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Patient Identity Management is More Important Than Ever – Are you Doing it Right?

July 7, 2020/9820 views / 0 Comments/in BLOG, healthcare, Infection Control, Medical Identity Theft, Patient Identification, Patient Safety /by Matt Gibson

Patient identity management, to put it very simply, refers to how patients are being identified in hospitals. However, anyone who knows the US healthcare system is familiar with the fact that it is quite a significant problem for the majority of healthcare providers. Lack of proper patient identity management is a problem not only for healthcare providers but for everyone involved in healthcare, including patients and insurance companies. While healthcare providers incur financial costs as well as the loss of goodwill, patients face financial costs as well as the wrong treatment and medications, hampering patient safety. Even though there are effective solutions, the coronavirus pandemic has rendered most of them ineffective. Let’s dive deep into why patient identification errors occur, how they have been solved until now, and why the future of patient identity management will be different (read touchless) due to COVID-19.

Reasons for patient identification errors

Patient identification errors have always been present. Earlier, patient record mix-ups were the main reason when paper medical records were used. To put it simply, patient records were mixed up when the patients had common names and characteristics such as age, address, etc. Fast forward to the age of EHR (electronic health record) systems, where things have become quite complicated. Human errors, negligence, and relevant external factors have caused EHR systems to house duplicate medical records as well as overlays, causing patient identification errors to be more prevalent than ever.

Duplicate medical records can be created for the same patient. For instance, if a patient goes to avail of healthcare services, the first thing the provider would do is identify the patient’s medical record. For various reasons, the EHR user cannot identify the correct medical record (say, the EHR user sees that there are multiple records for the same name). Either the hospital staff spends more time painstakingly searching for the right medical record, or else creates a new record, the latter leading to a duplicate being created. This duplicate will lead to fragmented data and patient care – neither the correct record will house the most recent data of the patient nor the new one will contain the entire medical history of the patient. All in all, this will hamper patient safety, and increase costs.

Medical record overlays are created when multiple records are merged, and this can be for the same patient having duplicate records as well as a different patient having the same characteristics as another patient. As can be understood, overlays are quite dangerous as it mixes information from different patients.

On top of all that, the classic cases of patient mix-ups still exist. A few months ago, two patients got mixed up regarding a kidney transplant – the wrong patient got the kidney. Fortunately, nobody was hurt as the kidney was compatible with the wrong patient. This mix-up occurred due to the patients having similar names, age, as well as being lined up for kidney transplants, albeit on different dates. While both the patients surviving without major issues was a huge stroke of luck, not everyone is as fortunate. There have been many cases where mistaken patient identities caused deaths.

All in all, patient identification errors cause a plethora of problems for everyone involved, which makes an effective patient identity management solution like RightPatient all the more crucial, especially in a post-COVID-19 world.

Common patient identity management solutions

By far, the most common and obsolete way of patient identification is asking patients questions. Even in this day and age, many hospitals are still using this simply ineffective method. Patients are asked to state their names, addresses, and other relevant data to crosscheck against present medical records. This is slow, tedious, and also dangerous – someone can just assume the identity of another patient and commit medical identity theft. Healthcare data breaches are quite common, and hackers steal patient data, only to sell it later on the black market. An impostor can just buy the data and assume the identity of the patient, and if this outdated way of identifying patients with questions is used, the actor cannot be detected easily.

Another way healthcare providers identify patients is by using patient ID wristbands. While this might seem like a better patient identity management solution, it also has its flaws. To begin with, patient ID wristbands can be transferred, stolen, or lost. This can lead to medical identity theft as well. On top of that, it requires contact – something hospitals are quite wary of and now patients are too, given the coronavirus pandemic. Infection control issues have always been a headache for providers, but COVID-19 has made it a concern for the general public as well. For the next several years, people will be quite reluctant to touch anything, especially within hospitals.

That brings us to touch-based biometric patient identification solutions like fingerprint and palm-vein scanning. While these are far more effective patient identity management platforms, as there is no way for anyone to fool biometrics, these too pose threats to patient safety. Even before COVID-19, one of the main factors healthcare providers considered before choosing a patient identification platform was how safe it was and whether any infection control issues would arise from using the platform. For both fingerprint and palm-vein scanning, patients had to touch the devices, leading to potential infection control issues. On top of that, cleaning the devices after every use would be a nightmare, to say the least.

