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

October 6, 2020/10298 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.

Upgrading the Patient Identification Process Can Help Combat the Opioid Crisis

October 1, 2020/8585 views / 0 Comments/in BLOG, Data Integrity, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety, Privacy /by Matt Gibson

Opioid abuse has been a constant problem for the U.S. healthcare system for years now. When opioid medications were introduced, it was said that they would help caregivers and patients by improving healthcare outcomes. However, many didn’t count on the fact that it might create problems such as opioid addictions, leading to medical identity theft, overdoses, and even deaths of the addicts as well as their newborns. Even during the COVID-19 pandemic, there has been a sharp rise in opioid abuse cases. Let’s review some statistics associated with opioid abuse, where cases are happening now, why they usually happen, and how a proper patient identification process can help combat the opioid epidemic for healthcare providers.

The opioid epidemic is just one of the many problems

We’ve stated this more times than we can count – the U.S. healthcare system just doesn’t seem to catch a break. It has always been plagued with a number of serious problems. Expensive healthcare, lack of price transparency, lack of proper patient identification process, medical identity theft cases, healthcare data breaches, duplicate medical records – these are just some of the many issues faced by patients and caregivers. However, the opioid crisis is another significant issue that needs to be addressed – even during the pandemic, it’s getting worse. Thus, healthcare providers are not only facing the issues above, but they’re also fighting a pandemic as well as an epidemic. However, before getting into the current situation, let’s take a look at some stats.

The numbers show how serious the opioid epidemic is

According to the U.S. Department of Health and Human Services (HHS), 130+ people died every day due to opioid overdoses, 10.3 million Americans misused prescribed opioids in 2018, and 2 million patients misused prescribed opioids the first time they received them from their doctor.

However, the numbers have jumped significantly this year compared to 2019 in approximately 21 of the largest U.S. counties, according to The Wall Street Journal. Counties in California, Indiana, Michigan, Minnesota, Nevada, and Ohio saw an increase in deaths caused by opioid overdoses. Moreover, Los Angeles County suffered an increase in overdoses by 48% within the first 6 weeks of the novel coronavirus pandemic when compared to the same period from last year. But why are the opioid cases considered an epidemic?

The opioid crisis in a nutshell

In the late 90s, opioids were pushed by pharmaceutical companies – ensuring that they were either less addictive or nonaddictive compared to other drugs available at that time – morphine, for instance. They stated that even the less addictive ones had no dangerous side-effects. This instilled doctors and physicians with confidence and they started prescribing them to patients. It created an epidemic that the U.S. healthcare system has been battling for decades now – and the rates are only increasing. But how do addicted patients get their hands on these drugs from hospitals?

Lack of a proper patient identification process leads to more cases

Patient identification, as previously mentioned, has been problematic for years now. The addicted patients can simply go back to their caregivers and demand more of the dangerous drugs, stating that this is the first time they’re requesting them – abusing their prescriptions. Since the caregivers don’t have a proper way to verify such statements (as an effect of the lack of patient identification), they have no other choice.

Also, addicts might lie regarding their information and present themselves as a different patient in order to get access to the drugs. One way they can do that is by committing medical identity theft – they assume the identities of others to receive the drugs. Thus, hospitals can better battle the opioid crisis if they make the patients go through a proper patient identification process.

RightPatient can enhance your patient identification process

RightPatient has already been helping leading healthcare providers ensure positive patient identification for years now. With its photo-based search engine, RightPatient can prevent medical identity theft in real-time, ensure that patients are who they say they are, and track their last visits to the facilities to verify that they’re getting the prescribed medicine and nothing more.

RightPatient can also ensure accurate patient identification from appointment scheduling. After booking an appointment, the patient receives an SMS or email to verify their identity. A patient only needs to provide their selfie and a photo of their driver’s license. RightPatient matches the photos and remotely validates the patient’s identity. If it’s a new patient, the platform assigns biometric credentials for them, making it a seamless process.

RightPatient has several benefits – not only can it help curb the opioid abuse cases, but it can also prevent medical identity theft, avoid duplicate medical records, and help in improving patient safety and quality of care.

