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Healthcare Revenue Cycle Management Optimization is Crucial as In-Person Visits Increase

Believe it or not, while COVID-19 was arguably one of the worst problems faced by the U.S. healthcare system, it was just ONE of many. That’s right, there are a plethora of issues that have been hampering healthcare for years, causing patient safety incidents, lost revenue, and more. Unfortunately, these losses went through the roof due to COVID-19 – they were estimated to be around $323 billion in 2020. While the pandemic is slowly waning, things are going in the right direction as providers are opening their doors for in-person visits. To recover from the pandemic’s financial losses, healthcare revenue cycle management optimization must be one of the topmost priorities for health systems – let’s take a closer look at why it’s important and some strategies that can help with revenue cycle optimization.

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Revenue cycle management in healthcare facilities

Healthcare revenue cycle management might be quite complex, as it contains many intricate processes, but it is simple enough to understand.

Revenue cycle management, in a nutshell, is used by hospitals and health systems to keep track of the “revenue” they receive by treating patients. It has many steps, but RCM starts from the first interaction with the patient, for instance, appointment scheduling, and continues until caregivers receive the final payment. 

If broken down, revenue cycle of healthcare facilities usually contains 7 components:

  • Preregistration
  • Registration
  • Charge capture
  • Claim submission
  • Remittance processing
  • Insurance followup
  • Patient collections

As this list shows, the revenue cycle starts from the first interaction with the patient and ends with receiving the full amount for providing healthcare services to the patient.

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While it might seem simple, healthcare revenue cycle management is quite complicated and difficult, especially when it comes to collecting claims from the payers (insurance providers). 

Why optimizing RCM has never been more crucial

While it was always important for healthcare providers to improve RCM within their facilities, doing so now might ensure their survival and get them through this trying time. COVID-19 has drastically affected healthcare providers, and while some received bailouts in billions, others had to close their doors permanently. The rest of them are simply struggling through the financial losses, but as in-person visits are increasing, things look brighter for the caregivers, as long as they are implementing strategies that optimize RCM right from the start. 

That being said, let’s take a look at some of the strategies that can be employed to optimize healthcare revenue cycle management.

Strategies that enhance healthcare revenue cycle management

Examine the entire RCM process to identify gaps

While the age-old saying is “If it isn’t broke, don’t fix it”, rapidly evolving environments beg to differ. How do you know that it’s working out fine for you? Unless your denied claims are reduced to virtually zero, there’s always room for improvement. 

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Analyze the entire RCM process to see if there are addressable gaps that require improvement – even the smallest ones matter. Talk to patients, survey your RCM team, take a look at the current numbers, and determine where you want the numbers to be. If issues are not found, then great – the problem might not lie in RCM, but if issues exist, work on them. RCM is evolving rapidly, and with the changes brought about by COVID-19, introducing technology in almost every aspect of the service to improve efficiency and collaboration has become the new normal. And speaking of collaboration, let’s move to the next point. 

Improve collaboration between your front-end and back-end RCM teams

The traditional practice is that the front-end and back-end teams work towards the same goals, but separately. However, if they work more collaboratively then the entire process will become seamless and it will help optimize RCM as information is never lost or misinterpreted – helping to receive payments much faster and in greater numbers, improving the bottom line. 

Using solutions that guarantee accurate patient information

When it comes to RCM, one of the biggest impediments to its optimization is denied or rejected claims – most of which can be traced back to billing and coding errors. On the front-end, if the patients are misidentified or if inaccurate medical records are used, then there are bound to be inconsistencies that are picked up by the payers. These errors lead not only to billing errors and denied claims, but can also be detrimental to positive patient outcomes – affecting the bottom line and the goodwill towards the hospital. As a result, ensuring patient data integrity and accurate patient identification is a must – both of which can be done with RightPatient.

RightPatient is a tried and tested biometric patient ID platform that safely and accurately identifies patients using their faces. The patient only needs to look at the camera – the platform does the rest, making it an entirely contactless process, something that is crucial in the post-pandemic world.

Not only does RightPatient make identification faster and accurate, but it also ensures that accurate information is fed to the registered patients’ EHRs every time they opt for healthcare visits, reducing billing and coding inconsistencies and denied claims in the process.

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Preventing Medical Record Errors Improves Patient Safety

Healthcare providers in the U.S. never seem to catch a break – they’ve always faced a plethora of issues even before the pandemic. For a brief refresher, the U.S. healthcare system suffers from outrageous costs, the lack of price transparency, ancient laws that hamper healthcare outcomes, the lack of proper interoperability, medical record errors, preventable medical errors, patient safety incidents, and more.

While all of that seems like a bit too much, there are actually far more issues that regularly challenge health systems and hospitals and hold them back from providing positive patient outcomes. One such crucial but overlooked issue that hampers healthcare outcomes is medical record errors. Let’s explore how they are created, what are the consequences, and how proper patient identification can enhance the quality and safety in healthcare facilities.

