Delayed Appeals Cash Flow Drag
Definition
Denial management involves tracking, investigation, rework, and prevention, with 90% requiring human review, leading to extended time-to-cash cycles.
Key Findings
- Financial Impact: 90% of denials require 10+ hours manual review per claim; delays forfeit claims past 90-365 day limits
- Frequency: Every denied claim
- Root Cause: Manual categorization, root cause analysis, and appeal preparation without prioritization tech
Why This Matters
The Pitch: Hospitals in Australia lose cash flow with 90% of denials needing manual review and delays beyond filing limits. Automation of denial workflows recovers revenue faster.
Affected Stakeholders
Accounts receivable teams, Coders, Clinicians
Deep Analysis (Premium)
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.
Related Business Risks
Claim Denial Revenue Losses
Administrative Capacity Bottlenecks
Missed Charity Care Write-Offs
Charity Care Policy Non-Compliance Fines
Delayed Collections from Eligibility Delays
Manual Remittance Processing Bottlenecks
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