The futureproof patient identity management solution

RightPatient is the most apt patient identification platform, moving forward. Why? Because RightPatient is a touchless biometric patient identification platform. It locks the medical records of the patients with their photos upon registration. Whenever a patient comes to the healthcare provider, all the patient needs to do is look at the camera and the platform identifies the correct medical record within seconds, making it the easiest, most seamless, and completely touchless experience.

Leading healthcare providers like Terrebonne General Medical Center, University Health Care System, and Community Medical Centers, among others, have chosen RightPatient because it creates no infection control issues – one of the benefits of being a touchless solution.

Moving forward, the majority of healthcare providers are opening up in phases, and they would need to ensure patient safety. Hospitals have already lost a lot of money due to the pandemic, and they need to start mitigating losses. RightPatient can help providers with that – by both ensuring accurate patient identification and eliminating any touch-based interactions required during the process. This helps reduce denied claims, improves the revenue cycle, and prevents medical identity theft. Mitigate losses now with RightPatient.

Patient Identity Verification Must be Touchless After COVID-19

July 6, 2020/10520 views / 0 Comments/in Biometric Terminology, BLOG, COVID-19, Future of Biometrics, healthcare, Infection Control, Patient Matching, Patient Safety /by Matt Gibson

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.

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.

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.

Identify Patients Correctly to Reduce Significant Healthcare Costs

July 2, 2020/6005 views / 0 Comments/in BLOG, EHR, healthcare, Medical Identity Theft, Patient Identification /by Matt Gibson

The coronavirus pandemic has thrown the whole world off-balance, and even though the world is opening up in places, it is still continuing to affect lives on a daily basis. Amidst all the chaos, healthcare became one of the most important parts of the economies across the world, and the US is no exception. However, with the overwhelming number of coronavirus patients who needed the utmost care, hospitals had to reallocate all of their efforts towards the affected patients – leading to hard decisions for other services provided. This resulted in the past few months being full of furloughs, layoffs, and salary cuts due to huge financial instabilities. As the US healthcare system slowly continues to open up in phases and resume its normal practices, healthcare providers need to focus on reducing costs further. One of the most effective ways to do that is to identify patients correctly.

Why hospitals need to identify patients correctly

There are a lot of issues associated with the US healthcare system. Even before the coronavirus pandemic, hospitals had their fair share of problems. One of the more prominent ones was the lack of accurate patient identification.

Whenever a patient comes to the hospital, the EHR (electronic health record) user will ask for information such as name, DOB, address, etc., which will help them obtain the correct medical record from the system. This will prepare the patients to obtain healthcare services, expecting to leave with better health after the treatment. Thus, healthcare begins with the hospital identifying the accurate medical record of the patient.

Even though it sounds quite easy and straightforward, that is not the case. Human errors, negligence, and inconsistencies can lead to issues within the EHR systems. Even the smallest of mistakes can lead to large problems, jeopardizing patient safety. The most common problems within the EHR systems are known as duplicate medical records and overlays. Other than that, even patients with common names and demographic characteristics can be mixed up by healthcare providers, leading to disastrous consequences.

Some examples

Last November, Virtua Our Lady of Lourdes Hospital mixed up two patients, which led to a patient getting the wrong kidney transplant. Thankfully, the wrong patient was compatible with the kidney, so no serious harm was done. However, not every patient mix-up case is as lucky. The same is true for misidentifications caused by duplicate records and overlays. After the incident at Virtua Our Lady of Lourdes Hospital, they started using four identifiers altogether. Practically, it will still be quite ineffective, as human errors are bound to happen. Moreover, if there are duplicate medical records or overlays in the EHR system, like the majority of healthcare providers, then even the four identifiers will not prove useful. The EHR user will simply get confused between the duplicates and overlays and may end up choosing the wrong record inadvertently.

Finding the accurate medical record of a patient within an EHR system that has duplicates is akin to finding a needle in a haystack. Take the case of Harris Health System. After a thorough analysis, they found some interesting numbers. It houses around 3.4 million patient records, out of which 7.3% had the common case where two or more patients had the same first and last names. 2.2% had a common case where five or more patients shared the same first and last names. There were 2,488 patients named Maria Garcia, out of which 231 Maria Garcias had the same DOBs. It is more than likely that some of those 231 records of Maria Garcias are duplicates or overlays. This can easily confuse any given EHR users while identifying patients, and unless an effective way to identify patients is used, the problems will keep on compounding.

