🇦🇺Australia

Prior Authorisation Processing Delays

1 verified sources

Definition

Manual prior authorisation diverts physician time from patient care, creating bottlenecks in treatment initiation and reducing practice capacity for billable services.

Key Findings

  • Financial Impact: 12 hours/week per physician at AUD 200/hour = AUD 2,400/week lost revenue opportunity
  • Frequency: Weekly per physician
  • Root Cause: Manual data collection, verification, and submission without EHR-payer integration

Why This Matters

The Pitch: Physicians in Australia waste 12 hours/week on prior authorisation processing. Automation of data extraction and electronic submissions eliminates this capacity loss.

Affected Stakeholders

Physicians, Practice Managers, Administrative Staff

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)

Patient Treatment Delays from PA

AUD 5,000-10,000 annual revenue loss per physician from patient churn (2-5% of patient base)

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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