Patient Safety and Quality Healthcare Require Patient Identification During the Pandemic

September 23, 2020/10345 views / 0 Comments/in BLOG, COVID-19, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Errors, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

Another day, another new initiative by healthcare leaders regarding patient identification. One might wonder that given the pandemic and its ongoing effects on healthcare, why is that a top priority right now? Well, that’s what the healthcare experts have been demanding as inaccurate patient data negatively impacts patient outcomes during this crisis. The U.S. healthcare system has been suffering due to the absence of a patient identifier for decades now – the ban is still in effect on a UPI. Let’s look at what industry experts are saying and how positive patient identification can ensure patient safety and quality healthcare.

The importance of patient identification according to experts

This isn’t the first time leaders have talked about the need for accurate patient identification and it won’t be the last time. Healthcare providers have been struggling with patient identification for decades now, leading to compromised patient safety, inaccurate patient data, and unwanted healthcare outcomes. Add the pandemic to the equation, and identifying patients accurately becomes more important than ever as accurate data sharing is a topmost priority.

Recently, a session organized by the ONC (Office of the National Coordinator) for Health IT brought up the topic. According to Tom Leary, HIMSS VP of Government Relations, incorrect patient data leads to adverse impacts on public health response initiatives. He further elaborated on that – patient identification errors during the ongoing crisis led to several issues like improper data sharing, delays in sharing test results, and inaccuracies within longitudinal patient records. According to Mr. Leary, some nurses even tried to Google patients to identify them and contact them regarding their test results!

Preparing for COVID-19 vaccines, whenever they’re created, will require accurate patient identification during large-scale immunizations to identify the infected ones, the ones who got the shots, and to identify the outcomes of the cases, stated Mr. Leary. Not having any proper patient identity verification system in place is just worsening the health outcomes and adding fuel to the ongoing fires during the pandemic. Thus, to ensure patient safety and quality healthcare, proper patient identification is an absolute must.

Patient safety and quality healthcare depend on identifying patients

As previously mentioned, many might think that with the pandemic still impacting healthcare significantly, patient misidentification is the last thing we need to worry about. However, Mr. Leary, as well as other healthcare industry experts, thinks otherwise. During the ONC session, they have already demonstrated how patient misidentification is affecting healthcare outcomes. But even before the pandemic, patient identification errors were notorious for adversely impacting patient safety and quality healthcare.

Let’s go back to the time before the pandemic struck the U.S. Even then, the healthcare system had a plethora of issues, one of which was duplicate medical records and overlays. Imagine – a patient came to the hospital and they were assigned a duplicate record, based on which the whole treatment will be provided – so many things could go wrong!

An incomplete or inaccurate EHR leads to repeated lab tests, improper treatment, and even deaths due to a single misidentification. As a result, patient safety is severely impacted as well as healthcare outcomes. Patient misidentification cases are associated with unwanted incidents that can haunt caregivers – loss of goodwill and litigation costs are just some of the consequences.

Even before the pandemic, patient misidentification was a significant issue within the healthcare system. However, the COVID-19 crisis demonstrates how patient identification errors impact patient outcomes during a time when accurate patient information is of the essence.

Experts are urging for the UPI once again

It’s been around two decades since the ban was imposed on a state-funded UPI (unique patient identifier), but industry experts are once again rallying to remove the ban this year. Even if the UPI is finally mandated, responsible healthcare providers will combine it with an effective patient identifier. Such a patient identification policy will encompass several benefits such as enhanced interoperability, reliable patient matching, and improved healthcare outcomes. So, out of all the different patient identification solutions out there, which one is the best match?

Patient safety and quality healthcare require RightPatient

RightPatient has been ensuring accurate patient identification for years now, but why is it the best solution? Well, it can be seamlessly integrated with EHRs to become part of the workflow, making it perfect to be used alongside the UPI, should the latter get approval. Moreover, RightPatient eliminates the biggest headache of providers currently – infection control issues, as it is a touchless solution. With its photo-based search engine for identifying patients during appointment scheduling and beyond, RightPatient is the most feasible choice for positive patient identification post-COVID-19.

