Billing Benchmarks
How many billing staff do I need?
Question: How many billing staff do I need?
Answer: Here is what Physicians Practice recommends for billing staffing, by claims volume:
- Billing full-time employees (FTEs) per 100,000 claims: 10.45. (Claims are the basic work unit of a billing staff member, just like work RVUs are for a provider.)
- Payment posting/cash management FTEs per 100,000 claims: 1.9
- Credit resolution FTEs per 100,000 claims: 0.4
- Insurance denial and follow-up FTEs per 100,000 claims: 3.1
- Patient follow-up and inquiry FTEs per 100,000 claims: 1.8
One biller per 10,000 claims may seem a bit low, but if the claims are clean, then no billing staff intervention is needed at all. Therefore, the ratio is not just a reflection of how good the biller is, but how good the process is.
A biller is defined as anyone who touches the process from the time a charge becomes a claim until the claim is fully paid.
HIPAA highlights: 2 disturbing class actions, OCR risk analysis enforcement
April 24th 2025Two class-action lawsuits targeting the University of Maryland Medical Center and the University of Kansas Health System for years-long cyberstalking and unauthorized access to protected health information spotlight massive HIPAA risk-analysis failures and underscore the urgent need for stronger health care cybersecurity safeguards.
