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Biller to Provider/visit ratio

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SusanG:
Hello;

We are a community clinic serving LA area; I am trying to find documention on how staff the billing department; ratio biller per Dr / visits;  if anyone can direct me to a resource it would be very much appreciated.

SG

Michele:
I'm not sure of a resource for this.  When we figure out how much our billers can do it's more of a $ amount than a provider number.  It depends on things like what type of services, how many patients are being seen, etc.

rdmoore2003:
At a medicare conference a couple years ago, a medicare rep told us that they prefer to have 1 biller to 3 providers.   This was just a preference, there is nothing in guidelines or contracts about this.

arms:
I use the following;

Outstanding A/R divided by Number of FTE Physicians in the Practice

This ratio the average amount owed for each physician’s work. Totaling receivables for each
physician and comparing that amount with the Group’s average could be indicative of potential
coding problems or a problem in keeping up with everyday paperwork within the practice.

Staff Ratio

Calculate non-physician practitioner consistently when using the ratio. You can consider them as
employees, making them part of the equation:

Total FTE Employees divided by Total FTE Providers


Hope this helps.

camedbill:
Each biller should be able to pull min $100k in collections for a practice.  If not, outsourced it, you're not running it efficiently   :)

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