Wrong Patient Identification Errors Lead to Several Issues – Are You Preventing Them?

October 30, 2020/13439 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

Patient identification has always been hit or miss within the US healthcare system. Wrong patient identification errors cause a plethora of serious issues for not only healthcare providers but also patients. Patient mix-ups, patient safety issues, medical identity theft, duplicate medical records, and overlays are just some of the many issues that can be traced back to patient identification errors. These issues have been popping up even more during the pandemic, leading many experts to demand a patient identifier. While we’ve talked about all of that in previous articles, let’s take a look at a very recent patient mix-up, its consequences, and how positive patient identification can prevent such cases.

Another one added to the list of wrong patient identification

The mix-up took place back in August at Washington-based Sacred Heart hospital. Interestingly, the person with whom the hospital mixed up the information was a former patient of the healthcare provider.

For simplicity’s sake let’s call the actual patient Samantha and the former patient (who got the call) Rebecca.

Back in August, Rebecca’s daughter was called and she was informed that her mother was hospitalized due to a critical injury. However, the daughter responded that Rebecca was right in front of her and fine, but the staff at the hospital was adamant and said that her mother was injured and admitted. Understandably, Rebecca was quite worried about the real patient, Samantha.

Rebecca and her daughter reportedly informed the healthcare provider that they had a case of mix-up on their hands – she said that she didn’t know who was being treated under her name or why. In response, she was told that the hospital would rectify the issue. However, that was only the start.

What happened down the road?

Since Rebecca was a former patient of Sacred Heart, she checked her records to see if it was fixed or not. Unfortunately, the wrong information was still present, and to make things worse, other irrelevant materials were added, such as $3,000 worth of bills. Moreover, the provider also tried to bill her old insurer, which naturally didn’t work. Subsequently, the provider attempted to help her get insurance.

The actual patient was safe

Rebecca heaved a sigh of relief when she found out that Samantha was out of danger – she kept in contact with the hospital over the phone. When this was over, Rebecca was also relieved that she didn’t receive the wrong bills as a result of the mix-up.

Wrong patient identification errors are quite common

While this case didn’t have any adverse consequences, not everyone is as lucky. Wrong patient identification errors occur every day and most are not identified until it’s too late. Not only are they problematic for patients, but they create issues for caregivers as well.

Patients face delays in treatment, incorrect procedures, and repeated lab tests – ultimately hampering patient outcomes as well as jeopardizing patient safety in the process. Moreover, they receive shocking bills for medical procedures or treatments they never received. The lucky ones can have them written off as denied claims, but this is still a huge cost for the providers.

On the other hand, healthcare providers face unwanted attention, loss of goodwill, denied claims, lower scores, and might even risk losing CMS reimbursements (as they are tied to patient safety).

All of this is leading to healthcare experts and leaders rallying for a state-funded patient identifier. While this appeal has been denied for over two decades, forward-thinking hospitals and health systems are not waiting for it, and have taken the initiative themselves to eliminate issues related to wrong patient identification errors.

Leading providers are using RightPatient

RightPatient is the industry’s leading touchless patient identification platform trusted by providers such as Grady Health, Catholic Health of Long Island, Terrebonne General Medical Center, and University Health Care System. Using the photos of patients, it prevents patient identification issues like mix-ups, duplicates, medical identity theft, denied claims, and more.

After successfully scheduling an appointment, patients receive an SMS or email, after which patients are required to provide a personal photo and a photo of their driver’s license. RightPatient matches the photos automatically and verifies the identity of the patients remotely.

Be a responsible healthcare provider and prevent mix-ups and the issues associated with patient misidentification by deploying RightPatient.

Revenue Cycle Optimization Efforts Are Hampered by Duplicate Medical Records

October 9, 2020/10464 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, HIM, Medical Record Mix-ups, Patient Experience, Patient Identification, Patient Matching, Patient Safety /by Matt Gibson

Medical record errors such as duplicate medical records and overlays are issues that keep resurfacing time and again, especially when they lead to patient identification errors. We’ve already taken a closer look at duplicate medical records, how they are created, and how they impact patient safety. However, these are not the only problems medical record errors create. Another prominent issue is that duplicates jeopardize your revenue cycle optimization efforts by creating denied claims. Let’s take a look at exactly how that happens, how denied claims can take up your valuable resources, and how RightPatient can help combat duplicates and overlays, and in turn, optimize revenue cycle management.