How big a problem is patient misidentification?

According to AHIMA, smaller hospitals can have around 5-10% of duplicate medical records. On the other hand, larger health systems can house up to 20% duplicate records within the EHR systems of their different hospitals. These duplicates can easily cost up to $40 million for any provider.

Patient misidentification also hampers patient safety. Whenever a patient is wrongly identified, he/she will be treated based on the wrong medical record, medical history, allergies, medication, lab test results, and so on. The bigger the complexity, the more danger the patient faces. There have even been cases where patient mix-ups have caused deaths. These seriously damage the goodwill of the healthcare providers. Not only that, but providers also face heavy financial repercussions in the form of denied claims, lawsuits, and poor revenue cycle management. Lack of proper patient identification leads to increased medical identity theft as well – all of which RightPatient can prevent.

Is it possible to identify patients correctly?

Patient misidentifications have been around for years, and with them, talks of an effective patient identifier have been around as well. While many healthcare leaders have been clamoring to get the archaic ban on state-funded UPI (unique patient identifier) lifted for years, it has not led to fruition yet. Last year, while the House of Representatives supported abolishing the ban, the Senate did not agree, leading to more misidentification cases, increased medical identity theft, and avoidable deaths.

However, healthcare leaders have taken it upon themselves to identify patients correctly. Many are using different platforms to identify patients accurately – fingerprint scanning, palm-vein scanning, and so on. However, due to the coronavirus pandemic, all of these will be considered dangerous as they require patients to touch the device every time they come in for healthcare services. Everyone now knows how big of a deal infection control issues are, and patients will be extremely hesitant to touch any such device in the foreseeable future. Moreover, maintaining such devices is quite taxing – cleaning it after a patient uses it is itself a nightmare.

Progressive leaders have opted for a futureproof solution – RightPatient. It is a touchless biometric patient identification platform that locks the medical records of the patients with their photos. After registration, all the patient needs to do is look at the camera and RightPatient matches their photos and accurately retrieves their medical records within seconds. It is not only easy to use but is also hygienic, as it requires no physical contact nor cleaning after every use, making it the only sensible choice as hospitals are opening up. Leading providers like Terrebonne General Medical Center, University Health Care System, and several others are using RightPatient to protect over 10 million patients – preventing duplicate record creation, preventing medical identity theft, reducing denied claims, and minimizing losses. Are you cutting down these costs effectively, since it is of utmost importance now?

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

June 22, 2020/5910 views / 0 Comments/in BLOG, Patient Identification, Patient Safety, Photo Biometrics /by Matt Gibson

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.

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.

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.

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.

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

June 19, 2020/6226 views / 0 Comments/in BLOG, Future of Biometrics, Patient Identification, Patient Safety /by Matt Gibson

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?

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.

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.

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?

5 Strategies to Ensure Revenue Integrity in Healthcare

June 9, 2020/11180 views / 0 Comments/in BLOG, Clinical Efficiency, Duplicate Medical Records, Facial Reciognition, healthcare, Iris Recognition, Medical Identity Theft, Patient Identification, Patient Matching, Patient Safety, Revenue Cycle Management /by Ryan Stephens

Many healthcare providers were struggling financially before the pandemic. But now, the U.S healthcare industry is on the verge of financial disaster. According to the American Hospital Association, hospitals are bleeding approximately $50 billion per month due to canceled elective procedures and costs associated with treating COVID-19 patients. Many non-COVID patients have also stopped seeking primary care visits, including patients with life-threatening conditions, because they are worried about exposures. In addition, claim errors, denials, and payment delays that result from inaccurate patient identification, duplicate medical records, and medical identity theft still persist, all of which affects revenue integrity.

Adopting Value-Based Reimbursement (VBR) models has shown to have economic advantages but poses a real challenge for healthcare providers alongside ever-changing healthcare compliance regulations. Siloed workflows, data proliferation, and disparate systems make it difficult to achieve the collaboration that is needed for VBR to yield optimal results. However, intelligent revenue cycle management can be the key to achieving financial stability and revenue integrity.

