Cost of poor quality in orders: rework, rebilling, and write-offs from physician office errors

$10,000–$100,000+ annually in avoidable write-offs from credentialing-related denials • $10,000–$100,000+ annually in rework labor, claim denials, rebilling, and write-offs • $10,000–$100,000+ per year in avoidable rework labor (billers, follow-up reps) plus preventable write-offs, refunds, and lost revenue from claims that time out or are written off because corrections from physician offices never arrive.

Billing staff manually review paper requisitions and PDFs, keep personal spreadsheets of error-prone physician offices, email or call offices to correct codes, and rebill claims one by one based on notes and memory. • Compliance Manager manually flags problematic orders in email; tracks patterns in spreadsheets; communicates corrective action via email/letter; no closed-loop audit trail • Compliance/Quality staff periodically sample requisitions and claims, maintain ad hoc Excel logs of recurring physician office errors, send manual education emails or PDFs, and create informal checklists or laminated guides for internal staff without systematic enforcement in ordering workflows.