How duplicates get created

To understand how duplicate medical records affect the revenue cycle, let’s take a brief look at how duplicates and overlays get created. These usually originate during the registration process, especially if the healthcare providers don’t have any effective patient identity verification system in place.

For instance, patients keep coming in and they need to be identified immediately so that they can be treated. This clearly shows that hospital registration desks are environments that are always hectic and staff is under pressure, more so for busy or larger hospitals. If you factor in outdated or ineffective patient identification platforms, duplicates are bound to occur, along with problems such as infection control issues that are associated with touch-based patient identification platforms.

Coming back to duplicates, the registrars have a very small window to identify the accurate medical records from an EHR system that might house thousands of records. Name changes, common names, misspellings, and nicknames only make matters worse. For instance, the medical record is saved under the name “Richard Grayson”, but the patient uses his nickname “Rick Grayson”. These are bound to create identification issues, and when the registrar can’t find the accurate record, they might end up creating a new one – leading to a duplicate record. Furthermore, existing duplicates will create more confusion for the registrars – AHIMA (The American Health Information Management Association) has stated that larger healthcare facilities have around 20% duplicates.

That’s how medical record errors usually begin, and while we’ve already talked about how it impacts patient safety, how exactly does it affect revenue cycle optimization and a hospital’s financial performance? Let’s analyze the issue.

How revenue cycle optimization is hampered by duplicates

According to a Black Book report, 33% of denied claims were caused by patient identification errors in 2017, costing the average healthcare provider $1.5 million and the entire U.S. healthcare system a whopping $6 billion per year. Let’s see how duplicates lead to denied claims that hamper the revenue cycle.

It’s quite straightforward – as duplicate medical records consist of incorrect, obsolete, fragmented, or incomplete information, these lead to coding and billing errors. Moreover, as duplicates hamper patient care, litigation costs regarding such cases are not unheard of. Not only do healthcare providers lose money, but they also lose their goodwill – these stories spread like wildfire, whenever they occur.

Coming back to duplicate records and revenue cycle, let’s take a look at how they are related. One of the more common places where denied claims occur due to duplicates is during surgical procedures, according to an article from HIM Briefings. Let’s use the example provided by Letha Stewart from QuadraMed within the article.

During the presurgery phase, the patient comes in and is registered as “Richard Grayson” and has the medical record number 111. As previously mentioned, common names lead to confusion among the registrars, and thus, without an effective patient identifier, the registrar couldn’t find the accurate medical record on the day of the surgery. As a result, a new record gets created under “Rick Grayson” with a different number, for instance, 222. When the insurance provider verifies the claims regarding this surgical procedure, it will notice the glaring discrepancy – there are different medical records involved for a single procedure. Moreover, the insurer most likely will use the patient record available at their end, and seeing that the records don’t match, the claim will be denied. While this is a simple but illuminating scenario, this is how most of the claim denials that stem from duplicate medical records occur. To sum it up, incorrect, fragmented, or incomplete patient data and discrepancies lead to denied claims that impact revenue cycle optimization efforts.

Providers dedicate FTEs for fixing medical record errors

Duplicate records and overlays need to be identified and fixed to prevent impediments to revenue cycle optimization. Most providers do that by dedicating their full-time employees (FTEs) from their HIM departments. While these activities are necessary, they also consume a significant amount of resources and time. According to Stewart, many providers dedicate around five FTEs to solve these issues. However, if providers don’t have an effective patient identifier in place, they cannot take the load off their FTEs and they’ll need to continue fixing these errors for quite some time, leading to lower productivity and higher costs. Given the current pandemic, providers need to mitigate costs as much as possible. That’s where RightPatient can help them.

RightPatient enhances revenue cycle optimization

As we’ve mentioned several times, going to the root of the issue, patient identification, is the best strategy. If you avoid duplicates and overlays at the frontend, you won’t have to deal with them later and face consequences like denied claims, allocating FTEs for fixing the issues, and higher costs. But how can RightPatient help with that?