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Medical record errors jeopardize healthcare outcomes in several ways

Patient safety incidents, detrimental healthcare outcomes, denied claims, patient mix-ups, and other adverse effects can be traced back to errors with medical records – the most common ones are duplicates and overlays. In fact, whenever an EHR error occurs, it typically goes undetected until an unfortunate event occurs such as the ones listed above. However, if one goes even further back, patient identification errors are likely to be the main culprit – let’s see how that happens. 

Patient misidentification leads to most medical record errors

One of the most common causes that lead to medical record discrepancies is patient misidentification, and that’s because most healthcare providers are using obsolete means to identify their patients – more on that later. Let’s take a look at how duplicates and overlays are created within EHR systems.

Duplicate record creation 

It’s quite straightforward – let’s start from the beginning. A patient comes into the hospital for a checkup, and since most hospitals suffer from patient identification problems, the EHR user is left with a difficult choice if they can’t find the accurate medical record. This happens because:

  • The patient has a common name
  • There are multiple patient records with the same characteristics
  • Searching for the right medical record is virtually impossible

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Now, the choices the EHR user has are either diving deep and painstakingly finding the accurate medical record, assigning the medical record that seems to be the “closest match”, or, just to be safe, creating an entirely new medical record. However, the latter can be catastrophic for both the patient and the hospital. Saving a discussion about the consequences for a later part, let’s see how overlays are far more damaging.

Overlays are extremely dangerous

Duplicate records are created when a patient has multiple medical records. Overlays, however, are single medical records that contain information about multiple patients – clearly, these medical record errors can be very dangerous.

Let’s continue from the previous example – the EHR user selected a medical record that best matched the patient (X), but it actually belongs to a different patient (Y). When patient X has their medical checkup, their health information is recorded into patient Y’s medical record, rendering it corrupt, unusable, and dangerous. Next time, when either patient returns for medical treatment, they’ll be facing detrimental healthcare outcomes because the data in their medical record is unreliable.

Moreover, with the growing adoption of EHR systems, these issues are becoming far more common. In fact, according to AHIMA, smaller hospitals have around 5-10% of these duplicate medical records whereas larger health systems can have a whopping 20%. These errors can cause around $40 million in unnecessary costs in clean-ups, litigation costs, and others.

Unfortunately, the biggest issue with these duplicates and overlays is that, as previously mentioned, they remain undetected until an adverse event occurs. The best way to resolve medical record errors is by preventing them right from the start – accurate patient identification can help with that. 

RightPatient prevents duplicates and overlays

RightPatient has been helping responsible healthcare providers accurately identify patients at any touchpoint with its robust biometric patient identification platform. It can be seamlessly integrated with any EHR system and it becomes a part of the EHR workflow. 

Patients only need to look at the camera – the platform automatically locates the accurate medical record for the EHR user, making it a seamless, safe, and hygienic experience for everyone involved. It has been helping reputed caregivers like Grady health, TGMC, and Community Medical Centers prevent duplicate record creation, ensure patient safety, and boost the bottom line.

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4 Innovative Ideas that can Bolster Transformation in Healthcare

It’s quite safe to say that healthcare has undergone radical changes since the pandemic struck with full force. While COVID-19 has had unprecedented effects on everyone and everything, it affected hospitals drastically and forced them to come up with alternatives that have led to transformation in healthcare, for instance, telehealth. While the pandemic is hopefully behind us as we return to the “old normal”, let’s take a look at some ideas that healthcare executives believe will transform healthcare and some technologies that already exist such as contactless patient identity verification solutions.

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4 ideas that bolster transformation in healthcare

Patient engagement and patient monitoring going full digital

While we have been hearing about remote patient monitoring and digital patient engagement for quite some time now, the CIO at Cherokee Nation Health Services believes that adopting said solutions into healthcare will vastly improve healthcare outcomes as patients will be more engaged regarding their health and wellness by putting the power in their hands. Not only do such solutions improve patient outcomes but they also allow both caregivers and patients to engage with each other in a more proactive manner beyond the healthcare facilities’ walls by means of text messaging, digital platforms, and chatbots, leading to a digital door, per se.

Introducing meaningful technology in relevant department(s)

The future of healthcare is digital, there is no doubt about that. Healthcare providers that are still using ancient methods and obsolete technology are beginning to feel the heat as the disadvantages keep on piling up. However, innovative hospitals and health systems are going the other way – they are overhauling their processes by implementing technology in almost all of their departments. For instance, while many are using RCM solutions, others are introducing technology in their HR department, inpatient services, nursing department, and so on. While it might not directly generate transformation in healthcare, implementing useful and relevant technology in various departments can bring in better talent, optimize operations, and improve healthcare outcomes – boosting the bottom line. 

Making telehealth a permanent part of the facility

While telehealth has been around for a long time and has not seen success until recently (in response to COVID-19), many caregivers are still quite wary about it. However, even the most skeptical ones cannot deny that it has introduced significant transformation in healthcare. For instance, patients can communicate with their caregivers from the safety and comfort of their houses and reduce significant risks and expenses, among other things. Caregivers can also divert non-critical patients towards virtual visits, reducing the pressure on physical locations and staff and keeping the physical patient volume low, something that is a must to keep COVID-19 at bay. 

