🇦🇺Australia

Manual Visit Cap Tracking Delays Billing

2 verified sources

Definition

Therapy software highlights the need for automated scheduling, billing, and claims management to prevent revenue loss from poor visit tracking.

Key Findings

  • Financial Impact: 20-40 hours/month manual tracking at AUD 50/hour = AUD 1,000-2,000/month revenue leakage per therapist
  • Frequency: Per patient episode or quarterly NDIS claims
  • Root Cause: Manual processes in scheduling and documentation fail to enforce visit caps

Why This Matters

The Pitch: Physical, Occupational and Speech Therapists in Australia 🇦🇺 waste 20-40 hours/month on manual tracking. Automation of visit cap monitoring eliminates unbilled revenue leakage.

Affected Stakeholders

Practice Managers, Therapists, Billers

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.

Evidence Sources:

Related Business Risks

Idle Capacity from Visit Cap Bottlenecks

15-25% lost billable hours = AUD 5,000-10,000/month per full-time therapist

Unbilled Sessions Beyond Visit Caps

AUD 150-300 per unbilled session x 10-20 sessions/month = AUD 1,500-6,000/month

MBS Claim Denials and Audits

AUD 2,100 minimum penalty per false statement + claim repayments

Incorrect MBS Item Selection

AUD 5,000-20,000/year per practice in rejected claims (2-5% of billings)

Übermäßiger Zeit- und Personaleinsatz für manuelle Entlassungsplanung

Logik-basiert: Zusätzliche 10–20 Minuten nicht-wertschöpfende Dokumentations- und Koordinationszeit pro Entlassung × 1.000 Entlassungen/Jahr × durchschnittlich AUD 60/Stunde Personalkosten ≈ AUD 10.000–20.000 direkte Lohnmehrkosten pro Jahr und Einrichtung.

Kosten durch Wiedereinweisungen und Fehlentlassungen wegen unzureichender Entlassungsplanung

Logik-basiert: Wenn nur 1–2 % der älteren Reha-Patienten aufgrund vermeidbarer funktioneller Probleme wieder eingewiesen werden und jede Wiedereinweisung durchschnittlich AUD 5.000–10.000 kostet, entstehen pro 1.000 Patienten jährlich etwa AUD 50.000–200.000 zusätzliche Behandlungskosten, die bei besserer Entlassungsplanung reduziert werden könnten.

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