🇦🇺Australia

Delayed Claim Payments

2 verified sources

Definition

Slower paper claims versus electronic lead to extended payment cycles, tying up working capital in high AR days.

Key Findings

  • Financial Impact: 20-40 days extra AR, equating to AUD 1,000-5,000/month opportunity cost per practice
  • Frequency: Ongoing per billing cycle
  • Root Cause: Non-use of electronic claiming systems

Why This Matters

The Pitch: Physicians in Australia lose AUD 15,000+ yearly in cash flow from delayed payments. Automation of electronic submissions accelerates payments by 50%.

Affected Stakeholders

Practice Owners, Accounts Receivable Staff

Deep Analysis (Premium)

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.

Evidence Sources:

Related Business Risks

Manual Denial Management

10-20 hours/month at AUD 50/hour = AUD 6,000-12,000/year per practice

Claim Denials from Adjudication

AUD 2,000-10,000 annually from 5-15% denial rates

Illegal Additional Charges on Bulk Billed Services

AUD 5,000+ fines per violation (typical statutory penalty range)

Manual Documentation Delays

20-40 hours/month per GP at AUD 100/hour (AUD 2,400–4,800/month lost capacity)

Produktivitätsverlust durch manuelle PDMP/RTPM‑Abfragen und Dokumentation

Logic-based estimate: 5–10 hours of lost billable time per prescriber per month due to manual PDMP checks and documentation, equating to roughly AUD 1,000–3,000 per prescriber per month (assuming AUD 200–300 effective hourly revenue), or AUD 12,000–36,000 annually.

Überhöhte Personalkosten durch manuelle Laborauftragsverwaltung und Ergebnisnachverfolgung

Quantified (LOGIC): 0,5–1,0 FTE zusätzliche Admin‑Kapazität ausschließlich für Laborauftrags‑ und Ergebnisnachverfolgung; bei AUD 60.000 Vollzeit‑Bruttokosten entspricht das AUD 30.000–60.000 pro Jahr. Konservativ auf reine Mehrbelastung angesetzt: AUD 15.000–40.000 pro Jahr je mittelgroßer Praxis.

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