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While telehealth can never replace conventional healthcare or in-person visits, it has definitely become an extremely useful tool of healthcare itself, something that caregivers must utilize to its full extent. It can save costs, improve patient satisfaction, enhance outcomes, and keep COVID-19 at bay – creating a win-win situation for everyone involved. 

Implement contactless technologies can truly introduce transformation in healthcare

Speaking of COVID-19, it has spread the fear of getting infected via physical contact to virtually everyone. This is quite surprising, as healthcare providers have always had this fear of hospital-acquired infections (HAIs). Hospitals that take patient safety seriously have always focused on infection control, and these are the ones that are always looking for contactless solutions. 

While COVID-19 has pushed infection control into overdrive, many recent innovations in this area include touchless IoT-based systems, patient check-ins, payments, and so on. However, did you know that touchless solutions were already being used in several hospitals across the U.S.?

That’s right – RightPatient is a touchless biometric patient identification system that responsible and innovative healthcare providers have been using for many years. Since it attaches patients’ photos to their medical records, patients only need to look at the camera to validate their identities. It can also be used at any touchpoint across the care continuum – making it ideal for telehealth. RightPatient has been ensuring patient safety, hygiene, reducing denied claims, preventing medical identity theft, and much more via accurate patient identification.

Are you one of the providers who’s looking to introduce transformation in healthcare to your facility?

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5 Strategies That Can Rebuild Revenue Cycle for Healthcare Facilities

As the pandemic wanes, at least for now, many businesses are rebuilding. The US healthcare sector is no exception, picking itself up and dusting itself down gingerly, preparing to welcome back patients and see an uptick in revenue again. Working on the revenue cycle for healthcare providers has never been more important.

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For some hospitals and departments, it’s already too late – the pandemic forced them to close. Others are hanging on, with staff returning from furlough and machinery being switched on and recalibrated for the first time in over a year. As more people are fully vaccinated, it becomes simpler to see patients in person again, which will lead to the increase in revenue the healthcare sector badly needs. However, it’s not all plain sailing. Providers could still lose over $120 billion this year, so it is vital to be careful with any attempts to ramp up income. The fewer denied claims there are, the better the bottom line will be. That being said, let’s take a look at some strategies that will help optimize the revenue cycle for healthcare providers.

5 strategies to enhance revenue cycle for healthcare providers

Check the existing revenue cycle management processes

The first option is to see whether any immediate improvements can be made to the existing system. This will be down to the back-end developers and IT specialists and will not be visible to patients. After that, it’s time to look at the patient-facing part of the cycle. Ensuring staff members are fully trained in customer service is a good place to start with optimizing revenue cycle management. That way, they will know what questions to ask when registering or checking in patients and how to check their insurance, treatment codes, and eligibility. They will know how long to allocate for different types of appointments and when to ask for immediate payment.

Use technology to your advantage

The easiest way to ensure that everything runs smoothly is by identifying patients accurately right from the start of the treatment process. This could be done using a patient identity verification platform such as RightPatient that eliminates the need for asking patients questions, patient record mix-ups, and more, reducing denied claims in the process.

That was just one example – optimizing the revenue cycle for healthcare providers is not difficult, it just needs a bit of help at times. Technology can be that hidden assistance.

Prompt, correct coding, and billing is key

An organization should not expect prompt payment if its internal processes are lax. Ensuring accurate coding and billing leads to lower chances of denied claims. Complete elimination of denied claims is impossible, because of some uncontrollable factors, but rigorous checking of coding will, in turn, generate accurate bills which are more likely to be agreed on the first time by the insurers.

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Utilize up-front collection

If possible, the up-front collection is the best way to optimize the revenue cycle for healthcare providers. This eliminates an entire step in the revenue collection process, as the bill does not need to be seen by accounts receivable at all. Instead, it lands on the collected revenue team’s side for processing. While this approach will not work for every patient, it can be an effective tool for immediate revenue generation.

Accurate patient identification underpins everything

Well-trained staff members are likely to know exactly how to identify a patient and take payment politely using a fast processing system, but the whole thing falls if the patient’s identity is incorrect on the system, or if changed details are input wrongly. Denied claims are annoying and time-consuming to rectify. There are ways in which technology can help minimize the chances of this happening, however. 

Getting the patient’s identity and billing details correct from the first interaction with them makes things so much smoother. It prevents duplicate medical records and overlays, for a start. If a patient only has one EHR, there is little to no chance that the insurer will find fault with the claim and so will settle the amount faster. Denied claims cost millions of dollars for every provider, often due to poor electronic health records and a lack of robust identity checks. Incorrect patient identification puts the patients at risk too.

One of the most innovative ways of ensuring accurate patient identification from the get-go is by using RightPatient. This touchless biometric patient identification platform is being used by several healthcare providers and has several benefits. It allows patients to identify themselves even in virtual consultations and during in-person visits, all they need to do is look at the camera, meaning that they don’t have to run the risk of others overhearing sensitive personal data when checking into a clinic. Nor do they have to use touchscreens or keypads to enter information – making it hygienic and safer than ever.

