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Infection Control in Hospitals – How it Should be Addressed as Hospitals Reopen

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COVID-19, “the novel coronavirus”, “corona” – it goes by a lot of names. Whatever you choose to call it, one thing everyone can certainly agree on is that it is an unprecedented phenomenon that has changed the reality for all of us. Many of us have not met friends or family members for months, have not left our homes, and are practicing social distancing to save ourselves and our loved ones from getting infected. However, one of the only exceptions to be highlighted are healthcare workers. They have been tirelessly providing services over the last few months – tackling the relatively new disease on the frontlines, with many even getting infected with it in the process. However, hospitals need to ensure patient safety as they are opening up gradually. With that in mind, infection control in hospitals is mostly focused on the busiest areas of their premises. What about the first point of contact? Is it safe for patients? Is the process touchless, accurate, and hygienic? Let’s analyze how RightPatient can reduce infection control issues for you during the arrival of patients.

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Infection control in hospitals

First of all, infection control in hospitals aims to reduce the spreading of infectious diseases and keep the number of infected individuals, incidents causing infections, or the possibilities leading to outbreaks as low as possible. This is quite a tricky task, as it is not always possible to keep these criteria in check.

However, everyone mostly focuses on the other areas of the health systems and are overlooking the first point of contact – patient registration desks, EDs, and so on. For most of the providers, that is usually where all patients go first to receive healthcare services. If not kept in check, these points of entries might turn into infection control issues. For instance, if the place gets contaminated, every patient coming afterward will be potentially infected unless it is decontaminated properly. That itself is an administrative nightmare and will force the hospital to block off the area, leading to delays or hold-ups in services, causing significant losses in the process. As one can clearly see, this is something that any healthcare provider would want to avoid, which is why infection control issues were always a concern for leading healthcare providers.

Patients are wary of infection control issues now

While infection control in hospitals, or lack thereof, was only a common headache for the providers, the coronavirus pandemic has led to it being a headache for everyone else as well. Nowadays, everyone is well aware of how the virus spreads and they are scrutinizing how hospitals can and are reducing or managing infection control issues.

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While the US healthcare system has been going all out to deal with the overwhelming number of patients, many providers are slowly opening their doors to regular patients requiring urgent care. For these patients, the hospitals need to be up to speed and ensure that they are improving patient safety and quality of care so that patients feel right at home and go through the caregiving process without any unwanted incidents.

While COVID-19 has instilled the fear of how good or bad infection control in hospitals is, what can the providers do to reduce spreading the disease at the first point of contact?

RightPatient – the futureproof patient identifier

It is a touchless biometric patient identification platform and has a variety of benefits. But how does it work exactly?

RightPatient locks the medical records of the patients with their photos upon registration. After enrollment, the patient just comes in and looks at the camera – RightPatient then matches the photo with the one saved alongside the medical record. It provides the saved medical record within seconds – ensuring accurate patient identification.

Leading healthcare providers understand the importance of positive patient identification and how it affects them. They have been using RightPatient for years and one of the reasons they chose it is because it is the most hygienic way to identify patients accurately and quickly without causing any infection control issues like other touch-based solutions.

While leading healthcare providers have been reducing infection control issues for years, you can do it now – preventing medical identity theft in real-time, reducing denied claims, and preventing duplicate medical records – all with a single platform that can be seamlessly integrated with your EHR system. RightPatient proudly protects over 10 million patient records and boosts the bottom lines of several healthcare providers.

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Patient Identification in Hospitals is in Dire Need of an Upgrade After COVID-19

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COVID-19 has changed the world around us in unprecedented ways. In fact, it is still shaping how we will interact with each other in the future for years to come. Social distancing, ensuring proper hygiene at all times, and wearing PPE whenever we step outside have become the norms and it will be so for quite some time. Naturally, hospitals have been the most affected parties due to the coronavirus, since they are the ones treating the patients. As different parts of the US are opening up gradually, it is quite natural that healthcare providers would open their doors too. However, changes are advised to ensure that patient safety is improved while hospitals are reopening. One of the most important changes required is the overhaul of patient identification in hospitals since that is usually the first point of contact for both patients and caregivers. Let’s look at why most of the current patient identifiers can pose threats now, and how a touchless solution like RightPatient is the only choice going forward.