Identify the problem

Today’s environment requires automating workflows and considering the whole revenue cycle process to ensure revenue integrity. Healthcare providers want an easy, seamless way to manage revenue cycle without errors, such as those caused by patient identification issues. Considering the lack of electronic medical record (EMR) system capabilities to adequately address the critical need for accurate patient identification, it is vital to leverage complementary technologies with core-specific competencies that can improve the overall revenue cycle. For example, improving patient identification and matching processes at the front-end of the revenue cycle process can significantly reduce costs.

As an industry-leader in touchless patient authentication, RightPatient has been helping many healthcare organizations reduce claim errors and denied claims by ensuring accurate patient identification. By eliminating denied claims linked to identification errors, healthcare providers can reduce the burden of back-end activities in the revenue cycle and simplify the reimbursement process to ensure revenue integrity.

Rely on technology

Adopting technology is also essential to ensure that clinical teams across the healthcare ecosystem are accessing high quality shared data to produce the best outcomes. Augmenting the organization’s core systems with complementary technologies on a single, integrated platform enhances internal collaboration with other teams or departments. For instance, RightPatient crosses departmental silos and brings transparency to patient healthcare data across disparate domains. Transparency across teams is critical. RightPatient will ensure that a holistic and accurate medical record of each patient can be accessed by clinical and operational staff members no matter where the patient is authenticated. By automating the patient identification and authentication process, RightPatient improves clinical outcomes and enables staff to proactively focus on other areas where their expertise has the most impact.

Ensure compliance

According to the National Association of Healthcare Revenue Integrity (NAHRI), the goal of revenue integrity is to prevent issues that lead to revenue leakage or compliance risks through effective, efficient, and internal controls across the care continuum, supported by strong documentation and sound financial practices that can withstand audits at any time.

Violation of healthcare compliance is a major contributing factor to financial losses. For instance, HIPAA violations are becoming more common across the U.S healthcare system. HIPAA compliance software, on the other hand, can help address this issue. Such software allows healthcare providers to simplify their compliance efforts and manage training through an effective communication system. Ensuring HIPAA compliance prevents privacy issues that can impact proper revenue cycle management and helps to avoid costly financial losses.

Accurate documentation and coding

Unfortunately, as long as healthcare providers do not address the issue of front-end data validation, claim denials will continue to wreak havoc. Inaccurate patient identification and medical identity theft still remain a major contributing factor to denied claims and payment delays. However, through accurate patient identification, RightPatient enables healthcare providers to bill and code each patients’ information accurately. By ensuring accurate and clinical documentation, this platform significantly reduces inefficiencies of denials and rework, thereby strengthening revenue integrity.

Improve hygiene and foster patient trust with RightPatient

Healthcare providers are witnessing a reduction in non-infected patient activity due to the fear of COVID-19. Visits for general check-ups or other routine procedures have decreased to the obvious financial detriment of healthcare providers. These providers need to reassure their patients that they are taking all precautionary steps to maintain hygiene and control this contagious disease. Adopting RightPatient is a sensible part of this strategy.

RightPatient is a completely touchless biometric patient identification platform that can accurately identify patients throughout the continuum of care. After capturing a photo from a smartphone, tablet, or webcam, RightPatient instantly identifies patients and retrieves their correct medical record. By securing unauthorized access to medical records, hospitals are able to prevent medical identity theft, reduce denied claims, and duplicate records – all of which are vital to a high-performing revenue cycle.

RightPatient also offers remote patient authentication, which is becoming increasingly necessary as people are maintaining social distance by staying at home and getting treatment through telehealth practices. During this process, RightPatient validates patient identities by comparing their ID (e.g. driver’s license) and selfie photos. This process can also help healthcare providers to save money on more expensive identity proofing solutions through credit agencies.

As patient care becomes more complex, so does the management of the revenue cycle. RightPatient can help to simplify and manage the complexity by ensuring safe, ubiquitous patient authentication from various patient encounter points. Full financial recovery from this pandemic may take years, but adopting RightPatient will ensure that you are on a faster path to success.

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

May 28, 2020/5687 views / 0 Comments/in BLOG, Medical Identity Theft, Patient Identification, Photo Biometrics /by Matt Gibson

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?

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.

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.