RightPatient is the solution that ensures accurate patient identification, reduces denied claims, duplicate medical records, and ensures fast billing.

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How to Improve Healthcare Outcomes and Reduce Readmission Rates

Improving a patient’s outcome (for instance, their quality of life or life expectancy) is obviously the prime reason for treating them. Patients approach a medical professional with the hope of ‘being cured’ of whatever ails them, whether that’s by being prescribed medication to ease symptoms or having an operation or procedure to relieve pain or remove or transplant a body part to offer a better quality of life. When they are paying for their treatment, they have every right to expect that their life is better afterward. Hospitals that do not achieve the required levels of treatment outcome are routinely penalized, thus, they need to improve healthcare outcomes. These levels are measured by readmission rates. On average, over 2,500 hospitals are likely to be penalized because of their monthly readmission rates, even though the pandemic will have increased the chances of some patients having to be readmitted.

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Improve healthcare outcomes with an effective patient identification platform

However, there are some very simple ways in which hospitals can improve healthcare outcomes and reduce readmission rates.

Identify your patient. Continue to identify your patient.

Correct patient identification is key. Ensuring that staff members are treating the right patient for the right ailment is, perhaps, needless to say, the best way to improve healthcare outcomes. Getting identification wrong can lead to any number of issues, from unnecessary operations or incorrect scans to potentially dangerous prescription medication being offered.

The best way of ensuring correct patient identification is by using a touchless biometric patient identification platform such as RightPatient. It helps improve healthcare outcomes, ensures timely sharing of appropriate information with other professionals, and ultimately helps lower the chances of a patient safety incident.

The data may be on the screen, and may well be correct. But front desk staff, nurses, medics, and others are only going to know this for sure if they use such a solution. The available data is also likely to show previous admissions, incidents that the patient may have been involved in, allergies, vital statistics, next of kin, and areas of concern for the patient’s health.

Many hospitals undertake patient surveys to help them improve patient care, and this option can be offered as a patient reaches discharge date, if appropriate.

Goals, KPIs, outcomes, HSMRs – whatever you call them, they help improve healthcare outcomes.

Improving the patient’s experience of their stay in the hospital will also improve their view of how well they were treated. A positive outlook has been shown to raise recovery rates. Plus, helping patients recover makes staff feel better too. Making a good outcome a key goal of the organization and the staff will help both sides. Suggesting a reduction in incidents from the previous year is a friendly way to ask for an improvement in figures, whilst still recognizing that employees are human and can make mistakes.

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RightPatient identifies patient records accurately

No matter how good the records, unnecessary scans can be requested and patient information can be incorrectly recorded. It happens. If the patient’s identity can be verified accurately, then mistakes can be avoided.

Sharing is caring.

Sharing information with other caregivers can also improve healthcare outcomes and provide healthcare professionals with a rounded picture of the person they are treating. Not all patients will be happy with this option, but for primary care doctors, knowing where else their patients have already been treated is of great benefit when referring them to other specialties. Many people have to see a different physician for every ailment, and joined up care can make things much easier. When someone with a chronic condition ends up in the ER, a shared electronic health record allows everyone to know what medication the patient has already been prescribed and even whether certain common treatments have already been attempted.

CMS, therefore, requires healthcare providers to use CoP electronic notifications to let other named physicians know that they have a patient in their care. These notifications also alert others in the chain about patient discharge or transfer, which is important for ongoing care – using RightPatient can help with that. RightPatient also aims to prevent duplicate medical records, so acting against medical identity theft. All of this helps CMS compliance, which is good news for a facility’s finances, as fines for CMS breaches can be crippling after a while.

Contact us for more information on how RightPatient can help your facility and your patients stay safer from medical mix-ups and online impersonation by using our biometric patient identity management system.

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Improving Patient Outcomes Relies on Identifying Patients Even During COVID-19

Healthcare in the US has always had its fair share of troubles. Price transparency issues, medical identity theft, data breaches, denied claims, and interoperability issues are just some of the many issues plaguing it. However, it is having arguably one of the worst times it has ever faced due to COVID-19. To date, over 14 million American citizens have been infected with the infamous virus, whereas over 270,000 people have lost their lives battling it. Due to the spike, hospitals are shutting down, health systems are closing their emergency departments, elective surgeries are being canceled, and healthcare staff members are being pushed to their limits once again. It feels like a particularly bad déjà vu. While healthcare providers are doing whatever they can to help with improving patient outcomes, many are facing a critical issue that has been an impediment to quality healthcare for years – patient identification errors.

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Having said all that, let’s focus on: 

  • why patient identification errors are a big deal even during the pandemic
  • what healthcare providers are doing to address it
  • how a tried and tested solution ensures patient safety and quality healthcare, improving patient outcomes in the process

Patient misidentification is nothing new

Anyone who knows anything about the US healthcare system has heard at least one story about patient misidentification or something related to it, such as duplicate medical records, patient mix-ups, incorrect surgeries, medical errors, etc. It has been occurring for years, leading to delayed patient care, detrimental patient outcomes, repeated lab tests, among other consequences. While many caregivers have been facing all these challenges for quite some time, a large number of them didn’t pay much attention to the problems. Everything changed with the pandemic – let’s see how.

