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A physician's due: measuring physician billing performance, benchmarking results.
Elizabeth W Woodcock1, Robert C Browne, Jennifer L Jenkins
1Woodcock & Associates, Atlanta, USA. elizabeth@elizabethwoodcock.com
Summary
Physician group billing operations showed significant improvements in key performance indicators (KPIs) between fiscal years 2003 and 2007. Despite these gains, staffing levels remained largely unchanged, indicating barriers to staff reduction in billing departments.
Area of Science:
- Healthcare Administration
- Medical Billing Operations
- Performance Benchmarking
Background:
- Physician group billing is crucial for financial health.
- Benchmarking performance indicators helps identify operational efficiencies.
- Understanding staffing dynamics is key to cost management.
Purpose of the Study:
- To benchmark the fiscal year 2007 performance of physician group billing operations.
- To analyze changes in key performance indicators (KPIs) and staffing levels from fiscal year 2003 to 2007.
- To identify factors influencing staffing levels despite performance improvements.
Main Methods:
- Analysis of four key performance indicators (KPIs).
- Benchmarking of billing operations' performance.
- Comparison of KPI and staffing level changes over a five-year period (FY03-FY07).
Main Results:
- Across-the-board improvements were observed in KPIs for billing operations.
- No significant changes in staffing levels were detected during the study period.
- Performance enhancements did not correlate with staff reductions.
Conclusions:
- Improvements in billing operations KPIs were achieved without reducing staff.
- Obstacles likely exist that prevent staff reductions in physician group billing.
- Further investigation is needed to understand these staffing barriers.
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