RightPatient is the leading touchless biometric patient identification platform used by many providers to prevent duplicates. With its photo-based search engine, RightPatient identifies patients from appointment scheduling and beyond. Be it remote patient validation or identification within the healthcare facility, RightPatient ensures that the correct medical record is provided every time within seconds. Reduce denied claims, prevent duplicates, and enhance patient safety with RightPatient now.

CMS Interoperability and Patient Access Final Rule Requires a Robust Patient Identification Software

October 6, 2020/10325 views / 0 Comments/in BLOG, Connected Health, Data Integrity, EHR, healthcare, Medical Record Mix-ups, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

This has been quite a year for the U.S. healthcare system – nobody could’ve predicted all the series of events. While the novel coronavirus is still raging on, telehealth is experiencing unprecedented growth. On the other hand, hospitals are facing immense financial strain due to the pandemic’s consequences such as the cancellation of elective procedures and lower inpatient visits. However, despite all the recent developments healthcare providers need to work on something else as well – supporting e-notifications. CMS has made some additional changes to the Medicare Conditions of Participation (CoPs), and while providers will be busy brainstorming about how to best approach the requirements, many will overlook one critical factor that will either make or break their e-notifications – patient identification. Let’s take a look at what the rule specifically says about e-notifications, who is eligible, how it helps caregivers, and how a robust patient identification software like RightPatient is a must for ensuring proper e-notifications.

The Interoperability and Patient Access Final Rule – in a Nutshell

While the rule itself is quite vast and detailed, we’ll cover the e-notifications part briefly. The basic meaning of the rule is clear from its name. For years, the U.S. healthcare system has been suffering from the lack of proper interoperability for a number of issues – patient misidentification being a major reason. However, with the “companion final rule”, as per CMS, things are about to change for the better, as it will introduce a certain level of interoperability that will ultimately boost coordinated healthcare efforts.

The “companion final rule” states that healthcare providers such as critical access providers, acute care, or psychiatric hospitals must send out real-time e-notifications during ADT (admission, discharge, or transfer) events to a patient’s caregivers such as established primary care practitioners, post-acute providers & suppliers, primary care practice groups & entities, as well as any other practitioners, groups, or entities primarily responsible for the patient’s care. The information sent must contain the patient’s name, the treating practitioner’s name, and the sending institution’s name, at the very least. Finally, these are applicable during inpatient ADT events and ED admissions or discharges.

Any caregiver that uses digital medical records such as EHRs or EMRs must support e-notifications by May 1, 2021, to ensure CMS compliance.

With that out of the way, let’s look at how the rule requires accurate patient identification and how a robust patient identification software is critical for its success.

Why patient identification will make or break your CMS compliance

Healthcare providers are already busy working on e-notifications support, and while there are a lot of great solutions out there, providers shouldn’t forget the foundation upon which e-notifications depend on – proper patient identification.

The Interoperability and Patient Access Final Rule requires hospitals to identify their patients accurately across the care continuum, especially if they want to send out e-notifications to the proper caregivers. Sadly, patient identification has always been problematic – it is an overlooked but significant concern for the U.S. healthcare system. One might ask how are patient identification and e-notifications related – let’s learn more.

Imagine this – a hospital already has patient misidentification cases because they don’t use an effective patient identification software. If a patient comes in and is misidentified, not only will the treatment be affected, but the hospital will be sending out false alerts to the wrong caregivers. This will wreak havoc for all the caregivers involved with the patient.

If such cases become common, then the patients, as well as the care coordination teams, will start questioning the credibility of the caregiver sending out false alerts. As a result, the hospital will lose goodwill and risk its CMS reimbursements. After COVID-19, not a single hospital can afford to make such mistakes – the pandemic has already caused the worst financial strain on hospitals and health systems in recent times. Thus, patient identification is a crucial component for the e-notifications to work. If caregivers don’t have a robust patient identity matching system in place, they need to upgrade it before the e-notifications support deadline.

RightPatient is the most robust patient identification software

RightPatient has been accurately identifying patients for years. With its touchless patient identification platform, RightPatient ensures that patients are identified accurately and safely right from the start.

