Patient Treatment Abandonment and Churn from Prior Authorization Delays

$10,000 lost per case • $10,000 lost revenue • $10,000+ lost ongoing revenue per abandoned loyal patient

Billing managers export lists of high-risk, high-cost services subject to PA and overlay them with quality and utilization data in Excel or BI tools, manually inferring which gaps are due to PA-related abandonment. • Billing managers keep case-level spreadsheets with expected revenue per authorization, monitor them against scheduled services, and manually update when patients disengage or authorizations expire. • Billing managers maintain separate Excel trackers for MA and Traditional Medicare prior auth cases, cross-check them against aging reports, and manually flag chronically pending encounters; they rely on manual notes in the PM system to explain write-offs.