient safety while ensuring a hygienic environment, without even needing to constantly sanitize scanning devices or sensors.

Enhance patient safety with RightPatient

Several studies suggest that touchless biometric identification is about to experience significant growth. Now that the difference between contact-dependent and touchless solutions is clear, choosing the right vendor will play an important role. Several leading hospitals have already experienced an improved revenue cycle by eliminating duplicate medical records and medical identity theft since using RightPatient – the leading touchless biometric patient identification platform. Some customers include Community Medical Centers, University Health Care System, and Terrebonne General Medical Center.

Aspects of our lives that we have been taking for granted have been threatened by the COVID-19 outbreak. Our fears and concerns about spreading the virus have been elevated, and healthcare providers are taking any and all necessary steps to protect their patients and their staff members. Clearly understanding the risk factors associated with contact-dependent biometric patient identification devices and considering RightPatient’s touchless patient identification platform can be an effective way to reduce risk and enhance patient safety.