🇦🇺Australia

Administrative Burden on Providers

2 verified sources

Definition

Providers handle 14 prescriptions and 15 services weekly via manual PA, equating to 2 full workdays lost to administration.

Key Findings

  • Financial Impact: 12-14 hours/week per provider (AUD 400-600/week at $50/hour admin cost)
  • Frequency: Weekly per provider (14-15 requests)
  • Root Cause: Non-standardised manual processes across insurers

Why This Matters

The Pitch: Services for the Elderly providers in Australia 🇦🇺 lose 12 hours/week per doctor to prior authorisation admin. Automation frees capacity for billable care.

Affected Stakeholders

Physicians, Practice managers

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

Prior Authorisation Delays and Claim Denials

12 hours/week per physician; 78% of cases delayed leading to claim denials or partial payments (AUD 1,000+ per high-cost inpatient claim)

Patient Treatment Delays from Manual PA

78% of patients experience delays; up to 50% approval time reduction possible (AUD 500-2,000 lost revenue per delayed high-value client)

NDIS Incident Reporting Penalties

AUD 5,000 - 50,000 civil penalties per breach; potential de-registration.

Governing Body Determination Application Fees and Delays

AUD 500-2,000 in application fees per submission + 20-40 hours staff time for rework

Assessment Waiting List Delays

AUD 5,000-10,000 per delayed client (based on average HCP value) + 2-6 weeks capacity loss

Non-Compliance History in Reassessments

AUD 10,000-50,000 in penalties + license risks (typical for governance breaches)

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