Improving patient outcomes is difficult due to existing issues

COVID-19 pushed everything to its limits, especially the healthcare providers, and they were forced to face the issues that significantly hamper patient outcomes. One of the more prevalent issues was, and still is, patient misidentification.

HIMSS VP of Government Relations, Tom Leary, said that public health response efforts can be significantly impacted by inaccurate patient data, and that’s exactly what happened during the first wave. Since patient identification was erroneous in most healthcare facilities, this led to improper data sharing, delayed test results, sending results to the wrong patients, and more. Nurses even tried to google patients so that they could send them the test results!

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COVID-19 is an unprecedented situation that requires prompt responses that can help save lives, and issues such as patient identification errors significantly hamper the efforts put forth by frontline teams. So, what are healthcare providers doing to address it?

Healthcare providers are urging for the UPI

The US healthcare system was supposed to get a unique patient identifier (UPI) years ago, but a bill had restricted state funding to create one. Since then, most healthcare providers have been struggling to identify their patients accurately. Each year, experts come together and urge the ban’s abolishment, but their requests get rejected every time – for almost two decades. Even if the mythical UPI is made, it won’t be enough to solve such a huge problem by itself.

However, not every hospital is struggling with patient identification errors – many forward-thinking ones are using RightPatient.

Improving patient outcomes is possible with RightPatient 

RightPatient is a touchless biometric patient identification platform that is the most feasible solution currently, given the pandemic. It uses the characteristic that cannot be stolen, lost, or transferred, patients’ faces, to verify identities. However, the part that makes RightPatient ideal for the pandemic is that it is entirely touchless, ensuring infection control and reducing hospital-acquired infections.

By locking medical records with patients’ photos, RightPatient protects patient data and accurately identifies patients. Moreover, it is versatile enough to be used across any touchpoint within a healthcare facility, starting from appointment scheduling.

After scheduling an appointment successfully, patients receive an SMS or email, and they are required to provide selfies as well as a photo of their driver’s license. The platform compares the photos for a match, ensuring remote authentication. If these are new patients, RightPatient provides them with new biometric credentials – making it a hassle-free experience. 

Within healthcare facilities, patients only need to look at the camera – the platform compares the live photo with the saved one. After finding a positive match, RightPatient provides accurate medical records within seconds. This helps prevent patient mix-ups, duplicate medical records, medical errors, denied claims, and patient safety incidents – improving patient outcomes. Moreover, it can also prevent medical identity theft in real-time, as it red-flags fraudsters who try to assume patients’ identities. 

RightPatient can enhance healthcare outcomes, improve patient safety, and reduce significant costs – something which is extremely crucial for hospitals right now in order to survive.

Contact us now to learn how we can help you improve your bottom line.

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Improving Patient Safety Depends on Error-Free ADT E-Notifications

While COVID-19 has been ravaging almost the entire world, healthcare industries have been facing an unprecedented number of patients and challenges. Arguably, the US healthcare system has been hit the worst. Just look at the numbers – over 10 million cases with a record of 100,000 new cases for seven consecutive days. Unfortunately, things will get worse, as spikes are seen across the states and experts predict far more cases during the fall. Healthcare providers are facing huge challenges while they deliver care, while keeping patient and provider safety as a top priority. That being said, CMS (the Centers for Medicare and Medicaid Services) has mandated that caregivers must support sending and receiving e-notifications during ADT (admission, discharge, and transfer) events, something that many believe will help with improving patient safety and quality of care. Let’s take a closer look at the rule, how it will enhance care coordination, and why it requires accurate patient identification.

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Interoperability has always been problematic

COVID-19 has already shown the importance of sharing patient data among caregivers. Most of the patients have multiple caregivers located at different sites, and for seamless care coordination and improved healthcare outcomes, their data needs to be shared accurately and in real-time with the appropriate parties. That’s exactly what CMS aims to achieve: improved interoperability between caregivers with patients in common.

Interoperability has been a massive issue within the healthcare space as caregivers fail to share patient data accurately, mostly because of patient identification issues – more on that later. In order to bolster interoperability, enhance coordinated care, and improve patient outcomes, CMS announced a new CoP (Condition of Participation) surrounding e-notifications as a part of their Interoperability and Patient Access Final Rule.

The new Condition of Participation (CoP) in a nutshell

This CoP requires applicable healthcare providers (critical access, psychiatric, and regular hospitals) that use digital medical records to share and receive alerts that are triggered in real-time due to ADT events – both inpatient and ED (emergency department) events. Applicable parties are PCPs (primary care physicians), post-acute care providers, and primary care practitioners, among others. The notifications should at the least include patient information, such as the patient’s name, the treating practitioner’s name, as well as the sending institution’s name. Caregivers can share more information if they deem it necessary.

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The applicable healthcare providers need to support e-notifications by May 1, 2021. This means they have around half a year to comply with the requirements.

