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Patient Identity Verification Must be Touchless After COVID-19

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The coronavirus pandemic has been the biggest changemaker in recent decades. After months of lockdown, social distancing, and gradual reopening of society, new cases are being seen in the US again. While everything may seem uncertain for now, one thing is for sure – COVID-19 has changed reality for everyone. Going to restaurants and hanging out with friends are things of the past now and there is no telling when all this will be normal again. The coronavirus has highlighted one thing in particular that will stay for us with a long time to come – how to reduce physical contact with others. Healthcare providers have had headaches of infection control issues for years now, but it is the headache of the average patient after the pandemic shook the world. While there will be a rise in usage and demand in touchless technology in the future, such as facial/voice recognition attendance systems, printing board passes via gestures, etc., one area where it is crucially needed is during the patient identity verification process. Let’s analyze the current condition of patient identification processes used, why a uniform identifier is not used by providers, and how leading healthcare providers are ensuring accurate patient identification.

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Patient identity verification – the current scenario

Patient identification errors have been a much-discussed topic in this space, and for good reason. It is still one of the biggest problems healthcare providers are facing – leading to denied claims, medical identity theft, increased losses, and patient safety issues. While ineffective patient identity verification is a prevalent issue, different providers are implementing different solutions to solve them. But shouldn’t there be a uniform method of patient identification present? That is where the UPI comes in.

The mythical UPI

UPIs, or unique patient identifiers, have been the talk for years now. UPIs can be anything that is, as the name suggests, unique to a single patient. Its absence has led to quite a few problems within the US healthcare system, including duplicate medical records, waste, and preventable medical errors. In fact, John Hopkins has said that over 250,000 people in the US die due to medical errors, many of which are due to incorrect patient records and data. These unfortunate deaths could have been avoided with accurate patient identification. But why, then, is UPI still not a thing? Why do healthcare providers still struggle with patient identification? 

Healthcare providers, as well as respected leaders in the healthcare system, have been clamoring for a UPI for years now. In fact, HIPAA (Health Insurance Portability and Accountability Act) mandates that a UPI be created for patients. However, there have been concerns since the beginning of talks regarding a UPI – how it might be stolen, misused, or worse, just like Social Security numbers. Basically, lawmakers were concerned as to how UPI could be kept private and confidential so that third parties cannot gain unauthorized access to it. Thus, back in 1998, Congress banned the authorization of a state-funded UPI. The stance has not changed after all these years. Even in 2019, the House of Representatives voted to revoke the ban, but the Senate let it stay. The lack of an effective patient identifier has been haunting the US healthcare industry ever since the UPI was banned in 1998.

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How is the US healthcare system verifying patient identity?

Different healthcare providers are using different methods for patient identity verification. However, most of them are rendered ineffective now due to the coronavirus pandemic. Earlier, only healthcare providers used to think about infection control issues. Now, it is a headache for the patients as well.

While some are waiting around for the government to approve a state-funded UPI, they are facing a constant struggle with the usage of an obsolete means to identify patients – asking them questions. This has a lot of loopholes – it is slow, tedious, and anyone can assume the identity of the patient as long as they have the patient’s data with them, leading to medical identity theft.

Others are using patient ID wristbands. While more effective than asking questions, this, too, can be stolen, transferred, and used to commit medical identity theft. Not to mention, these require physical contact as well, something that patients will very much be reluctant to do nowadays – a result of the pandemic.

An effective patient identity verification system is biometric patient identification. Once again, not all modalities are effective, safe, and practical. As mentioned earlier, the pandemic has changed reality for all of us – patient identification is no exception.

While biometric modalities like fingerprint and palm-vein scanning are effective, they require the one thing patients will not be ready to do for a long time – touch the device to verify their identities. Hospitals are the epicenter of infection control issues, and while every provider has been dealing with COVID-19 patients, regular patients will be quite hesitant to touch anything. This is especially applicable during patient identification, as they know all patients pass through this location, and contact-based devices might lead to infections.

Touchless patient identity verification is the future

This is where RightPatient comes in. We have been providing hospitals with a touchless biometric patient identification platform for years now. Since the beginning, our focus was to ensure patient safety, which is why we always suggested healthcare providers consider our touchless solution that eliminates any infection control headaches related to patient identification. Unlike touch-based solutions, our devices do not require cleaning after every use.

The medical records of the patients are locked with their photos upon registration. Whenever the patient returns, RightPatient identifies the right medical record within seconds after the patient looks at the camera. 

