five-tips-for-preventing-medical-identity-theft-in-healthcare

5 Tips for Preventing Medical Identity Theft in Healthcare

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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. 

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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. 

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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. 

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Verifying Patient Identity – Top 3 Benefits

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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.

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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:

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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.

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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.

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Optimizing Revenue Cycle Management in Healthcare is More Important Than Ever

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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.

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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. 

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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? 

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

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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.

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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?

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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. 

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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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Patient Identity Matching – Solving an unsolved crisis with RightPatient

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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.

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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. 

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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.

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Improving Patient Safety in Hospitals as They Reopen Post-COVID-19

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To say that the coronavirus pandemic will change the world is an understatement. It can never be stressed enough as to how much it has and will continue to impact our lives. After lockdowns were implemented for months to reduce the cases of infections, states are opening up slowly with precautions still in place. The US healthcare system is no exception – some providers are planning to open up while shuttered hospitals are planning to reopen due to the coronavirus. With all that in mind, one issue must have the highest priority now – improving patient safety in hospitals. This article will talk about some ways in which hospitals can reopen safely along with tools that can help them do that.

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Improving patient safety in hospitals – some strategies

Come up with a plan

As the US is in a very delicate situation right now, it can only be helped if the providers reopen safely and treat the patients successfully, and all of this starts with an effective plan. Plan the important days accordingly, especially the reopening day. It is wise to take it slowly and reopen in phases rather than opening a hospital all at once, but more on that later. Make an inventory of all the necessary tools and materials at hand that are required for protecting and serving patients, especially PPE. Reordering might be required, so ensure that it is done well in advance to reduce disruptions while providing healthcare services. Also, if not already in place, plans must be made on how to deal with patients or employees with COVID-19 on the premises. This will be the new normal for quite some time, so planning for such scenarios ahead will be beneficial.

Open in phases

While many are already adopting this strategy, it is still worth mentioning why it is important. Opening in phases can help detect which areas of the hospital still need to be addressed, if required, and can be done so easily. Moreover, this will also help to accommodate employees on alternate days—reducing contact and risk of contracting the virus. It will give an overview of the problems and opportunities and give everyone time to come up with solutions for dealing with them.

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Have safety measures in place

Even though there will be immense pressure on health systems, they need to ensure that patients are not overflowing all the time to maintain social distancing to some extent. For starters, hospitals need to ensure that patients are segregated to keep the ones potentially infected with COVID-19 separated from the ones that do not have it, improving patient safety in hospitals. 

Ensuring that everyone on the premises is wearing PPE is a must. Also, ensuring that everyone is maintaining distance, whether employees or patients, is quite important—rearranging layouts to ensure that distance is maintained can help. Also, ensure that minimal contact is required, especially in places like the EDs, since that is where most cases will be present. 

If employees exhibit any of the symptoms of COVID-19, encourage them to take leaves, as keeping them in the workplace will only make matters worse. 

Support your remote employees

Telehealth has been one of the most useful tools during the pandemic, and it will be used thoroughly in the future as well. Ensure that the remote physicians are properly accessing and using the tools required for telehealth so that the patients who can be served via telehealth do not need to come to the premises, reducing the chances of infections.

However, other than physicians, other employees are also working from home either on alternate days or for the foreseeable future. This is being done to reduce infection rates by practicing social distancing. Ensure that the employees are receiving enough support to carry out their tasks to provide better healthcare outcomes, improving patient safety in hospitals in the process.

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Use solutions to reduce infection rates and administrative burden

The US healthcare system is inundated with a plethora of problems. While they are not new and have solutions to mitigate them, many are still not using these solutions; thus, they are still suffering from the issues. With the coronavirus pandemic in mind, it is high time that these problems are addressed by healthcare providers. 

First off, let’s look into HIPAA compliance issues. Even though HIPAA penalties have been relaxed, for now, there are still many rules and regulations that need to be followed. While healthcare providers are already working around the clock to serve patients, ensuring HIPAA compliance can be a huge challenge, given the situation. Using solutions like HIPAAReady can reduce the administrative burden and simplify compliance management. With internal auditing, training management, and keeping HIPAA information in a centralized location, HIPAAReady is already an attractive HIPAA compliance software to mitigate HIPAA compliance issues.

Patient identification errors, on the other hand, have been haunting providers for decades. It has been an impediment to improving patient safety in hospitals. While many have been using different identification solutions like fingerprint scanning and palm-vein scanning, the pandemic will render these modalities obsolete. Earlier, infection control issues were only a headache of the providers, but the pandemic will make patients reluctant to use any identification solution requiring touch. Fortunately, there are already touchless biometric patient identification solutions available with RightPatient being the most appropriate one. After registration, the platform requires the patient to only look at the camera. The platform matches it with the registered template and retrieves the accurate medical record within seconds. All of these require no physical contact from the patient, enhancing patient safety as well as acceptance.

Providers like Terrebonne General Medical Center and Community Medical Centers are already using RightPatient and have chosen it as there are no infection control issues surrounding the platform like other modalities, making it an ideal patient identification solution in a post-COVID-19 world. When providers are losing millions due to the pandemic, deploy RightPatient and mitigate losses by ensuring touchless patient identification, preventing medical identity theft, and reducing denied claims.