Data Breaches are Occurring During the Pandemic – Prevent Healthcare Identity Theft Now

September 22, 2020/10776 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, EHR, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

Despite the relaxed rules and the U.S. slowly opening up, the COVID-19 crisis is still going strong. With no treatment found (as of yet), everyone is still feeling the effects of the coronavirus. However, there’s no doubt that the U.S. healthcare system has been affected more significantly than systems in other countries. For starters, the number of patients is overwhelming, the financial strain is unprecedented, not to mention the existing issues such as data breaches. When faced with so many impediments from all sides, how can providers prevent healthcare identity theft? Let’s explore some of the recent data breaches, how they lead to medical identity theft, and how a solution like RightPatient can protect patients and providers.

Some recent cases

It’s not only healthcare providers – all types of healthcare organizations are being targeted by hackers. Let’s review the healthcare organizations who became recent victims of data breaches.

Dynasplint Systems suffered a data breach that might have resulted in stolen health information. After an investigation, they identified that names, addresses, social security numbers, and other information might have been accessed or stolen. Over 102,800 people were affected.

Another healthcare organization, Pinnacle Clinical Research specializing in clinical trials, suffered a phishing attack. The breach consisted of clinical trial participants’ information.

Mental Health Partners suffered a phishing attack as well – names, DOBs, social security numbers, among other information was potentially stolen.

How data breaches lead to healthcare identity theft

There are many other recent cases like the ones above. However, they have one thing in common – the hackers were after patient information. Any healthcare organization is a potential target for hackers. But why do hackers target them, especially for their patient information?

After stealing the patient information, the data is sold on the black market for high prices. Since healthcare in the U.S. is quite expensive, the demand is high for the stolen information – those why buy the data believe that it’s worth buying, as opposed to getting healthcare coverage for themselves. When these fraudsters use the victims’ information, they get access to healthcare services, expensive medical devices, and treatments, whereas the victims get fraudulently charged with the costs.

That’s not all – patient safety is jeopardized as well. When the fraudsters use the victims’ medical information, the patient data gets corrupted as the fraudsters’ information and preferences are recorded in the victims’ medical records. Unless such healthcare identity theft cases are rectified, the patient will be receiving improper treatment based on a medical record consisting of corrupted patient data. These cases lead to repeated lab tests, delays in treatment, as well as negative patient outcomes. Healthcare providers also face litigation costs due to medical identity theft cases.

With the pandemic still raging across the world, one would think that medical identity theft would be the last thing caregivers are worried about. While data breaches are quite inevitable, steps can be taken by healthcare providers to ensure patient safety.

How to prevent healthcare identity theft cases

Ensure HIPAA compliance and safeguard PHI

One way of protecting patient information is by getting back to the source – data breaches. Anyone familiar with healthcare in the U.S. has heard of HIPAA. The law basically sets the groundwork for protecting patient information known as PHI (protected health information). However, it’s quite a comprehensive and multilayered law – even the biggest healthcare providers have a hard time ensuring compliance as the rules and regulations change frequently.

Even during the start of the pandemic, some rules were relaxed to ensure faster healthcare delivery. The bottom line is that if providers ensure HIPAA compliance, put enough safeguards in place, detect security vulnerabilities using internal audits, and are well versed about data breaches, they can protect themselves better against cybersecurity attacks. That’s what HIPAA Ready does – it is a simple but powerful HIPAA compliance software that keeps all the HIPAA related information centralized, helps you conduct internal audits to detect vulnerabilities, and helps you set up HIPAA training sessions to keep your employees up to date on the latest changes.

Ensure patient identification

Responsible healthcare providers can go the extra mile and add an extra security measure that no fraudster can pass through – even in the cases of data breaches. That’s where RightPatient comes in.

It is a touchless patient identification platform that uses a photo-based search engine to ensure that the patients are who they say they are and not some fraudster. During hospital visits, the platform takes a photo of a patient during enrollment and locks the medical record with it. If a fraudster attempts to commit healthcare identity theft, the platform will red flag the individual, preventing medical identity theft in real-time.

RightPatient has been helping leading healthcare providers for years now, and with its touchless platform, it is the only sensible option in a post-COVID-19 world.

Try RightPatient now and be a responsible healthcare provider.

How Many Patient Identifiers Should be Used to Ensure Patient Safety?