Why it is critical for improving patient safety

By sharing critical patient information with other parties across the care continuum, all of them can make informed decisions using the most recent data, leading to seamless care coordination and better healthcare outcomes – improving patient safety along the way.

Healthcare in the US has become multifaceted and complex – gone are the days when a patient would go to a single caregiver for receiving care. Now, a single patient can have multiple doctors that are located at different healthcare facilities. E-notifications enable such caregivers to quickly send and receive information that can lead to faster outcomes and better decision-making. When you compare it to previous methods – fax, phone calls, etc. – you will understand how this is going to change patient data sharing and interoperability. In time-sensitive cases, for instance, these real-time alerts will save lives.

How healthcare providers are addressing this CoP

Caregivers are brainstorming to identify the best way to address this CoP. Many will develop e-notifications solutions in-house, whereas others will use third-party solutions. While healthcare providers do that, they might overlook a crucial aspect that will make or break their e-notifications solution: patient identification.

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To improve care coordination and interoperability efforts, e-notifications won’t be effective on their own – let’s see how.

Improving patient safety requires accurate patient identification

One serious but overlooked issue faced by healthcare providers is patient identification errors. Even during the pandemic, patient identification errors have been brought up a number of times, as they lead to delayed care, repeated lab tests, and can even hamper patient safety. But how exactly is this related to e-notifications? 

It’s quite simple – imagine a hospital that does not utilize an effective patient identity verification solution. It is bound to face a number of issues, such as duplicate medical records, overlays, medical record mix-ups, and so on. Now, imagine that a patient is misidentified during registration; the entire caregiving process will be dangerous and inaccurate as it will use the wrong medical record. This will also hamper interoperability – false alerts will be sent out, raising credibility concerns. It will wreak havoc in the facilities that are associated with the wrong medical record. Thus, accurate patient identification is crucial for improving patient safety as well as making e-notifications work. Fortunately, RightPatient can help with that.

RightPatient has been improving patient safety

Used by several caregivers, RightPatient is the leading biometric patient identification platform for a number of reasons. First, it ensures hygiene as it is a touchless solution, eliminating risks of hospital-acquired infections. Second, it has a vast amount of experience over the years, making it a trusted name within the healthcare space.

By using patients’ photos, RightPatient locks the medical records. Patients are asked for a personal photo and a driver’s license after they schedule appointments. The platform matches the photos to verify the identities remotely.

When patients arrive at the hospitals, all they need to do is look at the camera – the platform identifies them using the saved photo and provides the appropriate medical record within seconds. 

Use RightPatient now and eliminate misidentification, ensuring that you send out proper alerts to the correct caregivers, enhancing patient safety and care coordination in the process.

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4 Strategies to Optimize Revenue Cycle in Healthcare and Mitigate Losses

The US healthcare system has been going through a rough patch for a number of years now. When one problem is solved, other critical issues arise. However, with all these preexisting issues, it is now facing its biggest challenge in decades: COVID-19. With patients postponing regular visits and elective procedures, COVID-19 has created a severe financial strain and plunged hospitals and health systems into unprecedented losses. While hospitals are having to cope with these losses by closing down emergency departments, laying off employees, and so on, they can significantly reduce costs by focusing on their revenue cycles. Let’s explore why revenue cycle in healthcare is crucial, some strategies to optimize it, and how positive patient identification can help significantly.

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Why is revenue cycle in healthcare important?

Revenue cycle management is one of the most crucial aspects of any given healthcare provider. In a nutshell, it is the series of events that starts when a patient schedules an appointment and ends when the provider receives payment and is reimbursed. Since it’s related to patient service revenue, it has a direct effect on any hospital’s bottom line. 

If a hospital’s revenue cycle is optimized, then it will face higher margins, and if not, it will face significant losses. Complications such as billing and coding errors, patient misidentification at the front-end, and miscommunication lead to denied claims and delayed payments. In the end, patient volume won’t matter if a hospital takes a long time to capture the revenue or faces denied claims. Thus, optimized revenue cycle in healthcare facilities is extremely important if hospitals want to continue to operate in the foreseeable future.

4 Strategies to optimize revenue cycle management

Improve front-end and back-end collaboration

The front-end consists of activities where the hospital’s staff members interact with the patient directly: patient information collection, appointment scheduling, eligibility, verifying insurance coverage, upfront patient collections, and registration of new patients are just a few examples.

The back-end, on the other hand, consists of medical billing, claims management, denials management, as well as the collection of final “patient financial responsibility”.

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Usually, when it comes to revenue cycle management, most healthcare providers have their front-end and back-end tasks separated. However, collaboration between the two can significantly improve revenue cycle management. Effective and seamless communication is the key, and if that can be facilitated between the front-end and back-end teams, then it will result in faster, more accurate, and improved collections.

Improve front-end activities

According to a recent webinar, half of denied claims incurred by hospitals can be traced back to front-end activities, with the top contributors being registration and eligibility issues. These ultimately cause issues at the back-end of the revenue cycle in healthcare facilities, and the caregivers are forced to allocate significant resources such as FTEs (full-time equivalents) to fix billing and coding errors. If the front-end issues are not addressed, then this will lead to an endless cycle of lower productivity and an unoptimized revenue cycle.

