Introduction To Medical Identity Fraud
As highlighted at the Health 2.0 Conference’s Winter Edition, medical identity fraud occurs when someone uses another person's personal information to obtain medical care or services.
Medical identity theft is a growing problem in healthcare because of the increasing amount of personal health information stored electronically and the ease with which it can be accessed and shared, reviews Health 2.0 Conference.
Understanding Patient’s Perspective On The Matter
The experts who will grace the Health
2.0 Conference’s Spring Edition say that medical identity scam can lead to inaccurate medical records, incorrect diagnoses, inappropriate treatments, and even financial loss due to fraudulent medical charges.
● Patients may discover that someone has used their medical identity to receive medical care, to fill a prescription, or to obtain medical equipment.
● Medical identity scam can be emotionally traumatic for patients who may feel violated and vulnerable, as per the reviews collected at the Health
2.0 Conference’s post conference sessions.
● Patients may lose trust in healthcare providers and institutions they feel have not done enough to protect their health information.
Understanding Hospital’s Perspective On The Matter
experts, can impact hospital operations and finances by increasing the cost of medical care and exposing hospitals to legal and regulatory penalties.
● Hospitals may incur costs related to investigating and resolving fraudulent claims and may be subject to fines or legal action if they are found to have violated patient privacy laws.
● Hospitals have a legal and ethical responsibility to protect patient privacy and are subject to various state and federal laws and regulations related to patient privacy and data security– reviews collected from Health 2.0 Conference.
Hospitals may be held liable for damages resulting from medical identity theft and may face fines or penalties if
Prevention Strategies For Patients & Hospitals
Tips may include safeguarding personal information, monitoring credit reports, reviewing medical bills and statements, and reporting suspicious activity to healthcare providers and law enforcement.
Protecting personal information and monitoring credit reports can help patients detect and prevent medical identity theft.
Hospital staff should be trained to recognize signs of medical identity theft and to take appropriate action to prevent it. ● Best practices may include using strong passwords, encrypting patient data, restricting access to patient information, and regularly monitoring for suspicious activity.
Detection Strategies For Patients & Hospitals
● Patients can detect identity theft by reviewing medical bills and statements, monitoring credit reports, and staying alert for suspicious activity.
● Warning signs may include receiving bills for services that were not received, receiving calls from debt collectors for medical bills that were not incurred, or noticing errors in medical records.
● Hospitals can implement monitoring systems to detect and prevent medical identity theft. Check out the next slide to get an all-inclusive guide as shared at the Health 2.0 Conference’s global platform to what hospitals can do to fight fraud effectively.
reviews of patient records to ensure that all information is accurate and up-to-date. This can help identify any discrepancies or inconsistencies that may be signs of medical identity theft.
● Monitor patient activity: Hospitals can use monitoring systems to track patient activity, including the types of services and treatments received and any medications or medical devices prescribed or dispensed. This can help identify any suspicious activity related to medical identity theft, reviews an expert who attended the Winter Edition of Health 2.0 Conference.
● Flag high-risk patients: Hospitals can identify patients who may be at high risk for medical identity theft, such as those with a history of identity theft or who have been victims of a data breach. These patients can be flagged for additional monitoring and scrutiny to prevent fraud, as per the Health
2.0 Conference experts.
● Train staff to recognize signs of medical identity theft: Hospital staff should be trained to recognize signs of medical identity theft, such as inconsistencies in patient records or suspicious activity in patient accounts. Staff should also know how to report suspicious activity to