After a patient schedules an appointment, they are sent an SMS or email and are required to provide a selfie and a photo of their driver’s license. The platform automatically matches the photos and remotely ensures patient identification. If it’s a new patient, the platform will automatically assign new biometric credentials for them.

During hospital visits, patients only need to look at the camera – RightPatient matches the saved photo with the photo taken by the camera – ensuring accurate patient identification. Best of all, it’s an entirely touchless process, something that is mandatory in a post-pandemic world.

RightPatient is the leading patient identification software in the healthcare industry and is used by prominent caregivers such as Terrebonne General Medical Center, Community Medical Centers, and Catholic Health Services of Long Island. Be a responsible healthcare provider and upgrade your patient identification system now to prevent misidentification cases, medical identity theft, and ensure compliance with the Interoperability and Patient Access Final Rule.

Top Reasons for Using a Robust Patient Identification Platform

September 29, 2020/10422 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Infection Control, Medical Identity Theft, Patient Data, Patient Experience, Patient Identification, Patient Outcomes, Patient Safety /by Matt Gibson

Even though the novel coronavirus and its effects are dominating headlines (as well as our social lives and safety), patient identification issues have not been far behind. Those who are up to date with the U.S. healthcare system know that the UPI (unique patient identifier) has been trending once again – healthcare leaders across the states are urging lawmakers to lift the ban this year as well. While the future is uncertain due to COVID-19, even if the ban is lifted and the UPI created, providers would need to couple it with a robust patient identification platform such as RightPatient. Let’s take a look at why such a platform would be perfect for patient identification, with or without the UPI.

It eliminates risks associated with contact-based patient identification platforms

There are many patient identification platforms available – we’ve talked about them several times. However, the responsible healthcare providers always choose touchless platforms as they don’t have the problems associated with touch-based patient identification systems – let’s take a precise look at what those are.

Patients have to touch the devices while using most patient identification systems. Naturally, this would entail concerns regarding infection control – these are used within the premises of healthcare providers who serve the sick, after all. Thus, there’s quite a high chance that one patient can unwittingly infect others when they verify their identity using such systems.

One unfeasible remedy to avoid infection control issues would be to clean the devices after every verification – imagine the administrative nightmare! Thus, even if these systems are accurate (fingerprint scanning, for instance), they are not at all suitable for such environments housing cases that may potentially lead to infection control issues.

Secondly, since these are contact-based, many, if not all the patients, would be reluctant to touch these devices. In the post-pandemic world, almost everyone is well-informed about how dangerous contact-based solutions can be. Thus, the COVID-19 crisis has rendered even accurate touch-based solutions ineffective as patient acceptance rates would be significantly lower now.

Thankfully, touchless patient identification eliminates all these issues – more on that later.

A robust patient identification platform helps avoid duplicate records and overlays

Since we’ve already established that touchless patient identification is the only feasible choice in a post-COVID-19 world, let’s look at the other proven benefits of such a system, starting with duplicate medical records.

Whenever a healthcare provider uses an obsolete patient identification platform (the most common one being asking patients questions), they’re bound to get confused when seeing the multiple medical records assigned to the single patient. They have to dig through them to find the accurate and most up to date one each time the patient arrives. In some cases, they might even create a new record just to avoid the hectic procedure – adding another duplicate record into the mix. These lead to delayed patient care, compromised patient safety, and impact healthcare outcomes.

Overlays are even more dangerous – these are the merging of medical records of the same or different patients. Imagine being treated with someone else’s medical history – the treatment will be botched right from the start.

A robust patient identification system, however, can avoid such issues. By ensuring that the correct medical record is identified every time across the care continuum, duplicate records and overlays are avoided as well as the issues associated with them.

It prevents medical identity theft

One of the bigger healthcare concerns is data breaches that ultimately lead to medical identity theft. After buying the stolen patient information from hackers, the fraudsters use that to bypass obsolete patient identification systems and gain unauthorized access to medicine, treatment, and expensive medical devices. However, robust patient identification systems like RightPatient can prevent medical identity theft in real-time. When the fraudster has to verify their identity, the identification platform red flags them upon detecting that the fraudster’s photo and the photo in the medical record saved by RightPatient don’t match. Thus, patients and providers are protected from the consequences of medical identity theft, even if the data is breached, thanks to positive patient identification.

