The Top 10  Most Difficult Countries for Identity Verification

The Top 10  Most Difficult Countries for Identity Verification

Download Report

Fighting ID Fraud in the Healthcare Industry With Online ID Verification

b-img-health

While the coronavirus outbreak has emerged with a lot of challenges for the healthcare industry, it is the driving force for the rapid digital transformation across this sector. New technologies are increasing global accessibility, as AI is becoming a crucial part of long-term digitization within the medicare industry. Through customization and adaptability of technologies, hospitals and other organizations can use AI to overcome challenges like enhancing supply chains, streamlining distribution channels, and vaccine trials.

In addition to this, as medicare scams and crimes are rising, health regulation, data privacy, and online identity verification are becoming significant concerns in the healthcare industry. The regulatory bodies’ role is to secure healthcare customers from criminals, provide a safe working environment for medical professionals, and welfare is served by health programs. However, regulations are necessary for both reasons, securing the customers’ PII as well as supervising the industry, ensuring that the rights of people are protected and businesses stay put with the government’s standards.

AI vs. Coronavirus: The Changing Face of the Healthcare Industry

Artificial intelligence is shrinking the world into a crystal ball of technology. Everything is now bound to new smart tools and automation technologies. And then, the coronavirus pandemic hit globally and disrupted the world’s order. Amid the perks of Covid, technology-based tools and solutions became the need of the hour. Due to this reason, the healthcare industry is subject to AI innovations, as this technology holds power to back the medicare sector and take it out from the verge of destruction. The SaaS providers and Fintech companies started to work together to resolve the healthcare issue. New technologies are being used to prune better options for vaccine development, patient identity verification systems, Internet of Medical Things (IoMT), to create solutions to treat patients and secure the industry from cybercriminals.

However, research analysts, while revealing the impact of the coronavirus outbreak on healthcare, say AI and IoMT will play a great role in future pandemics as well. The pandemic emerged as a full-stop in a never-stopping world. Yet, the deadly virus has taken millions and billions of lives globally, but it somehow paved the path for new medicare technologies. New norms like social distancing, work-from-home become normal, and with this smart gadgets came up to assist the health professional to overwatch patients virtually. 

However, for the first stage of Covid-19 till now, artificial intelligence has proved to be the most intelligent technology to tackle coronavirus challenges. The medicare industry is using heaps of AI-backed solutions and devices to treat, monitor, transport aid, enhance supply chains, and even for financial management purposes.

b-img-h-fraud

Real-life Healthcare Industry Crime Cases

The medicare industry was already prone to fraudulent activities even before, coronavirus came into being. But, undoubtedly, the Covid has increased in the number of healthcare frauds, as fraudsters have become more sophisticated with technological revolutions. However, the global pandemic has highlighted the significance of identifying and reporting medicare scams. On another hand, the aftermath of the healthcare frauds could lead to serious issues for both the patients as well as the hospitals. Patients could face financial loss, whereas, health organizations can face regulatory sanctions, hefty fines, and penalties. According to the National Money Laundering Risk Assessment (NMLRA),  health care fraud was the largest source of illicit funds used in money laundering across the US, with over $10 billion in proceeds generated each year. Following are some of the real-life cases that damaged the repute of the healthcare industry.

1. 20 Charged in $146M Healthcare Fraud Scheme in Brooklyn

20 individuals, including four health professionals, have been charged against the medicare scam scheme due to which, Medicaid and other healthcare firms lost $146 million. Law enforcement authority from Brooklyn stated that the suspects were operating a healthcare facility center that recruits the homeless or low-income people and offered them cash to undergo a set of unnecessary medicare tests. Then the criminals publicly advertised insurance programs for performing those tests and through this, they laundered millions through shell companies to Taiwan and Lithuania. Furthermore, once the illicit cash moves out of the country, fraudsters use it to purchase real-estate items or luxury cars.

“This massive scheme, which provided no patient care at all, wasted millions of taxpayer dollars dedicated to Medicaid and Medicare,” Acting Brooklyn District Attorney Eric Gonzalez said in the announcement. 

