Einnahmeverluste durch nicht abgerechnete Leistungen
Definition
Fehlende Real-Time-Tracking und Eligibility-Verifikation führt zu unbilled Services und unterbezahlten Claims. Clearinghouses ermöglichen Recovery von Patterns in Denials.
Key Findings
- Financial Impact: 24% Denials durch Eligibility-Fehler; 3 Mio. € Recovery pro Jahr in Hospital-Systemen; 20% Reduktion Denial-Rate.
- Frequency: Bei jeder manuellen Submission-Batch.
- Root Cause: Manuelle Verifikation und Batch-Processing statt Daily Submissions.
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Hospitals.
Affected Stakeholders
CFO, Revenue Cycle Manager, Billing 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.
Related Business Risks
DSGVO- und GoBD-Strafen bei fehlender digitaler Claims-Verarbeitung
Verpasste OPS-Codes und DRG-Unterabrechnung
Administrative Overhead durch Dokumentationszeit
Kapazitätsverlust durch Dokumentationsengpässe
Manuelle Kodierzeit durch OPS-Änderungen
GoBD-Verstöße bei Kodierdokumentation
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