It ensures that you send out proper e-notifications

Healthcare providers will require software that supports e-notifications to patients’ other caregivers beginning May 1st, 2021, as per the CMS. This system is designed to promote interoperability and ensure proper care coordination.

However, to send out e-notifications to the appropriate caregivers, the hospital needs to ensure that they are identifying the proper patient first. Otherwise, the hospital might end up sending alerts to the wrong caregiver or information about the wrong patient. This can easily be avoided if a proper patient identity verification system is in place.

RightPatient does all of the above – and more

RightPatient is the leading patient identification solution used by forward-thinking caregivers. Healthcare providers who are currently using RightPatient don’t need to think about infection control issues now – they thought about it before COVID-19. It uses photos of patients to identify their records. Patients take a selfie and a photo of their driver’s license after appointment scheduling. RightPatient checks the selfie and the driver’s license to ensure a proper match. During hospital visits, patients enrolled under RightPatient only need to look at the camera – the platform finds the appropriate record within seconds. If fraudsters try to assume a user’s identity, it red flags them, preventing medical identity theft in the process.

CMS Compliance Requires Identifying Patients Correctly – Are you Ensuring it?

August 25, 2020/11781 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, healthcare, Infection Control, Medical Record Mix-ups, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

From the title, it is quite clear what this is about. The changes made to the Medicare CoPs (conditions of participation) have attracted attention within the US healthcare system, especially after the introduction of mandatory e-notifications during every ADT (admission, discharge, or transfer) of a patient. While providers are more focused on e-notifications, most of them forget about one very important prerequisite: identifying patients correctly. While we have already touched upon the topic regarding CMS (Centers for Medicare and Medicaid Services) Interoperability & Patient Access Final Rule, this time, we will focus more on the practical aspects and how patient identification is a crucial component that is absolutely necessary for e-notifications to work properly as well as CMS compliance. Without further ado, let’s dive deeper into the topic at hand.

A brief refresher

A few changes have been made regarding the CMS Interoperability & Patient Access Final Rule. As the name suggests, it has been done to boost interoperability efforts within the caregivers of the patients. Let us look at why it is required within the healthcare system.

There are many cases where a patient is not restricted to a single healthcare provider; especially if they have complications, multiple ailments and so on. Such patients need to visit and consult with multiple healthcare providers in order to receive the best patient care. For this to be effective, caregivers need to have access to the patient’s medical record, history, medications, vitals and other necessary information. In order to make the caregiving process seamless and boost interoperability, the Final Rule was introduced.

The “companion final rule” states that e-notifications must be sent out by healthcare providers (such as acute care, psychiatric, critical access providers, etc.) during every ADT to the appropriate recipients, i.e., the other caregivers (post-acute providers & suppliers, established primary care practitioners, or any other entity primarily responsible for the patient’s care). This rule applies to inpatient admissions as well as ED admissions.

Who needs to ensure it?

Applicable healthcare providers are those who use digital medical records like EMR or EHR systems. They need to ensure compliance and have proper systems set up by May 1, 2021 so that they can send out e-notifications during ADTs.

While that’s a succinct summary of the most recent change in the CoPs, every healthcare provider needs to ensure that they are sending out e-notifications. Otherwise, they can face undesirable consequences such as receiving penalties for non-compliance, or worse, jeopardizing their CMS provider agreements. But how is identifying patients correctly related to CMS compliance regarding e-notifications?

Identifying patients correctly is required for CMS compliance

As previously mentioned, the CMS rule requires healthcare providers to send out notifications during ADTs. But there’s a catch.

Identifying patients correctly is quite important for e-notifications to work. Think about it: if a patient is not accurately recognized or is misidentified as a different patient, the healthcare provider risks sending alerts to the wrong caregivers. Worst of all, the provider risks that they won’t be able to answer alerts other caregivers are requesting.

Without a reliable way to identify patients, things can escalate quickly. If a provider cannot fulfill alert requests or sends too many incorrect alerts, care coordination teams will start to lose faith and miss opportunities to improve patient outcomes. Noncompliance will also incur CMS penalties, which can result in hefty fines. After COVID-19, nobody can afford such costs.