September 17, 2020/8079 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Patient Identification, Patient Matching, Patient Outcomes /by Matt Gibson

The US healthcare system has always been plagued by a number of issues. One very common but often overlooked issue is that of patient identification errors. Misidentification cases continue to be quite prevalent while there continues to be a ban on the creation of a state-funded Universal Patient Identifier (UPI). While debate continues around the risks and rewards involved with a UPI, one should also be asking about its efficacy. How many patient identifiers should be used to prevent patient safety issues? Will a UPI be enough to solve this colossal challenge?

UPI’s history in a nutshell

Since the idea for a unique patient identifier was formed, it’s seen constant criticism and opposition, resulting in a ban that’s lasted for around two decades. Last year, healthcare organizations came pretty close to finally having the ban removed when the US House of Representatives voted to repeal the ban. However, the ban is still in effect with the legislation failing to gain approval in the Senate.

As for the future of the UPI, let’s look at its past. It has not been funded for around two decades due to issues like privacy concerns and growing data breach incidents that could seriously jeopardize patient safety and privacy. Thus, chances are high that the future may not be kind to the creation of a state-funded UPI.

Lack of effective patient identification is felt throughout healthcare

The absence of reliable patient identification is widely felt throughout hospitals and health systems. Patient safety issues and patient data integrity failures are just some of the many issues associated with patient misidentification. However, a crisis like the COVID-19 pandemic clearly highlighted the importance of proper patient identification, impeding the ability of caregivers to provide healthcare services quickly and effectively without access to holistic patient information. Since the pandemic started, healthcare staff on the frontlines have been learning that the hard way.

Many experts are even thinking that this might be the time the UPI will finally be realized. But will it be enough? How many patient identifiers should be used to make sure it’s safe for patients and effective for providers? Fortunately, our Co-Founder, Michael Trader, has a comprehensive answer.

How many patient identifiers should be used?

Mr. Trader has stated that it’s crucial to find balance regarding a UPI and it’s equally important to establish an infrastructure that can house the UPI securely – only identifying patients accurately is not enough. Furthermore, the creation of duplicate medical records and overlays need to be prevented – they are some of the many issues that significantly hinder patient matching.

Mr. Trader adds that while the UPI will have benefits such as better interoperability as providers can share patient data more reliably, it will not mitigate issues such as duplicates, overlays, and medical identity theft. How many patient identifiers should be used, then?

Mr. Trader stated that instead of relying solely on the UPI, responsible providers will pair it with another identification system, and preferably one that is tried and tested. Linking the UPI to a photo-based biometric patient identification platform comes to mind. This touchless solution can be scaled across all encounter touch points, even enabling patients to utilize their own smartphones, making it the ideal solution in our post-pandemic world. With such a combination, patient misidentifications can be eliminated.

For years, patient misidentification has been a persistent problem for patients and caregivers alike. Providers need to eliminate misidentification as soon as possible, with or without the UPI. After all, it’s a single mistake that can cause severe consequences for both providers and patients. Fortunately, RightPatient can help providers avoid such unwanted cases.

With its photo-based patient identification platform, RightPatient has been identifying patients accurately for years. Leading and responsible providers have chosen RightPatient instead of waiting for the UPI – they know the effects of patient identification errors better than anyone else. Thus, if the UPI is created, responsible leaders will be coupling it with the leading patient identification platform, ensuring interoperability, accurate patient identification, and reliable patient data exchanges.

Dirty Patient Data Can Have Severe Consequences for Healthcare Providers

September 9, 2020/13034 views / 0 Comments/in BLOG, Connected Health, Data Integrity, Duplicate Medical Records, EHR, Facial Reciognition, healthcare, Medical Identity Theft, Patient Data, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Matt Gibson

The US healthcare system has always been facing problems that stopped it from realizing its full potential. These issues are longstanding barriers to providing immaculate healthcare services to patients, and thus affect healthcare outcomes for all involved. One of these issues has been the “dirty” patient data accumulating within EHR systems over the years. With the COVID-19 pandemic causing even more issues like the unprecedented financial strain, layoffs, restructuring and so on, providers need to ensure that the patient information within their facilities is accurate, consistent and relevant. Let’s look at what unclean patient data is, how it affects patients and providers and how RightPatient can ensure the cleanest patient data with accurate patient identification.