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Why is patient identification in hospitals important?

Patient identification errors have been haunting the US healthcare system for a long time now. The consequences of patient misidentifications can be quite severe for both providers and patients. Patients can suffer from shocking bills, the wrong treatment, repeated care or lab test results, and even death. Providers, on the other hand, may experience denied claims, unwanted attention, the costs associated with fixing duplicate records and overlays, and loss of goodwill. As can be clearly understood, patient identification errors can cause irreparable damage to all those who are associated with them. But how is the US healthcare system identifying its patients?

What patient identification was before COVID-19

Patient identification in hospitals has, admittedly, been quite fragmented. Different providers use different strategies to identify their patients. Let’s look at some of the common means of patient identification along with their pros and cons, as well as why RightPatient is the perfect choice for accurate patient identification.

Even though there are a variety of patient identification solutions available, some hospitals still prefer to use the decades-old method of identifying patients by asking them questions to find their respective EHRs. The EHR user may ask the patients to state their names, addresses, DOB, ID numbers (if appropriate), and so on. The only good thing about this is it is mostly touchless. However, the costs outweigh the only benefit of this archaic method. It is slow, tedious, time-consuming, and cannot detect if someone else is pretending to be the patient, leading to medical identity theft.

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Another popular method is using patient ID wristbands. While this is more accurate than just asking questions, it has its drawbacks as well. It can be transferred or stolen, leading to others using healthcare services assigned for a different patient, committing medical identity theft. More importantly, it is also contact based, something which everyone is quite reluctant to do nowadays, but more on that later.

One of the most accurate ways to identify patients is by utilizing features patients do not share with anyone else, that is, the features that are unique to them. This is where biometrics comes into play. For instance, modalities like fingerprint and palm-vein scanning drastically improve accurate patient identification. However, these would require the patients to touch the devices for identity verification, which was off-putting for leading healthcare providers. These would cause infection control issues. For instance, a patient with a contagious disease could come in, touch the device, and effectively contaminate it, unless it is cleaned after every usage. It would be a nightmare for all those involved in the process.

What COVID-19 taught us

Prior to the pandemic, not many patients would have thought about it. After COVID-19, however, the majority of patients would be extremely reluctant to use touch-based solutions for patient identification, as they have a fear of contracting the highly contagious virus now. Thus, acceptance rates for touch-based solutions would be quite low now. Thus, patient identification in hospitals needs to be upgraded to enhance patient safety as well as accuracy. 

So, what are the leading healthcare providers using for accurate patient identification?

What patient identification should be after COVID-19

The leading touchless biometric patient identification platform, RightPatient, is being used by providers like Grady Health, Duke Health, and University Health Care System. So, what makes RightPatient so different yet effective? 

It locks the medical records of the patients with a photo of them upon registration. When registered patients return, all they need to do is look at the camera; the platform recognizes them and produces the correct medical record within seconds. All of this can be done easily and without a single touch from the patient!

RightPatient ticks all the right boxes – it ensures accurate patient identification, successfully prevents medical identity theft, reduces denied claims, prevents new duplicate records, and enhances patient safety by providing them a touchless solution. All of these benefits lead to boosting the bottom line of healthcare providers – something that they really need right now. 

RightPatient has been protecting over ten million patient records already, and with the COVID-19 pandemic, it has become the only viable solution. Are you still using outdated platforms? It is high time to make the change and upgrade to RightPatient. 

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

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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.

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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.

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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.

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Identify Patients Correctly to Reduce Significant Healthcare Costs

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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. 

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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.

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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?

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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?