2. Seven charged in $205 Million Insurance Fraud Scheme 

Seven individuals were charged with false insurance schemes. Victims lost more than $205 million in this scam. For instance, in one case, a doctor providing telemedicine services, the top prescriber in America, worked for more than 10 telemedicine companies, achieved licensed from 17 states, was alleged to making friends and relatives sign telemedicine orders in his name for genetic testing and durable medical equipment that was unnecessary from a medical point of view. However, this scheme individually resulted in $145 million in fake and bogus claims billed to Medicare, and around $54.6 million was paid to the doctors against associated claims.

Global Regulatory Standards and Laws for Healthcare Industry

The healthcare industry is very diverse, thus a unified regulatory system helps to keep the record of the medicare business, whether they are complying with the obligations, legal standards, and protecting patients’ rights or not. Other than this regulatory bodies are efforting and working with medicare companies to come up with legislation to curb the criminal activities from this sector. For example, the California Employment Development Department (EDD) in an effort to overcome disability insurance fraud is all set to make it mandatory for the health service providers to verify their customers’ identities before getting them on board.

The Health Information Technology for Economic and Clinical Health Act (HITECH) 

Under The Health Information Technology for Economic and Clinical Health Act (HITECH), electronic health records of the patients are standardized. This Act was first imposed on the healthcare industry in 2009 to address the rising concerns of patients’ data privacy and security concerns, electronic records, and how they should be used by medical firms. Other than this, this Act strengthens the enforcement of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) that was legislated to secure patient information, obligating the Health and Human Service Office for Civil Rights to carry out audits and imposing sanctions or hefty fines on healthcare companies for breaching of patient information and non-compliant to the laws. However, in case of a data breach, a fine of up to $1.5 million can be imposed on the alleged firm.

The Emergency Medical Treatment and Labor Act (EMTALA) 

Under the Emergency Medical Treatment and Labor Act (EMTALA), The citizens of America can access emergency health services regardless of patients’ ability to pay for services of insurance coverage. However, this Act makes it mandatory for the hospitals and medical coverage centers to provide health screening and first aid treatment to the patients requiring a health emergency. EMTALA is considered to be a high-risk area as identified by the OIG due to conflicting legal interpretations of what constitutes “medical screening” and “stabilization”

Centers for Medicare and Medicaid Services (CMS)

The Centers for Medicare and Medicaid Services (CMS) works under the Department of Health and Human Services (HHS), responsible for administering Medicaid, Medicare, and the children’s Health Insurance Program (CHIP). Administering programs include the enforcement of incorporating regulations and reimbursement steps that medicare businesses need to follow. CMS also oversees the Electronic Health Record (ENR) initiative programs, which sets standards and criteria for electronic health records.

How Shufti can Help

As the healthcare sector is becoming the subject of cybercrimes and bogus fraud schemes, protecting the medicare facilities centers and patients’ rights is the need of the hour. Phishing attacks, identity theft, database breaches, and various other crimes are surging, damaging the healthcare repute as well as limiting its growth.

Shufti’s state-of-the-art digital identity verification services are an all-in-all solution for the healthcare industry, as it allows businesses to determine the true identities of patients before they get medical services or claims insurance bonuses. Furthermore, Shufti comes with more technology-powered services like facial biometric verification, document authentication, consent verification, and much more than completely ensuring that health firms stay put with the constantly-evolving regulatory regime. 

Want to know more about online identity verification for the healthcare industry?

Related Posts

Blog

Facial Recognition | The Principles of Responsible Use and the Legal Landscape

One of the most popular uses of AI nowadays is facial recognition. In all likelihood, it’s ...

Facial Recognition | The Principles of Responsible Use and the Legal Landscape Explore More

Blog

How to Protect Yourself From Cyber Crime in the Holiday Season?

Most people around the world do the majority of their shopping during the holiday season. Accordi...

How to Protect Yourself From Cyber Crime in the Holiday Season? Explore More

Artificial Intelligence, Blog, Identity & KYC

How Biometric Technology is Shaping Up for 2020

The verification of individuals for security measures has become remarkably important for organiz...

