🇦🇺Australia

Sliding Fee Scale Errors

3 verified sources

Definition

Manual assessment of client eligibility for bulk billing (e.g., under 18, Health Care Card holders) or concession gaps results in undercharging full-fee clients or errors in gap calculations, leading to lost revenue.

Key Findings

  • Financial Impact: AUD 40-550 gap fee per service underbilled[1][2][3]
  • Frequency: Per client consultation or procedure
  • Root Cause: Manual eligibility checks without automated verification of concession status

Why This Matters

The Pitch: Family Planning Centers in Australia 🇦🇺 lose AUD 50-100 per misclassified service. Automation of sliding fee scale determination eliminates revenue leakage.

Affected Stakeholders

Clinic Administrators, Receptionists, Billing Staff

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Financial Impact

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Current Workarounds

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Methodology & Sources

Data collected via OSINT from regulatory filings, industry audits, and verified case studies.

Evidence Sources:

Related Business Risks

Poor Visibility on Discounts

AUD 100-600 additional discounts per procedure[1][3][5]

Manuelle Fördermittel-Dokumentation und Berichtsaufwand

Quantified: ca. AUD 14,000–36,000 pro Zentrum und Jahr an zusätzlichem Administrationsaufwand (0,2–0,4 FTE), plus indirekt bis zu AUD 5,000–10,000 jährlich durch Nacharbeit und Rückfragen von Geldgebern.

Nicht ausgeschöpfte Fördermittel und entgangene Zuschüsse durch mangelhafte Outcome-Daten

Quantified: ca. AUD 50,000–250,000 pro Förderzyklus an entgangenen Zuwendungen (10–30 % geringeres Volumen oder Verlust des Zuschlags bei typischen Projektvolumina von AUD 100,000–500,000).

Ineffiziente Planung von Community-Outreach führt zu Unterauslastung und Fehlallokation von Ressourcen

Quantified: ca. AUD 15,000–60,000 pro Outreach-Team und Jahr an ineffizient eingesetzter Personal- und Reisekapazität (25–40 % der Outreach-Tage mit Unterauslastung).

Contraceptive Stockouts and Expiry Losses

AUD 50,000+ per facility annually in expired stock replacement and emergency procurement (based on UNFPA procurement scales adjusted for AUD)

Lost Family Planning Service Capacity

AUD 100,000+ per centre annually in lost billable consultations (assuming 25% stockout rate x average service value)

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