RightPatient has been serving leading healthcare providers like Community Medical Centers, University Medical Center, and Duke Health. It has helped with eliminating the creation of duplicate medical records, preventing medical identity theft, and enhancing patient safety through accurate patient identification in a hygienic manner.

We shared the same concerns healthcare providers have – how to ensure accurate patient identity verification while eliminating infection control issues. After the pandemic, patients have the same concern too. Are you addressing it correctly? If not, contact us right away.

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Patient Identity Matching – Solving an unsolved crisis with RightPatient

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

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

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

How costly are patient identity matching errors?

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

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

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

The problem with common identifiers

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

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

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

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

Accurate Patient Identity Matching with RightPatient

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

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

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

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

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

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

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Improving patient safety in hospitals – some strategies

Come up with a plan

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

Open in phases

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

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Have safety measures in place

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

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

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

Support your remote employees

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

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

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Use solutions to reduce infection rates and administrative burden

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

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

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

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

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Touchless Patient Identifiers are Crucial Now – Are you Using Them?

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COVID-19 has changed everything – the way we live, the way we interact with each other, and the way we work. However, it has impacted healthcare around the world most. The US healthcare system is overwhelmed with the number of COVID-19 patients and the frontline workers are still risking their lives to save patients. While the numbers are still rising, many healthcare providers in the US are partially reopening, or are at least planning to do so. With that in mind, do they have the right tools to reduce infection control issues at the places where they are the most common – EDs? What kind of patient identifiers are they using, and do these solutions create or reduce infection control issues?

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Why patient identifiers are needed

Patient identification errors have been rampant across the US healthcare system – that’s no secret. They cause medical errors, leading to deaths. Another study showed that 72% of misidentification cases occurred during patient encounters, whereas 12.6% happened during intakes – just showing how common and serious they are. 

These patient identification errors occur because of several reasons. Duplicate medical records and medical record overlays are some of the more common culprits – health systems with multiple facilities can house up to 20% duplicates, and can cost around $40 million for any healthcare provider. When a patient comes in, the EHR user naturally gets confused when he/she sees that there are multiple records for the same patient. This either leads to delays in treatments or else causes medical errors if the wrong EHR is chosen.

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Lack of accurate patient identification also leads to medical identity theft. When an actor comes in and assumes the identity of the victim, the hospital cannot determine the anomaly without a concrete patient identifier in place. Thus, patient identifiers are quite crucial for providers.

The best patient identifier post-COVID-19

COVID-19 has reignited the fear of infection control issues among the general public – it has shown how dangerous contagious diseases can be. People are practicing social distancing for their safety and it looks like this will be the norm for quite some time. Even when the pandemic is over, the fear of diseases via contact will still linger among people. That fear will be even more pronounced when they visit hospitals. 

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While hospitals were already worried about infection control issues, these have become a topmost priority now for all of them. One of the hotspots of infection control issues is the EDs – infected patients can pass the contagious diseases to others if they contaminate materials such as patient identification devices that require contact. However, after the pandemic, the majority of patients will be highly reluctant to interact with a patient identification device which requires touch, since most of them are well-informed about how harmful they can be. While devices like fingerprint and palm-vein scanners might be accurate, they are not hygienic and will simply increase infection control issues if used further. Also, maintaining the cleanliness of such devices can be an arduous task – cleaning them after every patient touches them is not practical or efficient.  

This is where RightPatient comes in. It is a contactless biometric patient identification platform that locks the medical records of the patients with their irises or facial patterns. After registration, returning patients simply look at the camera and the platform identifies them within seconds, retrieving the appropriate medical record for use – it’s that easy! RightPatient is hygienic as well, as no physical contact is required. That’s why leading healthcare providers like Terrebonne General Medical Center are using it. 

Contactless patient identifiers are the future, and RightPatient is the perfect one for you to reduce infection control issues in a post-COVID-19 world. Are you part of that future? 

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

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

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The rise of telehealth

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

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

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Medical identity theft cases may rise

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

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

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

Thankfully, a solution exists

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

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

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

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Healthcare Data Breaches can lead to Medical Identity Theft

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

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

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

How do criminals capitalize on stolen personal health information?

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

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

How can healthcare providers mitigate negative outcomes?

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

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

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

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

How can RightPatient prevent medical identity thefts?

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

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

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

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

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The Importance of Positive Patient Identification and how it affects Hospitals

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The importance of positive patient identification is known throughout most of the U.S. healthcare system. Many healthcare providers are failing to do patient identification properly. The absence of a positive patient identification system results in patients not being matched accurately against his or her assigned electronic health record (EHR).

