Patient Churn from Lengthy Verification Processes

$10,000-$18,000/month from claim denials due to coverage misalignment, rework costs from claim corrections, revenue delay from re-submissions, write-offs from uncollected court-mandated session balances • $10,000-$20,000/month in lost Medicare patient conversions (seniors abandon online intake after no same-day confirmation) • $10,000-$25,000/month in lost revenue (overbooking creates cancellations; underbooking leaves therapist capacity empty; 10-25% revenue loss from inefficient scheduling)

Billing specialist manually verifies each student's insurance at billing time (often 15-30 days after service), email chains with school coordinators to confirm secondary insurance, spreadsheets tracking which students' claims have been submitted, manual follow-ups on denied claims • Billing specialist re-verifies coverage 24-48 hours before claim submission, maintains spreadsheet of court-mandated patients with insurance status, manually updates claim details based on late-discovered coverage changes, paper files for dispute resolution • Case Manager calls VA community care line (often 30-45 minute wait), separately verifies VA eligibility status, cross-checks authorization codes with VA Benefits portal, maintains manual spreadsheet of active VA authorizations, contacts VA again if authorization expires or patient status changes