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Whitepaper

Mitigating Medical Identity Theft and Fraud in Healthcare: What Should Healthcare Providers Do?
Aug 21, 2023
5 minutes

Mitigating Medical Identity Theft and Fraud in Healthcare: What Should Healthcare Providers Do?

Medical identity theft and fraud are big problems in healthcare today. They cost billions of dollars every year and hurt patients, doctors, and hospitals. The whitepaper Fraud and Medical Identity Theft in Healthcare by Capline Healthcare Management explains what these issues are, why they matter, and how to stop them.

What Is Medical Identity Theft?

When people’s data gets stolen, people lose trust in it. In addition, they can get in trouble with laws such as the Health Insurance Portability and Accountability Act (HIPAA) because they need to protect your data. Breaking them may even incur big fines or lawsuits. The whitepaper shares some shocking facts: every year, over 10 million people in the U.S. are victims of identity fraud, and many cases involve healthcare. Stolen medical data is worth 20 to 50 times more than credit card information because it’s so useful to criminals. In 2021, a huge data breach hit 3.5 million people in the U.S., showing how serious this problem is.

This kind of theft doesn’t just cost money. It can mess up your medical records, leading to wrong diagnoses or treatments. One in five victims of medical identity theft gets the wrong care because of mixed-up records. This can be dangerous and make patients lose trust in their doctors.

How Fraud Hurts Healthcare

Fraud, like fake billing or claiming services that never happened, takes money away from healthcare. Insurance companies lose thousands of dollars every year, and hospitals have to spend more to fix these problems. The whitepaper explains that this money could be used for better patient care, like hiring more nurses or buying new equipment. Instead, it’s wasted on fighting fraud, which also raises insurance costs for everyone.

Hospitals and clinics lose more than just money. When people’s data gets stolen, people lose trust in it. In addition, they can get in trouble with laws such as the Health Insurance Portability and Accountability Act (HIPAA) because they need to protect your data. Breaking them may even incur big fines or lawsuits.

Types of Fraud to Watch Out For

The whitepaper lists three common ways fraud happens in healthcare:

  • Fake Billing Scams: Crooks use stolen information to charge for doctor visits, medicines, or equipment that never happened. This trick insurance companies and costs patients money.
  • Insurance Fraud: Thieves pretend to be someone else to get free medical care or drugs, which messes up insurance plans for honest people.
  • Data Hacks: Criminals break into hospital computers using tricks like fake emails or websites to steal patient information. This can lead to big problems for everyone.

These examples show how sneaky fraudsters can be, using both high-tech hacks and simple lies to steal information.

Why This Hurts Patients and Doctors

Medical identity theft causes a lot of trouble. For patients, it can mean getting the wrong treatment because their records are wrong. This can delay care or even make them sicker. For doctors and hospitals, that is a data breach that looks bad. Patients may well stop trusting them, which harms their business. Meanwhile, the whitepaper also indicates that during the period from 2015 to 2018, medical identity theft increased by 113%, meaning that this problem is on the rise.

Besides, hospitals can have legal issues if they don’t protect their patient data. HIPAA is very specific, with unreasonable costs for breaking these rules running into millions. This is challenging for the hospitals to prioritize helping the patients since they are busy fighting the fraud.

How Capline Helps Stop Fraud

Capline Healthcare Management is a company that helps doctors and hospitals fight fraud. They follow HIPAA rules to keep patient information safe. The whitepaper explains how Capline’s services, like checking patient identities and handling billing, make it harder for thieves to succeed. They use things like two-step verification, where patients confirm who they are in extra ways, to stop fraud before it starts. Capline also makes sure all their systems are secure so hackers can’t get in easily.

By working with Capline, hospitals can save money, keep patients' trust, and focus on providing great care instead of fighting fraud.

Why You Should Read the Full Whitepaper

This summary only covers the basics. The full whitepaper has even more helpful information, like real stories of fraud, tips for stopping it, and new ideas for staying safe from hackers. It also shows how Capline has helped other hospitals solve these problems. If you work in healthcare or care about keeping medical data safe, this whitepaper is for you.

Get the Whitepaper Now

Medical identity theft and fraud hurt everyone in healthcare, from patients to doctors to insurance companies. The Fraud and Medical Identity Theft in Healthcare whitepaper is a great way to learn how to protect yourself and your organization. To get the full details, visit us or email thinkgrowth@caplineservices.com. You can also call 888-444-6041. Don’t wait until fraud hits your hospital—download the whitepaper today and start fighting back!

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