The failure to pinpoint patients precisely in the healthcare industry continues to produce diagnosis and medication errors, health insurance fraud, duplicate medical records, and processes on the wrong person. As a result, healthcare companies must properly manage and gather information to verify patient identity to prevent any sort of medical identity theft, enhance medical record accuracy, and follow HIPAA regulations. This highlights the significance of eligibility verification services.

Introduction

The quantity of data flow in healthcare is more than in any other industry. However, it doesn’t mean anything if the patient is unable to match their identity with their records or it is compromised. Authenticating a patient’s identity before beginning a medical service or treatment is important for guaranteeing a positive experience for the patient. The failure of healthcare providers to precisely pinpoint their patients during the time of the COVID-19 pandemic has produced incorrect treatments and slow procedures. This has even encouraged insurance fraudsters to take undue benefits from this chaotic scenario.

That being said, Scriberunner has been assisting healthcare providers keep exact records associated with the right identity for years now. This guarantees recovery and effective healthcare treatment. The COVID-19 pandemic has been a major substance for the deliberation of futureproof eligibility verification solutions, such as Scriberunner, for authenticating patient identity. The reason for this is that our solution assists providers in maintaining a clean environment and limiting the proliferation of contagious diseases.

Keeping this scenario under consideration, we are presenting to you 3 ways through which a complete eligibility form impacts your healthcare experience.

Authenticating Patient Identity To Safeguard Stealing of Medical Identity

During the pandemic, security experts warn that the threat of stealing medical identity is distant from over. This is because the attackers know to take advantage of this scenario. Healthcare providers and patients always suffer from theft of medical identity. The illegal access of a patient’s personally identifiable information and utilizing this data fraudulently attain services, goods, and medical treatment.

Decreases Data Inconsistencies In Medical Records

Questionably, the greatest damaging apprehension for healthcare providers is wrong and possibly life-changing data being put on someone’s medical record. Wrong records have been the major cause of inaccurate treatments, postponements in processes, and even the development of duplicate overlays and records. medical records are very complex to alter as they are meant to be a comprehensive and permanent account of a person’s healthcare history. Therefore, authenticating a patient’s accurate identity by matching their data with their medical records can assist providers in eliminating financial losses because of fraudulent claims and enhance data integrity.  

Authenticate Your Patient Identity For Compliance

In the US, different state, industry-specific, and federal compliance regulations like HITEC and HIPAA have been created for authenticating patient identity. Not complying with these acts can lead to heavy financial penalties being issued, and in worst-case situations, criminal charges being filed.

HIPAA is the abbreviation for the Health Insurance Portability and Accountability Act 1996. It is a federal law that offers data privacy and security provisions, to safeguard the medical information of the patient. It allows flawless transition of electronic records and needs suitable control over the utilization and disclosure of medical records.

Any company that pacts with protected health information (PHI) is needed to comply with HIPAA’s regulations and rules. The law contains different standard verification requirements for the revelation of PHI. Under this section:

Other than for disclosures made under section 164.510, you must confirm the identity of anyone asking for protected health information and their right to access such information under this subpart, provided that the covered entity doesn’t already know who they are or their authority.

Various conditions suggest that it is legal for companies to adopt reasonable steps, like utilizing HIPSS compliance software and incorporating platforms like Scriberunner for authenticating patient identity, to guarantee compliance. HIPAA compliance also guarantees that there are suitable safeguards in place to safeguard PHI from unlawful breaches and disclosure.

Frequently Asked Questions (FAQs)

What is the VOB procedure?

The VOB procedure goes outside confirming that the insurance of the patient is active. It entails the in-depth examination of the coverage details to evade surprises and guarantee a flawless experience for both the provider and the patient.

What is meant by eligibility verification?

Eligibility verification is the procedure medical practices incorporate to assess whether a patient has active coverage with a recognized payer. Insurance companies regularly make policy amendments that could impact patient eligibility.

Why is verification required?

The significance of identity verification cannot be exaggerated, as it assists in safeguarding both organizations and individuals from fraud and identity-related risks. By authenticating a person’s identity, companies can decrease the risk of legal exposure, reputational damage and financial loss.

Scriberunner is a top-notch eligibility verification service provider. If you want similar services, please contact us.

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