Impact of Duplicate Medical Records in Healthcare can be Mitigated

May 25, 2020/6657 views / 0 Comments/in BLOG, Duplicate Medical Records, Patient Identification /by Matt Gibson

The novel coronavirus is probably one of the biggest challenges the U.S. healthcare system has ever faced. However, the healthcare industry is not new to problems – it has constantly been plagued with issues, although, not of the same magnitude as COVID-19. One of the biggest challenges it faces is patient identification errors and this is a direct impact of duplicate medical records in healthcare, among other factors. Let’s see why it happens and how it can be reduced.

Duplicate records in a nutshell

Duplicate medical records are where there are multiple patient records referring to the same patient stored in an EHR (Electronic Health Record) system. Multiple records are usually created due to human errors. For instance, if William Johnson goes to the hospital, the EHR user will search by his name, ask some questions, and go through the standard procedure for identifying the patient. Now, there might be quite a few medical records named William Johnson and the EHR user may get confused, leaving two choices – searching until finding the most appropriate record or making a new one. Many hospitals house millions of records, and there is also a high probability that there may be quite a lot of “William Johnsons” sharing the same information as the actual patient. Thus, if the EHR user cannot find the appropriate record from this vast sea of EHRs for William Johnson, and a duplicate medical record gets created.

Impact of duplicate medical records in healthcare – some findings

According to a study conducted by Black Book Research, the impact of duplicate records includes patient identification errors, repeated care, redundant medical tests, and denied claims – all of which lead to increased costs. Overall, these problems cost the healthcare system billions of dollars each year.

But why is the cost so high? Well, on average, duplicate records occupy almost 20% of the EHR system of any given healthcare provider.

Another problem of medical records similar to duplicates is overlays. The latter is caused when records of patients are merged into a single one – generating inconsistent information such as a fragmented medical history.

Both duplicate medical records and record overlays have serious consequences – not only for a hospital where financials and revenue cycles are impacted, but patient safety is also jeopardized. Duplicate medical records often contain inaccurate or incomplete medical history and can lead to wrong treatments due to factors like medication, lab test results, and allergies not being mentioned. These can even cost a patient their lives. Thus, the impact of duplicate medical records in healthcare is significant and needs to be addressed effectively.

Leading hospitals are mitigating effects of duplicates

Even though the majority of hospitals are suffering from the impact of duplicate medical records in healthcare, many pioneering providers have taken steps to mitigate the costs associated with duplicate records.

They went to the root of the problem – why are duplicates and overlays being created in the first place? It is because the EHR users are not able to identify the patients accurately. If an EHR system houses millions of patient records, who can blame them? Common names and information lead to the creation of duplicates and generate patient identification errors. This is exactly what RightPatient prevents.

RightPatient is a contactless biometric patient identification platform that can seamlessly be integrated with EHR systems. It locks the medical records of the patients with their biometric data upon enrollment. When they return, all they need to do is look at the camera and the platform identifies their accurate medical record within seconds, creating a contactless and hygienic experience without hospitals having to think about infection control issues. Since it accurately identifies the patients, it prevents the creation of duplicate medical records. Pioneers like Grady Health, Terrebonne General Medical Center, and University Health Care System are using RightPatient and preventing duplicate records, improving revenue cycle, and saving millions in the process, all the while improving patient safety.

Healthcare Data Breach Statistics show 40 Million Patients were affected in 2019

May 19, 2020/6967 views / 0 Comments/in BLOG, Cybersecurity, Data Breach, healthcare, Medical Identity Theft, Patient Identification /by Matt Gibson

Data breaches – this topic has been covered a lot here. That’s because it is so prevalent and is constantly haunting big and small healthcare providers across the U.S. In 2019, a whopping 40 million people were affected by healthcare data breaches. To put this in perspective, 14 million people were affected, according to healthcare data breach statistics in 2018.

A recent study has also shown that 2019’s numbers were higher than the 2015 data breaches where over 113 million records were exposed. The report from the study emphasizes how over 400 organizations experienced breaches consisting of more than 500 patient records. Even though some providers are working to increase security, they are finding it challenging to stay ahead of the curve.

The reported data breaches increased by 38 percent from January to October 2019, compared to 2018. More than 429 organizations reported breaches, which is considerably higher than the 371 organizations reporting data breaches in 2018.

The result?