Patient data

A brief definition

In the simplest terms, patient data refers to a single patient’s medical information – medications, medical history, vitals, illnesses and so on. Such data is critical in making informed decisions regarding the patient in question. What should be the current or future course of action and how to best handle the needs of the patient are some common examples.

From the explanation, it is clear why clean patient data is important for both caregivers and their recipients. Let’s look at the other side of the coin: dirty data.

“Dirty” patient information

By now, it should be quite clear what dirty data means. Whenever the data is inaccurate, incomplete, inconsistent, obsolete or corrupt, it is considered “dirty”. Unclean patient data can lead to a lot of problems for any given healthcare provider. It impacts everyday operations, makes effective data sharing difficult and impacts healthcare outcomes, among other issues. Let’s have a more detailed look at the common ones.

Effects of unclean patient data

Inaccuracy and inefficient operations

Imagine if a patient goes to their healthcare provider for a checkup. The registrar types in the patient’s name: several medical records pop up on the screen, all pertaining to the same patient. Understandably, this can confuse the registrar. They are faced with a difficult choice: either go through all the patient records and find out the accurate one or create a new one entirely. The former case will take up a lot of time, while the latter will just create another duplicate medical record within the system. Both of these are consequences of having unclean data within the system.

Huge losses

According to Gartner, unclean data can cost an organization anywhere from $9.7 to $14.2 million. For US healthcare providers, however, it’s an entirely different figure. AHIMA stated that duplicate medical records can cost up to $40 million for any given provider, while a health system having several facilities can house up to 20% duplicate records.

Imagine if a patient is treated with another patient’s medical information. When the record holder gets the bill for services they did not use, they’ll simply contact their insurance provider regarding the matter. This will lead to a denied claim. Thus, inaccurate data can lead to denied claims as well – costing around $4.9 million on average for the average health system.

Patient safety is compromised

One of the biggest issues of unclean data is that it impacts patient safety. One patient will receive inaccurate and even dangerous treatment because they are being treated based on an entirely different patient’s medical record. Even if it is the same patient, if there are multiple records under their name, each record will have inconsistent and incomplete information about the patient, leading to improper care, medications and procedures. All in all, healthcare outcomes will not be as expected as patient safety and quality of care is jeopardized severely. This can affect a provider’s ratings as well. Patients will not be happy if they are not receiving unreliable healthcare services. Thus, clean data is critical to improving quality and safety in healthcare.

Non-compliance issues

This one is quite new. However, most healthcare providers know this and are working on it: e-notifications support.

The CMS rule mandates that all caregivers having EHR systems must ensure they support e-notifications by May 1st, 2021. During any ADT event, the provider needs to send e-notifications to the patient’s caregivers, whether they be established primary care practitioners, post-acute providers & suppliers or any other entity primarily responsible for the patient’s care. This is done to boost positive healthcare outcomes and improve care coordination. If the data is unclean, providers will end up sending false alerts either to the wrong provider or the wrong patient.

In any case, unclean data will cause non-compliance issues, penalties and might even jeopardize CMS provider agreements.

Lower ROI

Health systems and hospitals have been investing significantly in population health management, big data, analytics and similar projects they find promising. The efficacy of these systems depends on high-quality data being fed into them. When data is corrupted due to duplicate and overlay records, those investments are diluted, leading to lower ROI.

Keep patient data clean with RightPatient

One of the best ways to ensure that patient data integrity is maintained is by identifying the accurate patient record from the get-go. That’s where we can help.

RightPatient is the leading patient identification platform that ensures data integrity is maintained within EHRs. It is a touchless, photo-based platform used by leading healthcare providers.

By making sure that you identify your patients accurately every time, you can avoid duplicate medical records, prevent medical identity theft, eliminate financial issues related to dirty data, improve patient safety and quality of care. Also, you can send out proper e-notifications to the accurate caregivers, eliminating any non-compliance penalties.

By ensuring accurate and consistent data that can be used by the aforementioned investments (population health management, big data, analytics, etc.), RightPatient improves ROI for healthcare providers, creating a win-win scenario for everyone.

Contact us now to know how RightPatient works and how we can help you ensure the cleanest data via positive patient identification.

