Umsatzverlust durch nicht abgerechnete nachgelagerte Leistungen

Definition

Australian virtual care and remote patient monitoring platforms highlight that structured tracking of patient data supports ongoing care, chronic disease management, and coordinated follow‑up.[2][4] In many outpatient centres, outcome scores, remote monitoring data, or post‑visit questionnaires are stored in siloed systems or on paper and are not linked to recall systems or billing workflows. This means that indicated follow‑up visits, chronic disease reviews, medication reviews, or telehealth check‑ins are either not scheduled or are delivered informally without being billed under appropriate item numbers. Logic-based estimation: if a clinic has 1,000 chronic disease patients and poor tracking causes just 1 missed billable follow‑up per patient per year at an average rebate of AUD 80–120, the revenue leakage is AUD 80,000–120,000 annually. Multi‑disciplinary programs (nursing reviews, allied health) can easily push the leakage towards AUD 200,000–300,000 where outcome‑triggered reviews are routinely not captured for billing.

Why This Matters

The Pitch: Outpatient care providers in Australia 🇦🇺 forgo AUD 100–300k per year in MBS billings by failing to link outcome data to timely follow-up bookings and claims. Automating patient outcome tracking and rule‑based eligibility prompts recaptures otherwise lost revenue.

Affected Stakeholders

Practice managers, Outpatient business managers, Billing and revenue cycle teams, General practitioners and specialists, Nurse unit managers

Related Business Risks