40 million people were affected by these data breaches, and these are the data breaches that were actually reported. However, the aforementioned study claimed that more than 480 organizations would be affected by data breaches in 2019.

Hacking was consistently the main cause of data breaches from 2016. However, hacking stole the spotlight in 2019with 59 percent of the reported data breaches a result of hacking.

Another tool used by cybercriminals is email.

Stolen medical records often contain sensitive information of the patients – their medical history, their medications, test results, names, addresses, and so on. The hackers usually sell this information on the black market where buyers assume the identities of the affected patients.

Patients can serve hospitals with lawsuits for not protecting their sensitive data. Some patients spend a lot of time having their medical records fixed, which is costly for the patients, the hospitals, as well as the insurers. It is a loss for everyone involved.

What can hospitals do?

While data breaches can not be stopped so easily, thankfully medical identity theft can be prevented. This is where RightPatient comes in – it locks the medical records of the patients with their biometric data and also attaches a photo to the medical records. Even if the medical records are stolen, the patient data will remain safe. If a person attempts to assume the identity of a patient, RightPatient immediately red flags the user and lets authorities know, preventing medical identity theft in real-time. Healthcare providers are protecting millions of patient records with RightPatient, mitigating losses, improving the revenue cycle, preventing being a part of healthcare data breach statistics, and enhancing patient safety – are you one of them?

Improving Patient Safety and Quality of Care – Contactless Patient Identification

May 13, 2020/11228 views / 1 Comment/in BLOG, Clinical Efficiency, COVID-19, Future of Biometrics, healthcare, Infection Control, Patient Experience, Patient Identification, Patient Matching, Patient Outcomes, Patient Safety /by Ryan Stephens

The World Health Organization (WHO) published “Social Distancing” guidelines to limit the spread of this deadly COVID-19 pandemic outbreak. Similar to many other countries, healthcare leaders in the U.S. have been in search of solutions for improving patient safety and quality of care while maintaining social distancing.

Up until now, the use of biometric identification solutions has probably not been considered for preventing the spread of diseases in many workplaces. The rapid, worldwide spread of the Coronavirus has put hygiene and the ability to control the spread of contagious diseases at the forefront in the minds of many people across various industries. While many healthcare leaders have adopted technology in hospitals for improving patient safety and quality of care, a large number of healthcare providers still rely on antiquated solutions for patient identification.

Biometric technology is forecasted to grow across industries

Many industries are now considering biometric technologies for identification and authentication. Biometric identification as a service is already experiencing significant growth. With increased utilization of smart mobile devices and cloud-based intelligence platforms, biometric identification is now more accessible and scalable. Face or iris recognition techniques, in particular, are very effective in limiting the spread of contagious diseases.

According to the Future Market Insights (FMI), the COVID-19 pandemic has accelerated the consideration of contactless biometric solutions because of the sudden need for social distancing. By the end of 2020, global spending on contactless biometric technologies is estimated to be $16.6 billion.

The New York Police Department (NYPD) has stopped using fingerprint identification for staff members and employees entering the building, and is now using a contactless biometric system.

Improving Patient Safety and Quality of Care in hospitals

Improving patient safety and quality of care is more than simply making the patient happy. Healthcare providers need to understand that for a positive patient experience, ensuring patient safety protecting the patient from preventable harms is equally important.

Biometric patient identification can be a contactless process to identify patients fast and accurately. A contactless biometric patient identification platform does not require all patients to touch a biometric device during the identification process and accurately retrieves an individual’s medical records. While this process is a great way to control infection, it has also proven to be effective in preventing duplicate medical records and medical identity theft, thereby improving patient safety and quality of care.

RightPatient – the leading contactless biometric patient identification provider

RightPatient offers iris and facial recognition biometric patient identification solutions for healthcare providers. Several leading hospitals such as The University Health Care System and Terrebonne General Medical Center (TGMC) are already improving patient safety and quality of care by using RightPatient.

During registration, the patient simply takes their picture. RightPatient quickly recognizes the patient and retrieves the correct medical record from the healthcare provider’s EHR system. The process is fast, simple, and contactless, which is ideal for infection control, especially during the COVID-19 pandemic.

Several leading hospitals have also improved fraud detection and prevented medical identity theft by using RightPatient. This platform is the key to securing patients’ medical records – and at a distance.