🇺🇸United States

Delayed Billing and AR Aging from Lab Result Tracking

2 verified sources

Definition

Delays in lab order processing and result tracking cause late claim submissions, extending days sales outstanding (DSO) and high Accounts Receivable days. Unpaid or underpaid claims from lab services linger without follow-up, tying up cash flow. Manual workflows and unreconciled result data exacerbate slow verification and payment cycles.

Key Findings

  • Financial Impact: $10–12 billion annually in unpaid lab claims
  • Frequency: Monthly
  • Root Cause: Bottlenecks in result delivery to billing, untimely follow-ups on denials, and disjointed lab information systems

Why This Matters

This pain point represents a significant opportunity for B2B solutions targeting Physicians.

Affected Stakeholders

Lab coordinators, Billing specialists, Practice administrators

Deep Analysis (Premium)

Financial Impact

$10–12B annually in unpaid lab claims, extended DSO • $10–12B annually in unpaid lab claims, extended DSO, high AR days • $10–12B annually in unpaid lab claims, high denial rates

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Current Workarounds

Excel logs and manual coordination with adjusters • Excel spreadsheets for Medicare beneficiary result tracking • Excel tracking and email coordination with workers comp adjusters

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Methodology & Sources

Data collected via OSINT from regulatory filings, industry audits, and verified case studies.

Evidence Sources:

Related Business Risks

Unbilled Lab Services and Claim Denials in Order Management

$10–12 billion annually industry-wide; 20–40% of total billable revenue per lab

Audit Failures and Penalties from Lab Documentation Gaps

Payment delays and recoupments contributing to 20–40% revenue loss

Manual Delays and Idle Billing from Lab Workflow Bottlenecks

20–40% of billable revenue lost to inefficiencies

Bottlenecks in Documentation-Coding Handoff

1.67% denial reduction = $36M savings potential

Under-coding and Missed Charge Capture in E/M Coding

$10M+ annually for mid-sized groups; 1-2% net revenue loss

Missed Charges and Coding Errors in E-Prescribing to Billing Workflow

$60,000-$100,000 per year for $2M practice (3-5% leakage); $300,000 unbilled in mid-sized clinic case

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