How Biometric Technology is Shaping Up for 2020 Explore More

Blog

Digital customer onboarding – Revamping onboarding process in banks

The first impression is what counts most when it comes to customer-oriented services. Banks and f...

Digital customer onboarding – Revamping onboarding process in banks Explore More

Blog

Combating Identity Theft in On-Demand Services with Shufti’s KYC Solution

Transition is the only thing that is inevitable in the universe. Every passing day is changing ou...

Combating Identity Theft in On-Demand Services with Shufti’s KYC Solution Explore More

Blog

Online Dating Scams – ID Verification Solution to the Rescue

COVID-19 exposures and its associated risks with today’s in-person meetups and traditional ...

Online Dating Scams – ID Verification Solution to the Rescue Explore More

Blog

Designing a Risk-free Customer Onboarding Flow for the Freelancing Industry

Freelancing websites saw an increased demand during the pandemic, and the trends continued to ris...

Designing a Risk-free Customer Onboarding Flow for the Freelancing Industry Explore More

Blog

Anti-Money Laundering Screening | Securing Digital Economies from Financial Crimes

The increased reliance on digital banking and the advent of virtual currencies in today’s d...

Anti-Money Laundering Screening | Securing Digital Economies from Financial Crimes Explore More

Blog

China’s New Data Security and Personal Information Protection Laws [2022 Update]

For the purpose of identification, interdiction, and prevention, many governments, regulators, an...

China’s New Data Security and Personal Information Protection Laws [2022 Update] Explore More

Blog

Difference between KYC and AML

The growing Fintech industry leads to an increased demand for KYC and AML compliance requirements...

Difference between KYC and AML Explore More

Blog

KYC Verification: Eliminating Fraud from Crypto Exchanges

Despite persistent volatility, the crypto market continues to yield profits. Whilst the market wi...

KYC Verification: Eliminating Fraud from Crypto Exchanges Explore More

Blog

Business Verification: A new line of Defense against Fraudsters

With the ever-increasing complexities of anti-money laundering (AML) and counter-terrorism financ...

Business Verification: A new line of Defense against Fraudsters Explore More

Blog

6 Ways Identity Verification Will Unlock Digital Transformation in Airlines

Airlines were particularly negatively impacted by the Covid-19 pandemic, and the situation was fu...

6 Ways Identity Verification Will Unlock Digital Transformation in Airlines Explore More

Blog

The State of KYC/AML Compliance in Commonwealth of Independent States (CIS) Region

Commonwealth of Independent States (CIS) is among the largest regions of the world with numerous ...

The State of KYC/AML Compliance in Commonwealth of Independent States (CIS) Region Explore More

Blog

KYC & AML Regulations in the UK: An Ultimate Guide

Financial crimes have been around since the invention of money. Some argue that their origins are...

KYC & AML Regulations in the UK: An Ultimate Guide Explore More

Biometric Technology, Blog, Online Marketplace

Face Verification Becoming Vital For Travel Industry

Over the past few years, biometric technology has become increasingly mainstream. This is due in ...

Face Verification Becoming Vital For Travel Industry Explore More

Blog

Gold Industry and Prevailing Financial Crimes – How Shufti’s AML Screening Can Help

Using gold for financial crimes has a long history and in many countries, jewellery is not only c...

Gold Industry and Prevailing Financial Crimes – How Shufti’s AML Screening Can Help Explore More

Blog

Top 6 trends in Anti-Money Laundering for 2020

To enhance the scope of AML compliance, new regulations were brought into force throughout last y...

Top 6 trends in Anti-Money Laundering for 2020 Explore More

Blog

Japan’s Act on Personal Information Protection – What Businesses Must Do

New and emerging ways to bypass verification checks have allowed fraudulent entities to breach th...

Japan’s Act on Personal Information Protection – What Businesses Must Do Explore More

Blog

Shufti’s Address Verification Service – A Key Step in Digital Identity Verification

The rapidly developing technology of today is altering how consumers browse for things online. Th...

Shufti’s Address Verification Service – A Key Step in Digital Identity Verification Explore More

Blog

AML Compliance – Mitigating Financial Crime Risks in the Payments Industry

After the Covid-19 pandemic gave rise to the digital payments trend, the world has seen rapid gro...

