Know Your Patient – Eliminating Identity Theft in the Healthcare Industry

The responsibility for managing and protecting personal data rests with the health sector. As a result of the pandemic and the digitalization associated with it, he had to change the way he works. From selling prescriptions online to digital visits, the healthcare industry is undergoing a revolution. However, these convenient changes give scammers a chance. They use several methods to obtain false health benefits.

As a result, healthcare facilities must use patient-matching technology to ensure that only qualified patients receive care. This also applies to unverified posts. To comply with regulations and protect public health, the healthcare industry must use robust patient verification systems. The blog also provides additional information about Know Your Patient rules.

Procedures to Confirm Patient Identity 

Patient verification is no longer a preventative measure in online age verification. This is now a strict regulatory requirement by the global watchdogs. Since the healthcare industry began offering virtual care, scammers have adopted sophisticated strategies to get paid for healthcare services. Cybercriminals also conduct data breaches in locations where it is simple to gain access to a patient’s electronic records. In this way, businesses can gather reliable information that businesses can use to file insurance claims, collect taxes, and pay for expensive medical procedures. 

Regulators are revising their position on patient knowledge requirements in response to this increase. They strictly enforce several laws such as HITECH, HIPAA, and EMTALA. The guidelines require healthcare facilities to use patient IDs and secure digital patient records. To solve this, companies need to provide a practical solution. If users want to validate their identity with AI patient verification services, they must follow these steps:

1. The system starts off by displaying an online form that requests patients to enter their personally identifiable information.
2. Users can physically present their documents to the camera after entering their information, or they can upload actual images of the documents instead. 
3. In the third step of the patient verification process, information is extracted from documents using OCR tools after they have been checked by the system to see if they are fakes.
4. Afterward, the system verifies the patient’s identity by examining facial features, comparing the information from the form with any uploaded documents, and so forth.
5. The system performs liveness detection tests to verify that the patients are actually present behind the screen.
6. In addition to carrying out additional checks, the system also verifies the patient’s age.
7. If the outcomes are reliable, they are displayed on the monitor, saved to the patient’s file, and made available to registered patients.

3 Benefits of Online Patient Verification

Healthcare service providers are increasingly turning to online assistants to solve patient problems and stay healthy. Patients who want to save money can order their medication online and call their doctor at home. However, these developments pose more serious problems. Therefore, Medicare centers must have facilities for examining patients. The following advantages are also available in the market:

• Patient Tracking and Monitoring

Paying close attention and observing their behavior is an additional benefit when seeking patient verification online. Healthcare organizations are constantly changing the way they deliver medical care. The healthcare industry is changing due to innovations such as EHR and telehealth. Instead, scammers and minors use sneaky tactics to make money and violate the rights of legitimate customers. Therefore, healthcare organizations must establish patient age verification processes to prevent fraud.

• Data Privacy

Without a robust patient screening process, Medicare facilities are more likely to experience outliers. Fraudsters steal information from medical records, access it illegally, and then use it for their own benefit. Patients moving to new regions for better care also increase data vulnerability.

To solve these problems, healthcare professionals need AI-powered tools with patient authentication capabilities. In addition, they provide ongoing records that reduce the chance of misdiagnosis.

• Decreases Physical Visits

With the growth of telehealth and online health assistance, the healthcare industry now functions differently than it did in the past. In place of traditional consultative settings, there are now video consultations and online pharmacies. Fraudsters use the identities and payment details of real patients to make drug purchases and obtain medical care.

As a result, in order to perform real-time authentication, ID verification for pharmacies is compulsory. It is possible to identify scammers during the onboarding process by using AI-driven patient verification techniques.

Key Takeaways

Protecting the healthcare industry from external fraud threats is becoming increasingly important. Despite some of the risks of digitization, AI-powered patient verification tools can help limit fraudsters’ access. Regulators carry out regular inspections and enforce laws to ensure that this happens in a variety of ways. To maintain standards and provide a better patient experience, healthcare must incorporate automated “know your patient” procedures.