Glosas e Faturamento Eletrônico TISS
Definition
In lab order management, manual handling of orders from physicians results in incorrect TISS XML guides, leading to automated glosa revisions by payers[1][4].
Key Findings
- Financial Impact: R$ 10-20% revenue leakage per glosa episode; typical monthly loss R$ 5.000-50.000 for mid-size labs
- Frequency: Per billing cycle (monthly)
- Root Cause: Manual entry errors in order tracking without integrated TISS validation
Why This Matters
The Pitch: Physicians labs in Brasil waste R$ 10-20% of revenue on glosas from manual TISS billing. Automation of lab order tracking eliminates review and denial risks.
Affected Stakeholders
Faturista, Gerente Laboratorial, Recepcionista
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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
Perda de Capacidade por Gargalos no Rastreamento
Rejeição de NF-e em Faturamento Laboratorial
Atraso no Recebimento por Controle Manual de Amostras
Rejeições NF-e e Multas SEFAZ em Faturamento de Serviços Médicos
Custos Excessivos com Preparação Manual de Auditorias Fiscais
Atrasos em Reembolsos de Planos de Saúde
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