🇦🇺Australia

Patient Treatment Delays from PA

2 verified sources

Definition

Delays from manual PA lead to patient frustration, lost referrals, and reduced practice revenue from repeat business.

Key Findings

  • Financial Impact: AUD 5,000-10,000 annual revenue loss per physician from patient churn (2-5% of patient base)
  • Frequency: Per delayed case (78% incidence)
  • Root Cause: Paperwork-heavy insurer requirements and lack of real-time adjudication

Why This Matters

The Pitch: Physicians lose clients due to 78% patient delay rate from manual prior authorisation. Automation speeds approvals by 50%, retaining patients.

Affected Stakeholders

Physicians, Patients, Practice Owners

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

Delayed Billing from PA Approvals

AUD 10,000-20,000/month delayed receivables per mid-sized practice (high AR days)

Prior Authorisation Processing Delays

12 hours/week per physician at AUD 200/hour = AUD 2,400/week lost revenue opportunity

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.

Manual Denial Management

10-20 hours/month at AUD 50/hour = AUD 6,000-12,000/year per practice

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