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5 Strategies to Ensure Revenue Integrity in Healthcare

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Many healthcare providers were struggling financially before the pandemic. But now, the U.S healthcare industry is on the verge of financial disaster. According to the American Hospital Association, hospitals are bleeding approximately $50 billion per month due to canceled elective procedures and costs associated with treating COVID-19 patients. Many non-COVID patients have also stopped seeking primary care visits, including patients with life-threatening conditions, because they are worried about exposures. In addition, claim errors, denials, and payment delays that result from inaccurate patient identification, duplicate medical records, and medical identity theft still persist, all of which affects revenue integrity. 

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Adopting Value-Based Reimbursement (VBR) models has shown to have economic advantages but poses a real challenge for healthcare providers alongside ever-changing healthcare compliance regulations. Siloed workflows, data proliferation, and disparate systems make it difficult to achieve the collaboration that is needed for VBR to yield optimal results. However, intelligent revenue cycle management can be the key to achieving financial stability and revenue integrity. 

Identify the problem

Today’s environment requires automating workflows and considering the whole revenue cycle process to ensure revenue integrity. Healthcare providers want an easy, seamless way to manage revenue cycle without errors, such as those caused by patient identification issues. Considering the lack of electronic medical record (EMR) system capabilities to adequately address the critical need for accurate patient identification, it is vital to leverage complementary technologies with core-specific competencies that can improve the overall revenue cycle. For example, improving patient identification and matching processes at the front-end of the revenue cycle process can significantly reduce costs. 

As an industry-leader in touchless patient authentication, RightPatient has been helping many healthcare organizations reduce claim errors and denied claims by ensuring accurate patient identification. By eliminating denied claims linked to identification errors, healthcare providers can reduce the burden of back-end activities in the revenue cycle and simplify the reimbursement process to ensure revenue integrity.

Rely on technology

Adopting technology is also essential to ensure that clinical teams across the healthcare ecosystem are accessing high quality shared data to produce the best outcomes. Augmenting the organization’s core systems with complementary technologies on a single, integrated platform enhances internal collaboration with other teams or departments. For instance, RightPatient crosses departmental silos and brings transparency to patient healthcare data across disparate domains. Transparency across teams is critical. RightPatient will ensure that a holistic and accurate medical record of each patient can be accessed by clinical and operational staff members no matter where the patient is authenticated. By automating the patient identification and authentication process, RightPatient improves clinical outcomes and enables staff to proactively focus on other areas where their expertise has the most impact.

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Ensure compliance

According to the National Association of Healthcare Revenue Integrity (NAHRI), the goal of revenue integrity is to prevent issues that lead to revenue leakage or compliance risks through effective, efficient, and internal controls across the care continuum, supported by strong documentation and sound financial practices that can withstand audits at any time. 

Violation of healthcare compliance is a major contributing factor to financial losses. For instance, HIPAA violations are becoming more common across the U.S healthcare system. HIPAA compliance software, on the other hand, can help address this issue. Such software allows healthcare providers to simplify their compliance efforts and manage training through an effective communication system. Ensuring HIPAA compliance prevents privacy issues that can impact proper revenue cycle management and helps to avoid costly financial losses.

Accurate documentation and coding

Unfortunately, as long as healthcare providers do not address the issue of front-end data validation, claim denials will continue to wreak havoc. Inaccurate patient identification and medical identity theft still remain a major contributing factor to denied claims and payment delays. However, through accurate patient identification, RightPatient enables healthcare providers to bill and code each patients’ information accurately. By ensuring accurate and clinical documentation, this platform significantly reduces inefficiencies of denials and rework, thereby strengthening revenue integrity. 

Improve hygiene and foster patient trust with RightPatient

Healthcare providers are witnessing a reduction in non-infected patient activity due to the fear of COVID-19. Visits for general check-ups or other routine procedures have decreased to the obvious financial detriment of healthcare providers. These providers need to reassure their patients that they are taking all precautionary steps to maintain hygiene and control this contagious disease. Adopting RightPatient is a sensible part of this strategy. 