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

August 25, 2020/11748 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 Identification Policy Impacts Data Integrity and Patient Safety Issues

August 10, 2020/8658 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Patient Errors, Patient Identification, Patient Matching, Patient Safety /by Matt Gibson

Let’s face it – patient identification errors are nothing new and it is a much-discussed topic among healthcare leaders. For instance, just a month ago, a new coalition was formed to urge Congress to develop a UPI (unique patient identifier) to be used nationwide. Sadly, such formations are quite common – groups, competitions, and alliances have formed for years for the same reason. The result is that no UPI exists yet and patient identification errors are still wreaking havoc. However, many healthcare providers are reaping the benefits of accurate patient identification – it boils down to the patient identification policy used by the caregiver. Let’s take a closer look at how patient identification errors can cause a multitude of problems, why accurate patient identification is so crucial, and how platforms like RightPatient can help ensure just that.

Patient misidentification

It is quite self-explanatory. Patient identification errors occur whenever a healthcare facility fails to accurately match the patient with their appropriate medical record present within the EHR system.

It happens for a number of reasons. As already mentioned, it is nothing new and has been the result of years of human errors and improper patient data maintenance like duplicate medical records, overlays, and missing, incorrect, and/or incomplete information, leading to low patient match rates.

To put it into perspective, AHIMA stated that health systems can house up to 20% duplicate records within their EHR systems. The financial impact? It can go as high as $40 million for any given healthcare facility.

Effects of patient misidentification

Low patient match rates is just the tip of the iceberg! Patient misidentification leads to several problems. Let’s look at the more prominent effects of patient misidentification.

Whenever you incorrectly identify a patient, it means that one patient’s data will get written into someone else’s medical record – creating patient data integrity issues. This leads to a lot of problems – incorrect medications, repeated lab tests, incorrect medical procedures, inaccurate patient history – the list just goes on. Both the patients will receive inaccurate care by the caregiver as a direct consequence of patient misidentification, hampering patient outcomes.

Naturally, patient misidentification leads to patient safety issues – these are bound to happen if your treatment is based on the wrong medical record. Consequences can be delays in treatment, worse patient outcomes, irreparable damages, and sometimes, patient misidentification can even result in deaths. According to a report by John Hopkins University, medical errors can cause up to 250,000 avoidable deaths per year, many of which happen due to patient identification errors.

Thus, the million-dollar question is how can healthcare providers ensure accurate patient identification across their facilities?

It depends on a provider’s patient identification system

The accuracy of patient identification is as good as the patient identification policy used by the hospital in question, and there are many options hospitals can choose from. Responsible leaders, in any case, must choose the patient identification system that ensures accurate patient identification, provides a seamless experience, and provides a safe and hygienic environment for all involved.

There are a plethora of options available that hospitals can use as their primary patient identification policy. Sadly, many are still choosing the most obsolete one – inundating patients with questions. Whenever a patient arrives, officials ask them questions to find the correct medical record. This policy is slow, outdated, and extremely insecure – anyone can pass themselves off as the patient. In fact, this leads to medical identity theft – fraudsters buy stolen medical records from the black market and have all the information to pose successfully as the victim.

One other policy is to use patient ID wristbands. While this is a tad more secure than asking questions, it can still be taken off a patient and used for fraudulent purposes. Moreover, it is a contact-based solution, and that’s not something hospitals would want after the COVID-19 crisis – everyone is extremely aware of infection control issues now.

The most secure solution is using an identification policy where the identifier cannot be transferred or stolen – biometric modalities come to mind. There is a caveat though – patients would be quite reluctant to accept touch-based solutions such as fingerprint or palm-vein scanning.

Implement a touchless patient identification policy

The best option has been left for last – touchless patient identification platforms. RightPatient is the leading photo-based biometric patient identification system used by progressive healthcare providers.

Locking the medical records of patients with their photos upon registration, returning patients only need to look at the camera and the platform matches the photo with the one saved alongside their medical record, ensuring accurate patient identity verification.

There are many patient identification platforms available – be the responsible leader by choosing the one that shares the common goal of improving patient safety and quality of care at your facility.

