Extended days sales outstanding (DSO) from incomplete physician office orders and eligibility errors

$100,000–$180,000 in AR aging; cash flow volatility; potential impact on lab operations • $100,000+ in at-risk annual revenue per major hospital or group account due to churn risk, discounted pricing concessions, and slower new-account ramp when billing reliability and DSO performance are questioned. • $120,000–$200,000 annually in extended AR; 20–35 additional DSO days vs. complete orders; recurring rebilling labor costs

Couriers manually review requisitions during pickup, scribble notes on route sheets, send ad-hoc texts or calls back to the office or to physician staff, and sometimes carry physical correction forms for offices to fill out. • Escalation calls to hospital contact; manual audit of orders in VMS; informal tracking in shared drives or email threads • Front-office and billing staff manually chase referring offices for missing information via phone, fax, and email, track outstanding items in ad-hoc Excel lists or sticky notes, and rebill or correct claims one by one in the LIS/billing system.