RightPatient is a completely touchless biometric patient identification platform that can accurately identify patients throughout the continuum of care. After capturing a photo from a smartphone, tablet, or webcam, RightPatient instantly identifies patients and retrieves their correct medical record. By securing unauthorized access to medical records, hospitals are able to prevent medical identity theft, reduce denied claims, and duplicate records – all of which are vital to a high-performing revenue cycle. 

RightPatient also offers remote patient authentication, which is becoming increasingly necessary as people are maintaining social distance by staying at home and getting treatment through telehealth practices. During this process, RightPatient validates patient identities by comparing their ID (e.g. driver’s license) and selfie photos. This process can also help healthcare providers to save money on more expensive identity proofing solutions through credit agencies. 

As patient care becomes more complex, so does the management of the revenue cycle. RightPatient can help to simplify and manage the complexity by ensuring safe, ubiquitous patient authentication from various patient encounter points. Full financial recovery from this pandemic may take years, but adopting RightPatient will ensure that you are on a faster path to success.

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Medical Identity Theft Cases can hamper Telehealth – How are you Identifying Patients?

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COVID-19 has been one of the most impactful events in recent years. While some parts of the world are preparing to reopen or are easing lockdowns in phases, the general population is still on edge as there is no cure for the novel coronavirus, which has affected over 3.9 million people worldwide as of 8th May 2020. However, some applications have seen meteoric growth during this challenging period – telehealth is one area. However, since practitioners have to deal with patients remotely, there can be potential medical identity theft cases here as well. How can practitioners find out they are treating the right patient? Are there solutions available to ensure accurate patient identification?

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The rise of telehealth

Telehealth has been around for years now, with many people debating about its pros and cons. However, 2020 seems to be the year of telehealth. It has revealed how effective telehealth can be for virtual care visits and one of the most effective ways to provide patient care while we practice social distancing. Telehealth is at an all-time high – Forrester Research estimates that over a billion telehealth visits will take place this year alone, where 900 million of the visits will be due to COVID-19. Telehealth in March alone saw a 50% increase in services due to the pandemic. 

This huge increase in numbers was boosted due to the U.S. government encouraging patients to use telehealth instead of attending for physical visits to their medical professionals to minimize the risk of COVID-19 spread. 

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Medical identity theft cases may rise

Telehealth is having its long-overdue success and spotlight, thanks to how it is helping treat patients remotely right now as a result of the COVID-19 pandemic. However, it does have to keep some factors in mind to ensure that proper care is given to the right patients. Are caregivers ensuring that the proper patient is being treated? Do they have the tools to verify it? 

While people have shared their credentials with family members in the past, there is no guarantee that this will not repeat itself, especially given the current financial problems the pandemic is causing. With frequent data breaches occurring, it may be quite easy for someone else to assume the identity of another patient.

While there have not been any reported cases as of yet, caregivers must remain vigilant and attempt to verify a patient’s identity. Doing that can be challenging as practitioners are facing a huge number of calls per day and may not have the right tools or resources for effective patient identification. Medical identity theft cases were already prevalent during normal times, and the same might happen with telehealth too.

Thankfully, a solution exists

Leading healthcare providers have been using RightPatient for years now. It is a contactless biometric patient identification platform that locks the EHRs (electronic health record) of the patients with their biometric data. This ensures that outsiders cannot assume the identity of a patient and gain access to healthcare services. RightPatient has been successfully preventing medical identity theft cases, reducing duplicate record creation, and improving the revenue cycle of hospitals for years by ensuring accurate patient identification whenever patients arrive. 

How can it be used for telehealth? Well, RightPatient came up with the perfect solution for the pandemic – caregivers can now validate patients’ identities remotely. When a patient confirms the appointment with the practitioner, he/she is notified with a text message to provide a photo of their driver’s license as well as a selfie. RightPatient automatically matches the photos to ensure the patient’s identity, saving caregivers from financial burdens, and mitigating risks of treating the wrong patient. 

