The impact of patient misidentification on hospital revenue cycles

When patients are misidentified, hospitals lose revenue. Patient identification errors result in denied medical claims and write-offs, unnecessary duplicative testing, costly clean-up of duplicate and overlaid medical records, and a loss in patient retention.

A recent report from the Advisory Board found that 30% of denied claims are a result of misidentification. As a result, hospitals lose an average of net patient revenue from 1% to 5%, or $2 million to $3 million annually, for an average 300-bed organization.

Duplicate medical records make up 8% of all hospital medical records and are a large source of patient misidentification, costing hospitals up to $1,000 to fix. Overlays are even more complex, costing up to $5,000 to cleanse and unmerge. Further, in many scenarios, a physician may not have the correct medical history for the patient and they order unnecessary orders and testing, which the hospital is later not reimbursed for.

patient-misidentification

How positive patient identification can help

Positive patient identification solutions that identify patients at registration and point of care can significantly improve the accuracy of patient identification and:

  • Boost hospital revenue and reduce denied claims
  • Eliminate costs associated with duplicates and overlays
  • Prevent denied claims from medical insurance fraud

Imprivata PatientSecure Imprivata PatientSecure™ is a positive patient identification solution that uses palm vein recognition technology to accurately and securely identify patients and retrieve their digital health records at any location within the health network. Imprivata PatientSecure creates a 1:1 link between a patient’s unique biometric information and their individual medical records. The biometric identification solution is conveniently embedded in the hospital information system’s work flow through integration with existing EMR, EMPI, HIS, and ADT systems. Imprivata PatientSecure is proven to help hospitals overcome their patient identification challenges resulting in improved patient safety, revenue cycle efficiency, and patient satisfaction while reducing medical identity theft and insurance fraud.