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Know Your Patient Procedures Retarding Online Medical Fraud

Know Your Patient

It’s past time for the healthcare business to consider more than simply delivering medical treatment to its clients; protecting patient privacy and confidentiality is becoming increasingly important. Theft/manipulation/fraud, or whatever you want to name it, is a problem that virtually every firm encounters today. Surprisingly, it doesn’t vary much between companies.

Identity fraud is wreaking havoc on sectors, incurring millions of dollars in losses. Thefts from medical institutes are not uncommon. 

The most recent AMCA data breach exposed 2.2 million patient details, prompting the company to declare bankruptcy. The relevance of patient identity verification is growing. On the other side, the world is rapidly becoming totally digital, necessitating a desire to examine this growing digitalization. Government regulators are concerned about patient confidentiality and service misdelivery as a result of these rapid developments. Let’s look at other similar Know Your Patient (KYP) use cases in the medical field.

The significance of Know Your Patient

Have you ever wondered why doctors and other medical institutions insist on patients presenting documentation for verification? Whenever anyone asks for credit or opens a bank account, the medical staff has to know who they’re serving, similar to how a financial institution (KYC) knows who they’re dealing with. In hospitals, digital identity validation is critical. To combat medical theft, security breaches, and hacking, Know Your Patient should be the first measure. 

Ascertain the client’s identification for each patient identity and implement efficient methods for delivering the medication, paperwork, and lab tests to a genuine patient. The regulatory requirements under legislation involve patient verification and patient data protection like the US’s Health Insurance Portability and Accountability Act (HIPAA) and HITECH, as well as the UK’s GPHC guidelines. 

Medical fraudsters attempt to breach the health data security system by obtaining authorization to the patient’s identity data, which is subsequently exploited for nefarious reasons that might be harmful to the consumer. This is especially widespread on digital sites, where criminal activity or personal data theft can lead to comprehensive data breaches; it’s also important to verify the patient’s age before making a suggestion. These safety measures have been applied at the system’s end by a genuine and respected medical business.

Key use cases of digital identity verification

To properly undertake digital verification, technological advancements necessitate novel solutions. An elevated approach for combating fraudulent identities and confirming their statements that they are who they say they are. Let’s look at the use cases it addresses, taking into account the demand for online id validation in medical institutions.

In protecting patient’s data

To deal with patient data, the HIPAA has established a set of norms and procedures. This set of recommendations must be followed by every healthcare company on a formal basis in order to protect crucial information. To prevent data theft and protect the integrity of medical information, the information flow should be monitored on a regular basis. Any discrepancy might cause serious harm to the patient.

In age verification for remote prescription

Before administering medications to a patient, digital clinics must verify his or her identification. Patients’ ages should be verified through online clinics and medical portals. There is age-restricted medicine available on online channels, which requires a thorough age verification check to avoid selling medications to minors.

In insurance field

A medical fraudster can use such information to obtain medical insurance, obtain the recommended medication, and make a lawsuit with the healthcare insurance company. If the criminal falsifies the patient’s identity, it might have a serious impact on their health due to an inefficient health information security system.

Wrapping it up

To summarize, Know Your Patient is critical for the healthcare business, just as it is for financial institutions. This fact can help to reduce identity fraud and security breaches or forgeries. This progress in the patient onboarding procedures is necessitated by the significant rise in medical identity theft. 

Hospitals and other medical institutions should strengthen their data protection procedures to thwart any deceitful activities. As a consequence, Know Your Patient procedures cannot be put more emphasis on, and the selection of third-party service providers must be based on thorough research and testing.

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