RightPatient already has years of experience, and with remote authentication, it has created the perfect tool for health care providers using telehealth. Ensure accurate patient identification and prevent medical identity theft, whether you’re treating patients in person or remotely via telehealth. 

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Healthcare Data Breach Statistics show 40 Million Patients were affected in 2019

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Data breaches – this topic has been covered a lot here. That’s because it is so prevalent and is constantly haunting big and small healthcare providers across the U.S. In 2019, a whopping 40 million people were affected by healthcare data breaches. To put this in perspective, 14 million people were affected, according to healthcare data breach statistics in 2018.

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A recent study has also shown that 2019’s numbers were higher than the 2015 data breaches where over 113 million records were exposed. The report from the study emphasizes how over 400 organizations experienced breaches consisting of more than 500 patient records. Even though some providers are working to increase security, they are finding it challenging to stay ahead of the curve.

The reported data breaches increased by 38 percent from January to October 2019, compared to 2018. More than 429 organizations reported breaches, which is considerably higher than the 371 organizations reporting data breaches in 2018. 

The result? 

40 million people were affected by these data breaches, and these are the data breaches that were actually reported. However, the aforementioned study claimed that more than 480 organizations would be affected by data breaches in 2019.

Hacking was consistently the main cause of data breaches from 2016. However, hacking stole the spotlight in 2019with 59 percent of the reported data breaches a result of hacking. 

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Another tool used by cybercriminals is email.

Stolen medical records often contain sensitive information of the patients – their medical history, their medications, test results, names, addresses, and so on. The hackers usually sell this information on the black market where buyers assume the identities of the affected patients.  

Patients can serve hospitals with lawsuits for not protecting their sensitive data. Some patients spend a lot of time having their medical records fixed, which is costly for the patients, the hospitals, as well as the insurers. It is a loss for everyone involved.

What can hospitals do?

While data breaches can not be stopped so easily, thankfully medical identity theft can be prevented. This is where RightPatient comes in – it locks the medical records of the patients with their biometric data and also attaches a photo to the medical records. Even if the medical records are stolen, the patient data will remain safe. If a  person attempts to assume the identity of a patient, RightPatient immediately red flags the user and lets authorities know, preventing medical identity theft in real-time. Healthcare providers are protecting millions of patient records with RightPatient, mitigating losses, improving the revenue cycle, preventing being a part of healthcare data breach statistics, and enhancing patient safety – are you one of them? 

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Healthcare Data Breaches can lead to Medical Identity Theft

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As per The Health Information Technology for Economic and Clinical Health Act (HITECH)  requirement, breaches that expose protected health information (PHI) affecting 500 or more individuals must be listed. The Breach Reporting Tool of Health Insurance Portability and Accountability Act (HIPAA), reveals that 26 new incidents were added to the portal at the end of March 2020. These incidents are all related to healthcare data breaches. 

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The security incidents in the portal list are currently under investigation by the Office of Civil Rights (OCR). It has been reported that out of 26 incidents, 13 were caused by hacks or other IT related incidents, affecting 338,334 individuals. Other noteworthy healthcare data breaches affecting 44,592 individuals were caused by theft, loss, and unauthorized access or disclosure of information.

Healthcare data breaches have had a sustained impact on the quality of delivery care and have made healthcare providers more prone to medical identity thefts. Healthcare data breaches are becoming a pressing concern for providers and there’s no sign of the data breaches slowing down. 

How do criminals capitalize on stolen personal health information?

Personal health information (PHI) is any information or data entry that can identify an individual. PHI includes sensitive information such as names, addresses, Social Security of Medical Insurance numbers, information about beneficiaries, financial details including account numbers, and diagnostic images. This type of information can be created or collected by your health plan providers, employers, healthcare providers, or other healthcare entities.

