Unfair Gaps🇮🇳 India

Medical and Diagnostic Laboratories Business Guide

17Documented Cases
Evidence-Backed

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All 17 Documented Cases

फर्जी रिपोर्ट फाइन

₹5 lakhs yearly from uncollected charges due to compliance breaches; 1-5% total revenue leakage[1][3][7]

Inadequate CLIA/CAP proficiency testing compliance results in fake reports, triggering regulatory actions and financial penalties in Indian labs.

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बीमा सत्यापन में दावा अस्वीकृति

₹5-10 lakh/year in denied claims (2-5% of revenue leakage from poor verification)

Manual verification misses policy exclusions, co-pays, and pre-authorizations, resulting in high denial rates during billing.

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सत्यापन में देरी से भुगतान विलंब

40-80 hours/month manual verification; 15-30 days added to AR cycle (1-3% finance cost on receivables)

Process involves receiving schedules, verifying coverage, patient contacts, and system updates, delaying clean claims.

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मैनुअल सत्यापन पर अधिक स्टाफ लागत

₹20,000-50,000/month per verifier (excessive overtime, training)

Outsourcing firms highlight reduced effort, faster cycles, and lower costs as key benefits of avoiding manual processes.

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