Prior Authorisation Delays
Definition
Manual prior authorisation requires physicians to handle 43 requests weekly, consuming 12 hours per week per physician, resulting in treatment delays for 78% of patients and revenue leakage from unbilled or delayed claims.
Key Findings
- Financial Impact: AUD 2,400/physician/week (12 hours at AUD 100/hour avg healthcare admin rate); 2-5% revenue leakage from denials/delays
- Frequency: Weekly per physician
- Root Cause: Manual paperwork, data extraction from EHRs, and insurer verification without automation
Why This Matters
The Pitch: Australian hospitals waste AUD 2,400 per physician per week on prior authorisation admin time. Automation of submissions eliminates delays and captures revenue faster.
Affected Stakeholders
Physicians, Billing staff, Hospital administrators
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
Administrative Burden
Denial Risks
Missed Charity Care Write-Offs
Charity Care Policy Non-Compliance Fines
Delayed Collections from Eligibility Delays
Manual Remittance Processing Bottlenecks
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