Medical records are not only highly sought out by criminals but are highly desired on black markets too. This kind of information can sell for as much as $1000, depending on the amount of the victim’s information is available. Cyber thieves and criminals can later use stolen healthcare records and they plot illegal schemes, such as medical identity thefts.

How can healthcare providers mitigate negative outcomes?

Healthcare data breaches and medical identity thefts are wreaking havoc on revenue cycle management of hospitals by increasing operational costs and negatively impacting patient experience. 

To reduce the risk of healthcare data breaches, hospitals need to implement adequate security measures as per the HIPAA Privacy and Security Rule requirement. In addition to the Security Rule, covered entities are required to issue notifications to affected individuals in the event of breaches to unsecured protected health information, as per The HIPAA Breach Notification Rule. Healthcare providers can use a HIPAA compliance management solution to simplify their administrative operations. 

When hospitals adhere to the HIPAA rules effectively, it means they are using appropriate safeguarding measures to keep their protected health information secure. As a result, their networks and devices will have increased protection from cyber attackers and hackers.

To prevent medical identity thefts, hospitals can simply use a biometric patient identification platform such as RightPatient.

How can RightPatient prevent medical identity thefts?

RightPatient is a biometric patient identification platform that locks patients’ medical records. During registration, the patient just needs to provide their biological data such as iris patterns or facial photo, and the platform will use this data to lock their medical records. Next time when the patient arrives at the care continuum, all the patient needs to do is just look at the camera and the platform will accurately identify the individual and bring up their medical records.

This platform prevents fraudsters from illegally accessing medical records by encrypting sensitive information using the patient’s biological characteristics. A fraudster will not be able to simply walk in and use stolen PHI to receive medical services or benefits. 

By using RightPatient leading hospitals will have improved patient experiences and healthcare quality and will also reduce the number of denied claims, from which hospitals lose millions of dollars each year. 

It is forecasted that the Global Healthcare Biometrics market will reach a market value of $5.8 billion by 2025, at an expected CAGR (Compound Annual Growth Rate) of 19.3% (2017-2025). Implement RightPatient now and stay ahead of the curve.

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Protecting Patient Data is a Topmost Priority During the Coronavirus Pandemic

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The last few months have been excruciating for the whole world due to the COVID-19 outbreak. Hospitals have been working tirelessly, tending to the unprecedented number of patients coming in. However, that has not stopped them from experiencing unwanted incidents like data breaches. However, even in this scenario, protecting patient data is a must. 

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An example

On March 20, University of Utah Health started notifying a number of its patients regarding a phishing incident followed by a malware attack. Back in February, the provider detected unusual activities on their employees’ email accounts. After conducting a thorough examination, they concluded that an outsider gained unauthorized access to those employees’ email accounts between January 7 and February 21.

The outsider did this by acting as a trusted source. Thankfully, the U of U Health was successful in securing the affected accounts. Some of the patient data, which was potentially exposed consisted of patient names, DOB, medical record numbers, as well as some clinical information. 

However, that was not the end of the data breach.

After detecting the phishing attack,  U of U Health found out that an employee’s machine might have contained downloaded malware on February 3. After scrutiny, the experts at  U of U Health stated that the malware potentially allowed access to parts of patient data, just like the previous one – names, DOB, medical record numbers, as well as some clinical information.

The matter is still being investigated, and however, U of U Health stated that they did not find any evidence that the affected patient data was misused. The healthcare provider is making changes to ensure that such unwanted incidents do not happen again. 

That is just one healthcare provider. There are numerous that are still facing data breaches, even during the coronavirus pandemic. The crisis makes it ripe for hackers to steal sensitive patient information, as hospitals are having a hard time dealing with the whole situation at hand.

Medical identity theft issues 

The hackers can steal patient data, and either use it for their purposes or sell it to other parties. The outcome is medical identity theft – someone else assumes the identity of the patients and uses healthcare services, which were initially meant for the patients. Medical identity theft causes the victims to receive shocking bills for services they never used. It can also lead to the healthcare providers being hit with lawsuits by the patients, claiming that the providers did not protect their sensitive patient data well enough. 

