Atraso no Tempo para Recebimento por Codificação Incorreta
Definition
Coding inaccuracies in medical and diagnostic lab claims lead to payment delays, increasing Days Sales Outstanding (DSO).
Key Findings
- Financial Impact: 20%+ increase in claim turnaround time; equivalent to 30-60 days extra in AR
- Frequency: Monthly billing cycles
- Root Cause: Complexity of dual systems (TUSS private, SIGTAP public) and lack of standardized training
Why This Matters
The Pitch: Laboratories in Brasil 🇧🇷 face 20%+ longer turnaround times on claims due to coding issues. Automation cuts delays and accelerates cash flow.
Affected Stakeholders
Gestores de Faturamento, Equipe de RCM, Contadores
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
Multas por Não Conformidade em Codificação de Reivindicações
Rejeição de NF-e em Faturamento de Apelações
Custo de Falhas de Qualidade por Falta de Calibração
Perda de Capacidade por Paradas de Equipamentos
Atrasos em Pagamentos por Negativas de Convênios
Perda de Receita por Falhas em Apelações
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