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Patient identification errors are nothing new

Patient identification errors have been around for a long, long time now, since the days of paper medical records. With the introduction of EHRs into the U.S. healthcare system, many thought that it would add a lot of benefits, such as faster searches for records, better sharing of information (interoperability), lower storage space, no risk of losing records, and proper patient identification. However, while EHRs did deliver on most of the promises, human errors, as well as other factors, have contributed to a lack of interoperability and absence of accurate patient identification. As patients must be matched accurately with their medical records, the importance of positive patient identification can never be ignored by the healthcare system.

The importance of positive patient identification

Positive patient identification is crucial for providing value-based care, ensuring patient safety, care coordination, as well as improving a hospital’s finances. However, there are a lot of impediments to accurate patient identification – the most common one is duplicate medical records. Sometimes, patient matching errors can even cause the loss of the lives of patients.

 These identification errors cause major issues for healthcare providers, mainly denied claims, repetitive tests, wrong treatments, reporting errors, loss of reputation, and unwanted media attention – all of which result in financial losses. For instance, denied claims cost almost $5 million on average for any hospital and this loss of revenue can lead to a hospital closing down.

Some statistics

A survey conducted in 2019 has shed light on the issues which hamper positive patient identification. 66% of the participants stated that data entry errors are the main culprit. The survey also states that the lack of entry of a single medication or test can lead to severe adverse effects for a patient, hampering patient safety, as it will lead to wrong decisions regarding the treatment. Thus, the importance of positive patient identification cannot be stressed enough.

46% of the respondents stated that improper, or the lack of an effective patient identification algorithm is another reason for patient identification errors. 35% of respondents said that the lack of an industrywide standard hampers effective patient identification.

Ensure positive patient identification

RightPatient is a biometric patient identification platform that was created with the importance of positive patient identification. It locks the medical records of the patients with their biometric data such as their irises – once the patient registers, all the patient has to do is look at the camera, and the accurate medical record is presented in seconds. It creates an effortless patient identification experience for both patients and hospitals. It improves the revenue cycle, minimizes loss, improves patient safety, and prevents medical identity theft. Several pioneering healthcare providers are using it – are you one of them?

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Medical Identity Theft Stories are Common in Emergency Departments

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

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What’s the reason for medical identity theft?

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

What’s the level of threat?

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

Who are the victims?

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

A threatening story of Identity Theft

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

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

Put an end to new medical identity theft stories

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

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Employees Can Compromise Medical Records – How Can Hospitals Protect Patient Data?

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As harsh as it may sound, employees getting fired for accessing medical records without any malicious intent is very common. More than 4.5 million records were compromised in unauthorized access or disclosure incidents caused by employee errors, negligence, and acts by malicious insiders in 2019, according to the HIPAA data breach statistics report. Thus, providers need to find out strategies to protect patient data better. 

In 2019 Northwestern hospital dismissed nearly 50 employees for accessing a celebrity’s medical record without consent. Recently mentioned in another similar series of unfortunate events is the Hawaii Pacific Health in Honolulu.  

RightPatient-can-help-protect-patient-dataHawaii Pacific Health discovered that an employee had erroneously accessed patients’ medical records. As a result, 3772 patients’ records may have been compromised, according to the HHS Office for Civil Rights data breach portal. The employee who worked at Straub Medical Center was later terminated. The organization believes that the employee only acted out of curiosity and did not intend to embezzle their identities. 

Consequences associated with compromised medical records

Medical records that may have been compromised include name, addresses, phone numbers, email addresses, dates of birth, religion, race/ethnicity, Social Security numbers, medical record numbers, primary care providers, dates of services, appointment notes, hospital account numbers, department names, provider names, account numbers, and health plan names.  

Nevertheless, accidental disclosure of sensitive personal information may lead to severe consequences, and lead to medical identity theft or even worse. If it falls into the wrong hands, this information can be used for theft or personal gains. The culprit may also fraudulently obtain medical benefits or sell this information to third parties, who may then misuse them.  

Healthcare organizations plagued by patient data breaches have had a sustained impact. Patient-trust is the driving force for effective and quality clinical practice. When an incident similar to Hawaii Pacific Health occurs, it will cause financial and reputational losses to medical service providers. On the bright side, Hawaii Pacific Health will provide the affected patients with free credit monitoring and identity restoration services for one full year. However, as data breaches make hospitals more vulnerable to identity theft, hospitals will again face an increasing administrative burden.