AML Compliance – Mitigating Financial Crime Risks in the Payments Industry Explore More

Blog, Online Marketplace

Industrial significance of KYC / AML Compliance in 2019

As the type and amount of fraudulent activities have increased over the years, governments and re...

Industrial significance of KYC / AML Compliance in 2019 Explore More

Blog

Initial Exchange Offerings (IEOs) – A Detailed Insight

The advent of the Crypto industry brought decentralized and innovative fundraising ways. One of t...

Initial Exchange Offerings (IEOs) – A Detailed Insight Explore More

Blog

Investor Onboarding | Navigating the Challenges of Digitization

Private market companies are setting their sights on retail investors and exploring technology an...

Investor Onboarding | Navigating the Challenges of Digitization Explore More

Blog

5 Industry Leaders Shared Their Insights on the Future of Biometrics

Modern technology has brought several conveniences to life. From the ease of working at home to s...

5 Industry Leaders Shared Their Insights on the Future of Biometrics Explore More

Blog

Record-Breaking Fines on Banks for KYC/AML Non-Compliance

Know Your Customer (KYC) and Anti-Money Laundering (AML) compliance have been structured to make ...

Record-Breaking Fines on Banks for KYC/AML Non-Compliance Explore More

Blog

Is Your Company Safe? The Importance of Document Verification to Strengthen KYC Checks

Businesses across the globe are still vulnerable to threats like money laundering, terrorist fina...

Is Your Company Safe? The Importance of Document Verification to Strengthen KYC Checks Explore More

Blog

10 Reasons Why Businesses Should Choose Shufti

Started in 2017, Shufti Ltd. has attained a lot of success. Within three years, we have onboa...

10 Reasons Why Businesses Should Choose Shufti Explore More

Blog

Securing Transactions and Operations with Biometric Consent Verification in Digital Banking

In the modern digital world, secure business operations are crucial.  The focus on maintaining se...

Securing Transactions and Operations with Biometric Consent Verification in Digital Banking Explore More

Blog

KYC Regulations Across the Globe | An Updated Guide 2023

 The global financial industry finds it hard to meet compliance and secure sensitive cus...

KYC Regulations Across the Globe | An Updated Guide 2023 Explore More

Blog

EU’s Smart ID Wallet – Paving the Way for a Seamless Digital World

A few days back, the European Union Commission published a draft for digital ID wallets for all t...

EU’s Smart ID Wallet – Paving the Way for a Seamless Digital World Explore More

Blog

Risks of Vaccine Verification Apps & What IDV Industry can Offer

COVID-19 has brought enough changes to make the world smarter. Businesses and customers migrating...

Risks of Vaccine Verification Apps & What IDV Industry can Offer Explore More

Blog

An Insight into the US Regulations for the Art Art & Antiquities Sector

Billions of dollars worth of art and antiquities are traded throughout the world without checks t...

An Insight into the US Regulations for the Art  Art & Antiquities Sector Explore More

Blog

Eradicating Financial Crimes in Online Gambling using NFC Verification

Emerging technologies have altogether revolutionized the online gambling industry and instead of ...

Eradicating Financial Crimes in Online Gambling using NFC Verification Explore More

Blog, Identity & KYC

Know Your Patient: Anti-Fraud Pill for Healthcare Industry

Know Your Patient: The healthcare industry is more prone to data breaches than any other industry...

Know Your Patient: Anti-Fraud Pill for Healthcare Industry Explore More

Blog

Top Applications of Facial Recognition Technology in the Digital Age

Facial recognition technology is biometric security in which an individual’s physical trait...

Top Applications of Facial Recognition Technology in the Digital Age Explore More

Blog

KYC Verification Process – 3 Steps to Know Your Customer Compliance

Did you know there are three key components to KYC? The entire identity verification procedure en...

KYC Verification Process – 3 Steps to Know Your Customer Compliance Explore More

Blog

Working from Home Spikes Demand for Digital Identity Verification

Due to the Coronavirus Pandemic, many businesses are grounded or are enforced to work from home. ...