Patient Identification Errors in Hospitals Should be Eliminated Now Instead of Waiting for a UPI

July 30, 2020/8449 views / 0 Comments/in BLOG, Data Integrity, Duplicate Medical Records, EHR, healthcare, Medical Identity Theft, Medical Record Mix-ups, Patient Identification, Patient Matching, Patient Outcomes /by Matt Gibson

Patient identification errors have been haunting the US healthcare system for decades now. In fact, the lack of effective patient identity management within the majority of hospitals and health systems is quite well-known as it is prevalent. Otherwise, groups would not have formed every year to appeal to Congress to finally approve a state-funded unique patient identifier (UPI). However, the coronavirus pandemic has been wreaking havoc across the US, which is why accurate patient identification is needed more than ever. But should they still wait for Congress for a UPI, or is there a way to eliminate patient identification errors in hospitals now? The short answer to the latter is yes – RightPatient. Let’s dive deep into the issues caused by patient misidentification, what the healthcare industry is doing about it, and how leading providers are solving it.

Issues caused by patient misidentification

Patient misidentification has always caused a plethora of problems – for patients, healthcare providers, insurance companies – basically anyone involved with patient care. However, the pandemic has deemed the elimination of patient identification errors in hospitals more necessary than ever, so that patients can get faster, more accurate care, leading to improved health outcomes. So, what are the issues caused by patient identification errors?

The lack of accurate patient identification can create duplicate records or overlays (merged medical records of the same or different patients), causing a ripple effect and hampering patient safety by generating inaccurate patient information. For example, a patient with a common name comes into a provider’s facility, and without a robust patient identification platform, it will be quite difficult for the EHR user to determine the correct medical record for the patient. Thus, the healthcare official will either painstakingly search for the correct record, which is quite time-consuming, or else an entirely new record will be created, leading to just another duplicate record among the several existing ones. Duplicate records create patient safety issues – patients will be treated based on an incomplete or inaccurate medical history. For providers, the financial cost of duplicates can be up to $40 million, according to AHIMA.

Patient misidentification can also cause denied claims, which have a severe impact on the financials of hospitals and health systems. Suppose a patient is misidentified by the provider using an obsolete patient identification system. While the patient at the facility will be receiving the care, someone else will be charged inadvertently for the services as a result of patient identification errors. However, the medical record holder can simply let the authorities know that someone else had used the healthcare services, and thus, he/she will not be charged – leading to a case of claim denial. Denied claims can cost up to $4.9 million on average for any given healthcare provider.

Even during this ongoing and unprecedented health crisis, patient misidentification is quite common. It occurs because there is no proper way to match patients to their electronic health records (EHRs) within those providers’ facilities, and it leads to patient safety issues as well as reduced quality of care. Other issues patient misidentification causes are incorrect treatments, medications, and lab test results – hampering patient outcomes significantly. Given the current scenario of the healthcare system, these issues should be minimized as much as possible – something that RightPatient can help hospitals with.

What is the healthcare industry doing about it?

During a virtual briefing, the CEO of AHIMA, Wylecia Wiggs Harris, stated that COVID-19 shows how important accurate data is and why patient misidentification issues must be solved as soon as possible.

Likewise, other experts have been making similar statements. For instance, even COVID-19 test results were affected by patient identification errors. After the results came in, it was quite difficult to identify and search for the patients, as no accurate patient identity management system existed within the facilities.

Thus, healthcare leaders across the states are coming together to once again to ask Congress to lift the archaic ban on a state-funded UPI. However, if the past has anything to teach, it is the fact that the ban has been in effect for decades now. Lawmakers and officials placed the ban citing privacy concerns regarding a UPI, and it is quite unlikely that they will budge now.

Instead, many leading providers have taken it upon themselves to eliminate patient identification issues within their premises themselves. How are they doing that?

Eliminate patient identification errors in hospitals now

Forward-thinking providers did not rely on Congress to remove the ban, which might not happen anytime soon, admittedly. Instead, they deployed RightPatient – the leading photo-based biometric patient identification platform.

It locks the medical records of the patients with their photos – a returning patient looks at the camera, allowing the platform to identify the correct medical record within seconds. It is completely hygienic and ideal for the current crisis.