What can the healthcare providers do to protect patient data?

Currently, Hawaii Pacific Health is looking for alternatives and is willing to invest in technology. Technology can help prevent repercussions, such as medical identity theft. Nonetheless, compromised data can be easily safeguarded with a biometric patient identification platform that prevents unauthorized access. 

RightPatient – Biometric Patient Identification Platform

RightPatient has been serving several healthcare providers and medical institutions to avert repercussions like illegal access to patient data, and ultimately preventing medical identity theft. RightPatient is the most advanced biometric patient identification platform that can protect patient data by preventing inappropriate access to patient medical records.

How does it work?

During registration, patients will need to provide their biometric information (facial photos, irises, fingerprints) to the hospital. With the help of biometric encryption technology, patients’ medical data will be kept locked and secured. The next time patients come to receive medical services,  all they need to do is look at the camera or perform a fingerprint scan to unlock their data in seconds. This technology automatically prevents illegal access to medical records,  as to access the data, you will need the patient’s authentication. 

When all is said and done

There is no doubt that the patient’s medical record should be kept confidential, but the crux of the matter is human errors are inevitable. Hospitals should be aware and willing to invest in technologies that can prevent more damage and open the door to more opportunities for quality health service.

Patient identification helps improve revenue cycle

Hospitals Can Improve Revenue Cycle With Positive Patient Identification

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Patient identification helps improve revenue cycle

The importance of digitization in healthcare delivery is becoming inevitable. As medical institutions and hospitals try to deliver a more value-based care environment, the RCM (revenue cycle management) has become more critical. According to HFMA/Navigant analysis, healthcare revenue cycle leaders are willing to invest more in technologies that will boost their revenue integrity, eliminate human error, and increase productivity in the future. All in all, they are targeting to improve the revenue cycle. 

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According to a report from Sage Growth Partners, one-third of healthcare providers have confronted more than $10 million in outstanding debt every year. Every year up to $125 billion is lost due to unpaid bills and underpaid claims, and the situation is nowhere near improving. As a result, more healthcare providers are demanding revenue cycle managers to revamp and automate their processes. 

Understanding the process flow

To understand how to improve revenue cycle management, we should know that it is usually divided into two separate parts, the front-end and the back-end process. The front-end revenue cycle management deals with patients directly. For example registering new patients, collecting information for patients, and confirming insurance eligibility and coverage. The back-end involves dealing with claims management, denial management, medical billing, and ultimate patient financial responsibility collection.  

Even with all the innovative ideas the RCM managers are putting into effect, healthcare organizations are still worried about:

  • Decreasing cost to collect
  • Providing quality patient experience
  • Reducing initial denial rates, which have gone up in both public and private organizations
  • Concerns about increasing out of pocket costs from consumers, which leads to payments being held up, delayed care, and uncollectible receivables. 

What can be done?

Instead of reaching out to professional RCM vendors, the healthcare providers and medical institutions can solve the problem with proper patient identification. The first essential step which helps to improve revenue cycle and reduce denied claims is to identify the patients accurately and bill them accordingly. Let’s look at the solution and the possible gains from this solution. 

RightPatient – Biometric Patient Identification Platform

A biometric patient identification platform such as RightPatient is a cutting-edge digital cloud technology used by many healthcare providers to address the sorts of problems mentioned above. Using biometrics has proven to be effective in identifying patients accurately.

How it works

During initial enrollment at the hospital, a patient’s biometric data like their iris or facial photos, will be used to keep their information locked and secure. Next time when the patient arrives at the hospital to avail of healthcare services, all he/she needs to do is just look at the camera, and the platform will identify their accurate medical records within seconds.

Halt denials before they start

Eliminating the problem at the front-end will ensure that you do not have to worry about back-end RCM staff dealing with denied claims. RightPatient will do that for you. Accurate patient identification from the beginning of the care will eliminate the risk of improper use of patient information, resulting in the rejection of claims. 

Who is using this solution? 

Healthcare providers such as the University Health Care System and Terrebonne General Medical Center are using RightPatient’s biometric identification platform to reduce the number of denied claims and improve their revenue cycle.  

Improve revenue cycle now

Using biometrics to identify patients has also proven to be effective in improving patient experience, reducing administrative burdens, and eliminating errors. Naturally, more time and resources can be invested to ensure the provision of quality care. Adding the front-end and back-end functions through RightPatient can help the hospital create a steady revenue cycle that responds to an evolving industry.