Verzögerte EBM-Forderungs-Einziehung
Definition
Outpatient labs bill individual services via EBM; denials from coding errors or policy changes extend time-to-cash, compounded by hospital DRG lump sums hiding lab-specific drags.
Key Findings
- Financial Impact: 2-5% net revenue loss from denials (industry benchmark); €10B+ global hospital appeal spend analogous to DE labs
- Frequency: Per claim submission cycle
- Root Cause: Manual review of denials amid EBM updates and reimbursement cuts
Why This Matters
This pain point represents a significant opportunity for B2B solutions targeting Medical and Diagnostic Laboratories.
Affected Stakeholders
CFOs, Revenue cycle managers, Accounts receivable teams
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
EBM-Abrechnungs-Kürzungen und Ablehnungen
GoBD-Verstöße bei Ablehnungsarchivierung
Verpasste Erstattungen bei Eligibility-Fehlern
IVDR-Verstöße in Diagnostiklabors
Verzögerte Abrechnung durch ePA-Integration
Kapazitätsverlust durch manuelle Prüfungen
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