The healthcare sector is becoming a viable target for fraudsters and cyber criminals since it is shifting medical assistance online. Due to the absence of robust patient verification solutions, the medicare sector creates loopholes. As healthcare centers hold tons of sensitive data, they need more than just information verification to differentiate between legit patients and fraudsters.
Since digital advancements are streamlining the medicare processes, fraudsters are making their way to exploit medical benefits. In order to restrict their access, the medicare sector needs to bring in effective know your patient solutions. This will help them secure records and assist the right patients. The blog covers prominent use cases of AI-powered patient identity verification solutions and the services they provide.
Patient Identity Verification Solutions – Solutions to Ensure Compliance
Keeping in view the rise in fraudsters’ unauthorized access, regulatory bodies are enforcing strict know your patient regulations. These focus on accurate identity verification, safeguarding medical records, granting access to legit patients, and eliminating discrepancies. The regulations like HIPAA and HITECH mandate hospitals, pharmacies, and other such facilities to verify patients’ identities prior to providing virtual assistance.
However, in this digital era, adhering to just this standard is not enough. Fraudsters are using advanced methods to exploit patient verification checks and easily onboard platforms. Therefore, healthcare providers require robust solutions to validate identities as well as keep track of records. Moreover, only legit patients will be granted access to their medical records. Online identifying patient solutions further provide the following:
Reduces Discrepancies
The AI-powered know your patient solutions are streamlining the onboarding process by incorporating automatic screening and verification. The system instantly extracts data for validation. This eliminates human errors and chances of inaccurate entries. Healthcare centers can further allocate the right treatment to patients.
Identity Verification for HIPAA
As per the regulatory standards, patient verification is a must. Since the records, treatments, consultancy, and visits are all gone virtual, the need for efficient patient age verification and information validation is becoming more of a liability. The AI-powered solutions help medicare providers verify identities as per the standards set by HIPAA, HITECH, and other regulations.
Counters Medical Identity Fraud
The foremost advantage of digital know your patient solutions is that they help medicare centers to combat medical identity fraud. This involves false insurance claims, fake information to avail benefits, stolen payment details, and much more. All this occurs when fraudsters illegitimately get their hands on medical records. In order to better safeguard electronic medical records, online patient verification is a reliable option.
Handles Prescription Fraud
With easy access to drug stores, minors’ identification has become difficult. This lead to fatal consequences as e-pharmacies deal with age-restricted drugs as well. To restrict minors’ access, General Pharmaceutical Council (GPhC) mandates online stores to verify patient identity and age prior to dispatching any medicines. However, in this digital sphere, it has become somewhat tricky as minors use fake information to bypass the checks.
With robust and efficient patient age verification solutions in place pharmacies can identify minors in real-time. With its liveness detection and facial analysis, drug e-stores can add an additional layer of identification. Ultimately, they can comply with set standards as well as protect minors from getting exposed to life-threatening drugs.
Optimizes Digital Operations
Technological solutions are taking over the healthcare sector with various innovations like telehealth, online store, virtual consultancy, and much more. Where on one side it is minimizing the hassle for patients who can avail treatments without leaving their homes. It is increasing challenges on the other. With online patient verification solutions, they can easily and instantly verify their identities. The information is stored in the database which helps in future log-ins and ensures easy access to medical records.
With all these advantages, online assistance has some backlashes such as a high risk of data breaches and fraudulent onboarding. However, know your patient services are clever enough to gate fraudsters without the need for human interpretation. Digital solutions are reliable options to identify patients.
Biometric Verification for Authenticity
Patient identification is not something new, however, biometric-based ID verification for pharmacies, hospitals, and other affiliates is seen taking over in recent years. This is because information validation is not enough as fraudsters are equipped with advanced tools to exploit this process.
Therefore, medicare providers require AI-powered patient verification solutions. They provide biometric verification which involves authentic checks. For instance, facial verification, liveness detection, iris/retina scan, and others.
Concluding Remarks
The healthcare sector is facing a rise in challenges ever since it started incorporating innovative solutions for patient assistance. Telemedicine is paving way for fraudsters to commit identity fraud and avail illicit medical benefits. This is why the need for efficient know your patient solutions is increasing for medicare centers and their affiliates. With their robust identity checks, AI-powered identifying patient solutions are safeguarding the healthcare sector against fraudulent attempts.