Working from Home Spikes Demand for Digital Identity Verification Explore More

Blog

Strengthening E-commerce Security with KYC Regulations

Facilitating customers to shop online, anytime and anywhere, eCommerce has revolutionised digital...

Strengthening E-commerce Security with KYC Regulations Explore More

Blog

The need for identity verification solutions spiking in demand

At present, we are living in a digital world. Everyone is on the internet which is an anonymous s...

The need for identity verification solutions spiking in demand Explore More

Biometric Technology, Blog

How Liveness Detection is an apt Answer for Facial Spoof Attacks?

The world went haywire on the launch of the new iPhone X; well, to be honest, when does it not? H...

How Liveness Detection is an apt Answer for Facial Spoof Attacks? Explore More

Blog

Money Laundering Spikes High in the Gulf Region – What’s Next?

Given the rapid increase in FinCrime, the Gulf region is now working day in and day out to impose...

Money Laundering Spikes High in the Gulf Region – What’s Next? Explore More

Blog, Reg Tech

Effect of the Amendment to the FINMA Compliance on IDV Service Providers

In the first quarter of the year 2018, the Swiss Financial Market Supervisory Authority rolled ou...

Effect of the Amendment to the FINMA Compliance on IDV Service Providers Explore More

Blog

How Shufti’s KYC Solution Can Ensure Compliance For Call Centers Fighting Crime

With emerging technologies and rapid digitization, the world is relying on the web and a variety ...

How Shufti’s KYC Solution Can Ensure Compliance For Call Centers Fighting Crime Explore More

Blog

Combating Identity Theft in On-Demand Services with Shufti’s KYC Solution

Transition is the only thing that is inevitable in the universe. Every passing day is changing ou...

Combating Identity Theft in On-Demand Services with Shufti’s KYC Solution Explore More

Blog, Fraud Prevention, Identity & KYC, Reg Tech

Facial Recognition: Burgeoning Threat to Privacy

The expanding use of facial recognition technology for ID verification, user authentication, and ...

Facial Recognition: Burgeoning Threat to Privacy Explore More

Blog

Mounting Cases of Money Laundering through Digital Currencies in 2021

Even though cryptocurrencies like Bitcoin, Ethereum, and Dogecoin are increasing rapidly, yet the...

Mounting Cases of Money Laundering through Digital Currencies in 2021 Explore More

Blog

Know Your Donor – Securing NPOs and Charities Through KYD/AML Solution

Emerging technologies and growing digitization have increased financial crime risks in Non-Profit...

Know Your Donor – Securing NPOs and Charities Through KYD/AML Solution Explore More

Blog

5 Technology Trends To Disrupt Banking in 2020

Living in the digital era, technology is driving major changes in almost every industry. Whether ...

5 Technology Trends To Disrupt Banking in 2020 Explore More

Blog

European Payments Initiative Calling for IDV Solutions

The rise in the popularity of Visa and Mastercard in Europe, both US-headquartered companies, was...

European Payments Initiative Calling for IDV Solutions Explore More

Blog, Business Technology

How Blockchain is Making the World a Better Place

Verify identity: The whole world lives online now. Yes, that’s an exaggeration but we are gradual...

How Blockchain is Making the World a Better Place Explore More

Blog

Indonesia’s First-ever Comprehensive Law on Data Privacy – the PDP Bill

Being the largest economy in Southeast Asia, Indonesia is experiencing enormous growth in the dig...

Indonesia’s First-ever Comprehensive Law on Data Privacy – the PDP Bill Explore More

Blog

How AI is Transforming the Banking Sector

Artificial Intelligence has extensive applications across several domains: from banking to health...

How AI is Transforming the Banking Sector Explore More

Blog

40 recommendations of FATF – Shaping the future of your business

Financial Action Task Force or simply FATF is an active global authority that never fails in surp...

40 recommendations of FATF – Shaping the future of your business Explore More

Blog

Leveling Up Identity Verification To Meet This Moment

Companies around the world contend with two digital identity challenges that seem mutually exclus...

Leveling Up Identity Verification To Meet This Moment Explore More

Blog

Shufti’s AML Screening Solution – How to Comply with Germany’s AML Regulations

The stability of the global economy is at risk pertaining to the rapidly growing issues of money ...