If the front-end processes can be improved by preventing common errors such as patient misidentification or missing patient information, then issues like claim denials, underpayments, and lower productivity of the FTEs can be vastly reduced. Automating the front-end workflow is just one step towards improvement – but more on that later.

Adopt revenue cycle automation 

Revenue cycle automation is becoming more popular within the healthcare space, and for good reason. It leads to a significant reduction in the pressure that is put on healthcare professionals, reduces avoidable errors, and streamlines the entire process. However, organizations have to be cautious in their search for an effective automation tool.

Identify patients accurately

The most prominent issues that cause revenue cycle inefficiencies are patient identification errors, duplicate medical records, and medical record mix-ups at the front-end. If the accurate medical record isn’t identified, then the subsequent processes will be riddled with errors, leading to denied claims. Hospitals lose a huge amount of money – around $4.9 million – due to denied claims, many of which can be traced back to patient identification errors. Thus, revenue cycle in healthcare can be optimized if patient misidentification, duplicates, and mix-ups can be eliminated. This is exactly what RightPatient does.

RightPatient is a touchless patient identification platform that is used by several healthcare providers. It uses the patients’ photos to verify their identities, eliminating misidentification, avoiding duplicates, and preventing mix-ups at the front-end.

New patients need to take a photo during registration, locking their medical records with it. Enrolled patients only need to look at the camera – the platform identifies the patients accurately by matching the photos and provides the appropriate medical records within seconds. 

By eliminating misidentification, mix-ups, and duplicates at the front-end, RightPatient ensures that the accurate medical record is used across the care continuum, eliminating denied claims, boosting bottom lines, and enhancing patient safety in the process.

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How to Improve Patient Safety and Add Millions to Hospitals’ Bottom Lines

The US healthcare system has been having a tough time for many years due to several issues, but the pandemic arguably tops all of them. It has damaged everything, leading to the cancellation of regular healthcare services in order to aid COVID-19 patients. While COVID-19 cases had decreased over time, cases are rising across many states in the US. The American Hospital Association (AHA) also predicted that healthcare providers will face losses of at least $323 billion this year due to the novel virus. As caregivers are facing these challenges, as well as lower reimbursements, they can save significant costs and add millions to their bottom lines if they improve patient safety. Let’s take a closer look at the losses, what caused them in the first place, and how patient safety can be improved.

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What contributed to the losses?

In short, a variety of factors contributed to the unfathomable losses. However, the key factors were elective procedures being canceled or postponed, drastically lower patient volumes, and high costs due to the surge in demand for crucial materials such as PPE (personal protective equipment). All of these were necessary so that caregivers could treat COVID-19 patients.

The losses didn’t stop there, which forced many healthcare providers to resort to cost-cutting strategies. Furloughing, laying off employees, restructuring the organization, introducing pay cuts, and even shutting down departments or entire healthcare facilities were just some common strategies seen during the pandemic. Unfortunately, there’s more bad news.

Hospitals are receiving lower reimbursements for treating uninsured COVID-19 patients. It was estimated that the reimbursements might total from $13.9 billion to $41.8 billion. However, around $881 million has been provided at this point. Moreover, CMS will fine half of hospitals next year as these hospitals readmitted patients too frequently. From every angle, hospitals are facing the worst financial strain in decades. Thankfully, these losses can be mitigated significantly if healthcare providers improve patient safety within their facilities with RightPatient.

How can RightPatient improve patient safety?

Ensures a hygienic environment

One aspect that makes RightPatient different from other patient identifiers is that it is touchless. The platform uses the faces of patients to verify their identities. In healthcare facilities, all a patient needs to do is look at the camera – the platform matches the saved photo and the live one for verification, making it a hygienic and safe experience for everyone involved.

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Prevents medical identity theft

By identifying patients accurately across the care continuum, starting from appointment scheduling, RightPatient ensures that patients are who they claim to be and not some fraudster. After scheduling an appointment online, patients receive an SMS/email instructing them to provide a personal photo and a photo of their driver’s license – RightPatient does the rest. It red-flags any anomalies when it sees that someone else is assuming the patient’s identity, preventing medical identity theft in real-time.

When a scammer uses the victim’s medical record, it is contaminated with their data, rendering it dangerous, fragmented, and inconsistent. If such cases are undetected, they severely hamper patient safety and impact healthcare outcomes. Thankfully, RightPatient can prevent such cases and improve patient safety along the way.

Prevents duplicate medical records

Duplicate medical records are quite dangerous, as they lead to treatment based on incomplete and inaccurate medical data, creating incidents that hamper patient safety. RightPatient identifies patients right from the start, avoiding duplicates and overlays.

Protects patient data integrity

Patient data is useless and dangerous if it is corrupt, and such cases increase when patient misidentification is common. RightPatient eliminates patient misidentification and helps improve patient safety by using the most appropriate characteristic to identify them – their faces.