While healthcare providers are busying themselves by deciding how to best implement e-notifications, they should also assess the effectiveness of their patient identity matching systems. Clearly, the former is dependent on the latter. Those who are struggling with patient identification need to upgrade their systems to futureproof, easy-to-use and hygienic ones.

RightPatient helps identify patients correctly

We ensure that patients are always identified correctly with our industry-leading touchless biometric patient identification platform.

How it works

After making an appointment, patients receive an SMS or email to validate their identity. During this process, the patient takes a photo of their driver’s license and a selfie. RightPatient automatically matches the selfie photo with the photo on the driver’s license to ensure a proper identity match. If the patient is not already in the system, RightPatient assigns biometric credentials to the new patient.

This is how we prevent patients from registering under a different identity or medical record mix-ups. There’s no need to worry about name changes, mistakes when entering a patient’s name or other common issues. Patients are recognized with their selfies.

We have been helping prominent health systems like TGMC, CMC and CHSLI fight the battle against patient misidentification for years. With RightPatient, responsible healthcare providers can send e-notifications and comply with CMS without worrying about faulty alerts.

If we haven’t convinced you by now, why don’t you try our free trial? No gimmicks – it’s really free!

Patient Data Protection is Ensured by Responsible Healthcare Leaders

August 7, 2020/9000 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Patient Experience, Patient Identification, Patient Outcomes /by Matt Gibson

Healthcare providers in the US have a lot on their plates. Even before the coronavirus pandemic, they had their hands full with issues like patient identification errors, cybersecurity threats, HIPAA compliance issues, an abundance of duplicate medical records, medical identity theft, a distinct lack of patient safety, and more. Whatever the case may be, progressive healthcare leaders need to ensure patient data protection at all costs. In fact, many of the aforementioned problems can be mitigated by protecting patient data – leading providers have been doing that constantly. But why is it so important? How can providers safeguard patient data? Let’s dive in.

Patient data protection

Patient data protection has been one of the oldest and most important requirements for healthcare providers, and rightfully so – a patient shares critical and sensitive information with their caregivers. Names, Social Security numbers, dates of birth, contact information, addresses, facial photographs, medical history, and ailments are just some examples of the information stored within patient records. If these get compromised and land in the wrong hands, such cases can have disastrous consequences – healthcare insurance fraud, litigation costs for providers, and hampered patient safety are some common results. Thus, protecting patient data is crucial for any caregiver. Let’s take a look at a few more reasons why protecting patient data is necessary for hospitals and health systems.

Reasons to protect patient data

Ensuring Compliance

Concerns regarding data privacy are more common than ever – even more so when it comes to patient data. The frequency of healthcare data breaches proves that. However, providers, along with other healthcare organizations that deal with patient data, need to have safeguards in place to protect sensitive information.

HIPAA, also known as the Health Insurance Portability and Accountability Act, was introduced back in 1996 and is primarily used for patient data protection. It mandates that all healthcare organizations who deal with PHI (protected health information) must ensure that the data is protected at all times. If an organization fails to do so or violates HIPAA in any other way, they will face heavy scrutiny and hefty fines – up to $1.5 million per year. On top of that, the person committing the violation may face criminal penalties – fines and even jail time. Data breaches can cost up to $ 6 billion for the healthcare industry, and the US also tops the list of most expensive data breaches, besides Germany.

HITECH, or the Health Information Technology for Economic and Clinical Health Act, compliments HIPAA. It was created to make sure that healthcare information technology is adopted and utilized appropriately. Privacy and security concerns are addressed by HITECH as well.

Thus, patient data protection is a must to ensure compliance with the laws and regulations that are in place. While HIPAA compliance can be cumbersome and challenging, healthcare organizations can simplify compliance management and reduce HIPAA-related administrative burdens. There are solutions available to ensure HIPAA compliance – organizations should choose one that is simple but powerful and gets the job done effectively. HIPAAReady is such a solution. A robust HIPAA compliance software, HIPAAReady ensures training management and scheduling, reduces administrative burden, and keeps all HIPAA compliance documents in a centralized location. Organizations can even detect security gaps by conducting internal audits with HIPAAReady.