Our platform has been successfully reducing patient identification errors in hospitals and health systems. RightPatient ensures accurate patient identification, reduces claim denials, avoids duplicate medical records, and even prevents medical identity theft – improving patient safety and quality of care in the process.

How Can Medical Identity Theft Occur During Telehealth Visits?

July 29, 2020/9850 views / 0 Comments/in BLOG, COVID-19, Data Integrity, EHR, healthcare, Medical Identity Theft, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety, Photo Biometrics, Telehealth /by Matt Gibson

Telehealth has been around for years, but it has only been growing exponentially for the past few months. One of the biggest propellers that caused the surge in telehealth usage is the coronavirus pandemic, while the other reason is its benefit of taking healthcare out of the regular setting and setting up safe and remote environments for the patients and caregivers. While many predict that telehealth is here to stay after seeing how it can benefit caregivers and patients, health systems and hospitals need to focus on another important aspect – how can medical identity theft occur during telehealth visits, and is it preventable? Fortunately, it can be – with RightPatient. Let’s dive deep.

Telehealth skyrocketed due to COVID-19

Since telehealth was introduced, experts in the US healthcare system have been busy debating its pros and cons, affecting its growth and questioning its capabilities. However, as the pandemic has shown, telehealth has been extremely crucial for the US healthcare system during its ongoing battle against the pandemic. It has helped reduce the risk of more COVID-19 cases as non-COVID-19 patients were recommended to use telehealth instead of inpatient visits.

As previously mentioned, the biggest benefit of telehealth is that it enables patients and caregivers to engage in healthcare remotely. All they need is a good internet connection and devices to communicate with each other – eliminating any chances of contracting the virus as opposed to inpatient visits during the pandemic. Thus, it is no surprise that telehealth demand has been sky-high, with experts predicting over one billion visits during 2020 alone. While providers are quickly adapting to the changes and using telehealth, hospitals and health systems must also think about a serious problem – how can medical identity theft occur during telehealth usage?

Medical identity theft is all over the place

Medical identity theft is nothing new. Hackers steal valuable patient information through healthcare data breaches. They sell it for up to $1000 per record on the black market to fraudsters. Since healthcare is quite expensive, these fraudsters prefer buying patient information from hackers for a much cheaper price, shifting the healthcare costs onto the shoulders of the victims.

Medical identity theft is becoming quite prevalent. In 2019 alone, more patient records were breached in comparison to the previous three years combined. Medical identity theft leads to lawsuits, patient safety issues, settlement costs up to $250,000, unwanted attention, and loss of goodwill. Thus, it becomes increasingly necessary to ensure that medical identity theft is prevented, even during telehealth visits.

But how can medical identity theft occur during telehealth? Well, the stolen information can be easily used by the fraudster to bypass the obsolete patient identification systems most hospitals have – just like inpatient visits. Moreover, many patients sometimes even give their credentials to their family members or friends willingly – aiding them in medical identity theft.

Such cases lead to added costs like medical record clean-ups, lack of patient data integrity, and patient safety issues, among other problems. Hospitals are facing huge losses already due to the pandemic, and they need to recover their losses if they want to survive in the future. One of the best ways to do all of that is by ensuring positive patient identification.

Accurate patient identification with RightPatient

RightPatient is the healthcare industry’s leading touchless patient identification platform. It locks the medical records of the patients with their photos upon enrollment. Whenever the patient comes, all he/she needs to do is look at the camera and the platform matches the photos and provides the correct medical record within seconds. RightPatient seamlessly integrates with the major EHR systems, enhancing the experience for providers as well. It is hygienic too, enhancing patient safety and reducing infection control issues.

While it has been ensuring accurate patient identification for providers for years, RightPatient brings the same expertise to telehealth. It can also be used to remotely validate a patient’s identity. Patients receive an SMS or email after scheduling an appointment, after which they need to take a selfie and photos of their driver’s license. RightPatient automatically matches the photos of the driver’s license and the selfie to validate patient identity – preventing medical identity theft in the process.

RightPatient has been successfully protecting over 10 million patient records and preventing fraudsters from harming patients while reducing healthcare costs, denied claims, lawsuits, and boosting the bottom lines in the process. Protect your patients – even during telehealth visits – with RightPatient.