How are hospitals protecting patient data?

This is where RightPatient can help. With this contactless patient identification platform, medical identity theft can be prevented easily. RightPatient uses biometric data (such as iris) to store medical records along with capture photos of the patient. Later on, all a registered patient needs to do is look at the camera – RightPatient identifies the accurate medical records within seconds and provides it to the hospital staff. Even in the case of a data breach, patient records are locked with the patients’ biometric information. Thus, also if a third-party assumes the identity of the patient, the platform will immediately detect the fraudster – preventing medical identity theft and protecting patient data.

Also, it is of paramount importance that hygiene is maintained within hospitals, which is why RightPatient’s contactless identification platform makes it ideal for detecting accurate patient records during this crucial time without causing infection control issues. 

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Medical Identity Theft Stories are Common in Emergency Departments

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Medical identity theft stories are quite common – many patients in the Emergency departments (ED) may suffer from it. Many healthcare providers are unaware of this growing concern. Verifying the identity of patients when they meet in the emergency room often reveals red flags, and this usually happens. Healthcare personnel, both within and outside of E.D., need to be trained regarding the precise signs of medical identity theft. They also need to activate institutional policies to prevent virtual offenders like these from engaging in further illegal activities. 

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What’s the reason for medical identity theft?

Healthcare institutions have been facing the growth of medical identity theft incidents. The perpetrators will try to use other individuals’ personal information, such as health insurance or social security number, without any acknowledgment of him/her. Most reasons for medical identity theft are receiving medical treatment and drugs, acquiring money by false claims of medical treatment, and fabricating medical records corresponding to those claims. These are the types of offenses that cause medical identity theft.

What’s the level of threat?

A survey conducted by the Federal Trade Commission ( FTC) showed that in 2005, 3% of all identity thefts, or 249,000 attempts, were related to medical identity theft. The Ponemon Institute conducted another assessment in 2013 and found that 1.84 million individuals were victims of medical identity theft. The identity theft rate in the emergency department may be higher as they are handling comparatively more patients, and such surveys do not show individual departments’ numbers. 

Who are the victims?

Healthcare providers, payers, and many other several parties are impacted by medical identity theft. But the patients might be the most prominent victims in these offenses. Inappropriate treatment and use of drugs may lead to alarming incidents. This may also lead to financial burdens, as healthcare providers will bill actual medical identity holders or their insurance carriers for the treatments they did not receive.

A threatening story of Identity Theft

Some cases demonstrate common incidents at emergency medical departments, which eventually resurfaced as medical identity theft. The joint efforts of multiple healthcare associates, registration clerks, nursing staff, security officers, and physicians made it possible to discover the incidents. On the positive side, they managed to deal with these situations without compromising patient care, and they followed the Emergency Medical Treatment and Labor Act (EMTALA) regulations throughout the process.

A notable incident is that an 18-year old male came to the Emergency Department with a headache due to his fall twelve hours before reporting. Afterward, he was questioned by the hospital security manager and a local police officer, as he appeared to the Emergency Department without any personal identification and didn’t validate his identity to the nursing staff or registration clerk. Moreover, his signatures on the hospital’s standard financial agreement and patient identification form weren’t matching with signatures given on the previous encounter. After 13 days, he was prosecuted with the information obtained by hospital security for the felony of medical identity theft and insurance fraud.

Put an end to new medical identity theft stories

Emergency Departments play an essential role in the cure of patients’ diseases. Such crimes can reduce patients’ trust in the healthcare system. RightPatient can extinguish this risk with its biometric patient identification platform. It locks the medical records with biometric data of the patients. Once the patient registers biometric data such as irises or fingerprints, only patients who have been verified by biometrics can access the record, thereby avoiding the opportunity for medical identity theft. This also helps hospitals identify accurate patient records within seconds. RightPatient can also eliminate patient matching errors by ensuring precise patient identification – enhancing patient safety.