Preventing medical identity theft

One of the more crucial reasons why protecting patient data is so important is because failure to do so leads to medical identity theft. Let’s see how that happens.

Cybercriminals are always trying to breach the security of healthcare providers, and when they finally do so, they steal sensitive patient information and sell it on the black market for high prices. Fraudsters buy the data and assume the identity of the affected patients – committing medical identity theft, pushing off the expenses on the victims, and fraudulently obtaining healthcare services.

Medical identity theft can lead to lawsuits, demand significant time and costs from patients and/or providers to rectify the issues, and compromise patient data integrity. That leads us to the next reason for protecting patient data.

Enhancing patient safety

Failure to maintain patient data integrity means that the data is not accurate anymore. When a provider fails to protect patient data, it leads to medical identity theft. When the fraudster uses the victim’s healthcare services, he/she contaminates the patient data – the fraudster’s data gets written onto the victim’s patient record, rendering it inaccurate. If such cases remain undetected or unfixed, they can severely hamper patient outcomes. Medical errors, delays in treatment, incorrect procedures, and even deaths – these are just some of the numerous consequences of compromised patient data. Thus, patient data protection is critical for enhancing patient safety.

Protect patient data now

Protecting patient data is a huge challenge, but it is achievable. One of the first and foremost things providers can do to protect patient data is to ensure positive patient identification at each encounter. That’s where we can help.

RightPatient is the leading patient identification solution chosen by progressive providers. It is a photo-based and touchless biometric patient identification platform with common goals shared by caregivers – to enhance patient safety, to ensure accurate patient identification, and to prevent medical identity theft.

It locks the medical records of patients upon registration with their photos. Returning patients look at the camera and the platform matches the photos and provides accurate records within seconds. Even with healthcare data breaches, RightPatient protects your patients and their data as the platform will red-flag fraudsters during patient identity verification.

Protect patient data, prevent medical identity theft, ensure positive patient identification, and more – with RightPatient.

5 Tips for Preventing Medical Identity Theft in Healthcare

July 22, 2020/15622 views / 0 Comments/in BLOG, Clinical Efficiency, Connected Health, COVID-19, Cybersecurity, Data Breach, Data Integrity, Facial Reciognition, Health Care, healthcare, Infection Control, Iris Recognition, Medical Identity Theft, Patient Errors, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

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

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

What is Medical Identity Theft?

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

How are patients affected by medical identity theft?

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

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

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

5 Tips for Preventing Medical Identity Theft

Invest in modern patient identity management technology and software

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

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

Automating the patient registration and enrollment process

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

Streamline workflow and maintain compliance

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

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

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

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

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

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

Preventing Medical Identity Theft with RightPatient

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

Verifying Patient Identity – Top 3 Benefits

July 17, 2020/11841 views / 0 Comments/in BLOG, Clinical Efficiency, COVID-19, Duplicate Medical Records, Health Care, healthcare, Medical Identity Theft, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

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

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

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

Verifying patient identity to prevent medical identity theft

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

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

Reduces information discrepancies in medical records

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

Verifying patient identity for compliance

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

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

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

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

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

RightPatient – touchless biometric patient identity management platform

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

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

Patient Identity Matching – Solving an unsolved crisis with RightPatient

June 30, 2020/11922 views / 0 Comments/in BLOG, Clinical Efficiency, COVID-19, Duplicate Medical Records, EHR, Facial Reciognition, healthcare, Infection Control, Iris Recognition, Medical Record Mix-ups, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

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

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

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

How costly are patient identity matching errors?

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

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

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

The problem with common identifiers

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

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

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

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

Accurate Patient Identity Matching with RightPatient

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

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

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

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

Improve Quality and Safety in Healthcare With Touchless Patient Identification

June 25, 2020/11354 views / 0 Comments/in BLOG, COVID-19, Facial Reciognition, healthcare, Infection Control, Iris Recognition, News, Patient Engagement, Patient Experience, Patient Matching, Patient Safety, Photo Biometrics /by Ryan Stephens

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

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

Key takeaways

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

Feel safe with RightPatient’s touchless patient identification platform

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

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

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