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Increasing Patient Fraud
Health 2.0 Conference Reviews Healthcare Providers’
Perspective
➢ Understanding Healthcare Fraud
➢ Importance Of Knowing Your Patients
➢ How To Develop A KYP Program
Table Of Contents
Understanding Healthcare Fraud
❏ With most healthcare providers offering video visits and the option to
onboard new patients remotely, healthcare has wholly embraced the digital
era.
❏ But this digital revolution has also been accompanied by a sharp increase in
healthcare data breaches and number of several other frauds, as
highlighted at the Health 2.0 Conference’s previous edition.
❏ These data breaches violate patients' privacy and significantly enhance the
likelihood of medical fraud since they give hackers and those who buy stolen
data on the dark web the ability to pose more easily as actual patients.
❏ To be sure that their patients are who they say they are, patients in all areas
of health care must be thoroughly screened and verified, suggested by
speakers of the Health2Conf regarding tackling healthcare spam efficiently.
Running an online health care business, whether you're a pharmacy or a medical
practitioner, requires finding solutions to the following problems to fight scam,
quipped in the panel discussions of the Health 2.0 Conference:
1. Bringing on new patients remotely
1. Transferring current patients from in-person to online
1. Every visit, a patient's identification is confirmed
1. Preventing fraud, health smugglers, and drug abuse
1. Keeping your reputation safe
Importance Of Knowing Your Patients
The following slide contains importance of installing a Knowing Your
Patient Program as explained by healthcare professionals at the
international platform of the Health 2.0 Conference to fight fraud
→
❏ Financial institutions employ the Know Your Customer (KYC) procedure as a
crucial tool to confirm the identification of their consumers and lessen the
likelihood of financial crime.
❏ Adding further the professional at the Health 2.0 Conference said that the
health care sector must also implement Know Your Patient (KYP) procedures
to combat the alarming increase in prescription and insurance spam and to
confirm that patients are of legal age to receive specific treatments and
operations.
❏ Hospitals, pharmacies, and laboratories use online identity proofing
technologies to prevent imposters from receiving sensitive medical
information, test results, and prescriptions.
❏ Furthermore, the effectiveness and quality of patient care can be increased
and scam rate will be decreased with the proper solution discussed in the
Health 2.0 Conference.
How To Develop A KYP Program?
When creating a Know Your Patient program, health care companies might handle
the challenges in one of the ways as recommended by experts who will attend the
Health 2.0 Conference’s upcoming addition to find out the most prominent solution
against healthcare spam:
● Step 1: To confirm the identity of the individual creating the online account, a
live selfie (from which a biometric template is formed) and a government-issued
ID (such as a driver's license, passport, or ID card) are taken via a smartphone or
computer's webcam.
● Step 2: Verify that the ID is legitimate and unmodified and that the patient seen
in the selfie is who is depicted on the ID.
● Step 3: To reduce risk and loss, use fraud detection analytics to check the
returning identification for minimum age requirements and possible fraud.
● Step 4: Depending on the results, allow or refuse the new online account and
attempted transactions or optionally direct the patient to a video verification
session.
Thank You!
This Presentation Is Prepared By,
Sarika Gautam
Manager, Health 2.0 Conference

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Increasing Patient Fraud- Health 2.0 Conference Reviews Healthcare Providers’ Perspective

  • 1. Increasing Patient Fraud Health 2.0 Conference Reviews Healthcare Providers’ Perspective
  • 2. ➢ Understanding Healthcare Fraud ➢ Importance Of Knowing Your Patients ➢ How To Develop A KYP Program Table Of Contents
  • 4. ❏ With most healthcare providers offering video visits and the option to onboard new patients remotely, healthcare has wholly embraced the digital era. ❏ But this digital revolution has also been accompanied by a sharp increase in healthcare data breaches and number of several other frauds, as highlighted at the Health 2.0 Conference’s previous edition. ❏ These data breaches violate patients' privacy and significantly enhance the likelihood of medical fraud since they give hackers and those who buy stolen data on the dark web the ability to pose more easily as actual patients. ❏ To be sure that their patients are who they say they are, patients in all areas of health care must be thoroughly screened and verified, suggested by speakers of the Health2Conf regarding tackling healthcare spam efficiently.
  • 5. Running an online health care business, whether you're a pharmacy or a medical practitioner, requires finding solutions to the following problems to fight scam, quipped in the panel discussions of the Health 2.0 Conference: 1. Bringing on new patients remotely 1. Transferring current patients from in-person to online 1. Every visit, a patient's identification is confirmed 1. Preventing fraud, health smugglers, and drug abuse 1. Keeping your reputation safe
  • 6. Importance Of Knowing Your Patients
  • 7. The following slide contains importance of installing a Knowing Your Patient Program as explained by healthcare professionals at the international platform of the Health 2.0 Conference to fight fraud →
  • 8. ❏ Financial institutions employ the Know Your Customer (KYC) procedure as a crucial tool to confirm the identification of their consumers and lessen the likelihood of financial crime. ❏ Adding further the professional at the Health 2.0 Conference said that the health care sector must also implement Know Your Patient (KYP) procedures to combat the alarming increase in prescription and insurance spam and to confirm that patients are of legal age to receive specific treatments and operations. ❏ Hospitals, pharmacies, and laboratories use online identity proofing technologies to prevent imposters from receiving sensitive medical information, test results, and prescriptions. ❏ Furthermore, the effectiveness and quality of patient care can be increased and scam rate will be decreased with the proper solution discussed in the Health 2.0 Conference.
  • 9. How To Develop A KYP Program?
  • 10. When creating a Know Your Patient program, health care companies might handle the challenges in one of the ways as recommended by experts who will attend the Health 2.0 Conference’s upcoming addition to find out the most prominent solution against healthcare spam: ● Step 1: To confirm the identity of the individual creating the online account, a live selfie (from which a biometric template is formed) and a government-issued ID (such as a driver's license, passport, or ID card) are taken via a smartphone or computer's webcam. ● Step 2: Verify that the ID is legitimate and unmodified and that the patient seen in the selfie is who is depicted on the ID.
  • 11. ● Step 3: To reduce risk and loss, use fraud detection analytics to check the returning identification for minimum age requirements and possible fraud. ● Step 4: Depending on the results, allow or refuse the new online account and attempted transactions or optionally direct the patient to a video verification session.
  • 12. Thank You! This Presentation Is Prepared By, Sarika Gautam Manager, Health 2.0 Conference

Editor's Notes

  1. This presentation by Health 2.0 Conference reviews and delves into the importance of knowing your patient program to fight fraud, scams, and spam while it's nascent. This presentation shares the values given by healthcare professionals on tackling spam single handedly.