बिल न भेजे गए सेवाएं और चालान त्रुटियाँ
Definition
The Mechanism: Manual laboratory billing processes are error-prone. Due to lack of system integration between LIS (Laboratory Information System) and billing systems, tests completed may not be billed or invoices may contain coding errors. This results in unbilled services, claim rejections by insurance providers, and lost revenue.
Key Findings
- Financial Impact: LOGIC Evidence: Typical healthcare billing error rates: 2-5% of revenue lost due to coding errors and denied claims; estimated ₹50,000-₹500,000 annually per small-to-mid-size lab depending on throughput.
- Frequency: Continuous (each test cycle)
- Root Cause: Manual billing workflows, lack of LIS-EHR integration, human error in coding and documentation
Why This Matters
The Pitch: Indian pathology labs lose revenue through manual billing errors and missed invoicing. Automation of invoice generation and insurance claim management eliminates unbilled services and reduces claim rejection rates.
Affected Stakeholders
Lab billing staff, Lab managers, Finance 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
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गलत बिलिंग से ग्राहक प्रतिपूरक और वापसी
बहु-राज्य पर्यावरण शुल्क अनुपालन असंगति (Multi-State Fee Compliance Mismatch)
जैव-चिकित्सा अपशिष्ट प्रबंधन अनुमोदन प्रसंस्करण लागत (Biomedical Waste Authorization Cost Overrun)
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