🇦🇺Australia
Manual Denial Management
2 verified sources
Definition
Outsourced or in-house follow-up on denials creates bottlenecks and idle clinical time.
Key Findings
- Financial Impact: 10-20 hours/month at AUD 50/hour = AUD 6,000-12,000/year per practice
- Frequency: Monthly
- Root Cause: Lack of automated denial management systems
Why This Matters
The Pitch: Physicians lose 10-20 hours/month on denial follow-up, costing AUD 5,000+ yearly. Automated tracking recovers this capacity.
Affected Stakeholders
Administrative Staff, Physicians
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
Delayed Claim Payments
20-40 days extra AR, equating to AUD 1,000-5,000/month opportunity cost per practice
Claim Denials from Adjudication
AUD 2,000-10,000 annually from 5-15% denial rates
Illegal Additional Charges on Bulk Billed Services
AUD 5,000+ fines per violation (typical statutory penalty range)
Manual Documentation Delays
20-40 hours/month per GP at AUD 100/hour (AUD 2,400–4,800/month lost capacity)
Produktivitätsverlust durch manuelle PDMP/RTPM‑Abfragen und Dokumentation
Logic-based estimate: 5–10 hours of lost billable time per prescriber per month due to manual PDMP checks and documentation, equating to roughly AUD 1,000–3,000 per prescriber per month (assuming AUD 200–300 effective hourly revenue), or AUD 12,000–36,000 annually.
Überhöhte Personalkosten durch manuelle Laborauftragsverwaltung und Ergebnisnachverfolgung
Quantified (LOGIC): 0,5–1,0 FTE zusätzliche Admin‑Kapazität ausschließlich für Laborauftrags‑ und Ergebnisnachverfolgung; bei AUD 60.000 Vollzeit‑Bruttokosten entspricht das AUD 30.000–60.000 pro Jahr. Konservativ auf reine Mehrbelastung angesetzt: AUD 15.000–40.000 pro Jahr je mittelgroßer Praxis.
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