Shufti’s AML Screening Solution – How to Comply with Germany’s AML Regulations Explore More

Blog

Elevating Document Verification with OCR in 2024 | Data Extraction in Real-Time

The Optical Character Recognition (OCR) market was valued at US$15 billion in 2019 and is expecte...

Elevating Document Verification with OCR in 2024 | Data Extraction in Real-Time Explore More

Blog

Know Your Patient | Secure Patient Onboarding and Preventing Healthcare Fraud

Technology advancement, automation, and digitisation have paved the way for unprecedented growth ...

Know Your Patient | Secure Patient Onboarding and Preventing Healthcare Fraud Explore More

Blog

AML Compliance in the UK’s Financial Sector – What Shufti Offers

The UK is known in the global financial paradigm for being both a financial hub and the dirty mon...

AML Compliance in the UK’s Financial Sector – What Shufti Offers Explore More

Blog

20 Facts and Statistics About the Global Finance Sector

The finance sector makes up around 20 to 25% of the global GDP. With the market capitalization re...

20 Facts and Statistics About the Global Finance Sector Explore More

Blog

Cryptocurrency Market and Financial Crimes: How to Handle Transaction Monitoring

The adoption of cryptocurrencies by both individuals and businesses has exploded in the last 12 m...

Cryptocurrency Market and Financial Crimes: How to Handle Transaction Monitoring Explore More

Blog

Impact of California Consumer Privacy Act on Online Businesses

California consumer privacy act has been revolutionizing consumer data regulations. The act was p...

Impact of California Consumer Privacy Act on Online Businesses Explore More

Blog

Money Laundering & Cybercrime on DeFi Platforms – Ensuring KYC/AML Compliance

As a result of rapid digitization and the emergence of decentralized services, the financial mark...

Money Laundering & Cybercrime on DeFi Platforms – Ensuring KYC/AML Compliance Explore More

Blog

How identity verification can help prevent Medical Identity Theft?

Digitization is reshaping the future of healthcare. With the healthcare industry, having more res...

How identity verification can help prevent Medical Identity Theft? Explore More

Blog

Top 10 FinTech Trends to Watch for in 2022

2021 was a game-changer for the FinTech sector as it has come up with innovative payment gateways...

Top 10 FinTech  Trends to Watch for in 2022 Explore More

Blog

Digital Identity checks for secure and swift customer onboarding

The digital transformation of businesses continues apace, driven in part by regulations that mand...

Digital Identity checks for secure and swift customer onboarding Explore More

Blog

Jobs in the frame for money laundering

How banks can detect money mules? Remote jobs are trending but not every job is legitimate. Some ...

Jobs in the frame for money laundering Explore More

Blog

Identity Verification Forecast: How Will KYC Evolve in 2023?

As the world becomes more digital, scammers are honing their craft and employing trickier techniq...

Identity Verification Forecast: How Will KYC Evolve in 2023? Explore More

Blog

How biometrics in visa process reduce travel difficulties

Biometric technology is enhancing the travel industry in many ways.  Factors that drive the secur...

How biometrics in visa process reduce travel difficulties Explore More

Blog

Forensic Document Verification Solutions – A Key Step in Eliminating Identity Fraud

With emerging technologies, the demand for online services and products is skyrocketing, raising ...

Forensic Document Verification Solutions – A Key Step in Eliminating Identity Fraud Explore More

Blog, Identity & KYC

Digital KYC Streamlines Customer On-boarding Process

Shufti brings forth digital KYC verification services to perform identity verification proces...

Digital KYC Streamlines Customer On-boarding Process Explore More

Blog

Know Your Players: Why KYC is Necessary for Gaming and Gambling

The post-COVID-19 era has witnessed a remarkable surge in the e-sports and gaming sectors. This t...

Know Your Players: Why KYC is Necessary for Gaming and Gambling Explore More

Take the next steps to better security.

Contact us

Get in touch with our experts. We'll help you find the perfect solution for your compliance and security needs.

Contact us

Request demo

Get free access to our platform and try our products today.

Get started