Reduces medical errors

Medical errors occur on a regular basis. In fact, a John Hopkins study claimed that each year, over 250,000 American patients lose their lives due to medical errors, whereas others claim the number to be above 440,000. This would make medical errors the third leading cause of death in the US, and as most of these errors stem from something as simple as patient identification issues, those deaths are preventable.

Imagine this – when a patient walks into the hospital, the registrar needs to identify their accurate medical record. However, if the wrong medical record is chosen, even if it is a duplicate medical record of the same patient, the treatment will be based on obsolete or incomplete information – even a single medication can severely hamper the patient’s outcome. RightPatient prevents these cases and eliminates preventable medical errors associated with misidentifications. 

RightPatient can improve patient safety and mitigate losses simultaneously

RightPatient does all of the above and more – it reduces denied claims, litigation costs, and eliminates the costs associated with preventable medical errors. Leading caregivers have already experienced how useful RightPatient is and reduced losses significantly. Use RightPatient now to be a responsible caregiver and enhance patient safety, all while boosting your bottom line.

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Patient Identifying Information Used Determines Patient Safety Within Hospitals

Even before the COVID-19 pandemic hit the US, its healthcare system was plagued by a multitude of issues. Increasing costs, the lack of price transparency, medical identity theft, healthcare data breaches, duplicate medical records, and the lack of interoperability are just some of the many problems surrounding healthcare. While these are persistent issues, many of them took a backseat when COVID-19 struck the US – except for patient misidentification. During the pandemic, healthcare providers profoundly felt the lack of an effective patient identifier. It led to patient safety issues, result mix-ups, patient misinformation, and so on. Let’s explore what healthcare experts are doing, why a national patient identifier might not be enough on its own, and how patient identifying information used by a healthcare provider heavily influences patient safety.

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The current state of patient identification

Patient identification has been a mess within the US healthcare system due to a number of factors. However, the biggest reason is that there is no standardized patient identifier that can be used to accurately identify patients’ medical records. As a result, many healthcare providers are still using the archaic process of finding electronic health records manually. Even though EHR systems provide search functionalities, issues such as common names and demographic characteristics as well as duplicate medical records make it harder to identify the accurate medical record. Thus, using names as patient identifying information is inefficient, dangerous, and, in high-stress environments such as registration desks of hospitals, might lead to misidentifications.

As a result, even this year, coalitions were formed where healthcare leaders came together to demand a state-funded UPI (Universal Patient Identifier) and expressed why accurate patient identification is crucial to ensure desirable healthcare outcomes. Back in July, healthcare leaders across the industry were relieved when the House of Representatives finally voted to overturn the ban on the UPI. 

Its creation, though, depends on the Senate now; they must approve the policy change. While we are closer to a national patient identifier than we’ve been in years, the Senate didn’t approve of abolishing the ban last year, citing privacy concerns. 

Why is patient identification so crucial?

Let’s take it from an expert, Tom Leary, HIMSS VP of Government Relations. During a session organized by the ONC (Office of the National Coordinator), Mr. Leary stated that incorrect patient data hampers public health response initiatives, such as those during the pandemic. As a result of patient identification errors, improper data sharing, delayed test results, and inaccuracies in medical records were seen during the crisis. Also, whenever the vaccine for COVID-19 is created, accurate patient identification is a must to deploy large-scale immunizations. While these were just some of the anomalies observed during the pandemic, patient identification errors have been rampant for years.

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Hospitals using ineffective patient identifying information to identify proper medical records have been facing issues such as denied claims, patient safety issues, duplicate record creation, overlays, and poor care coordination across their facilities. With all that said, along with years of medical record errors, duplicates, and so on, will the UPI be enough on its own to eliminate all the existing issues?

Choosing the right patient identifying information won’t be enough for the UPI

Short answer: the UPI won’t be enough in the near future. First, creating a UPI will be quite expensive and time-consuming. In terms of implementation, it will take years to cover the entire population. Also, its efficacy will entirely rely on the patient identifying information used. For instance, many healthcare providers already use Social Security numbers, and they’ve proven to be ineffective identifiers. These numbers can be easily lost, stolen, or even forgotten by the patients, making them unreliable identifiers.

Thus, the only way to make the UPI a success is to couple it with an existing and robust patient identification platform, one that has experience ensuring positive patient identification. That’s where RightPatient comes in.

RightPatient uses the most practical patient identifying information

Many healthcare providers are using RightPatient as their patient identification platform, and they chose it for a number of reasons. One factor that sets RightPatient apart is it uses the one feature that cannot be stolen, forgotten, or misplaced as patient identifying information – patients’ faces.

After successfully scheduling an appointment, the patient receives an SMS or email requiring a personal photo as well as a photo of their driver’s license. RightPatient matches the photos to ensure remote patient authentication.

Within healthcare facilities, registered patients only need to look at the camera – the platform matches the photos and ensures accurate and touchless patient identification. This helps to provide a hygienic environment for both patients and registrars, eliminating infection control issues and enhancing patient safety.

RightPatient has years of experience ensuring accurate patient identification – try us now to learn how we can help you reduce denied claims, prevent duplicate records, improve healthcare outcomes, and more.