THE BALANCE BETWEEN RESOURCE CAPACITY & DEMAND

IT IS THE PROCEDURE OF BALANCING THE EFFORT AND TIME OF THE BILLING TEAM WITH THE REQUIREMENTS OF THE SERVICES TO BE BILLED FOR GETTING REIMBURSEMENT FROM THE INSURANCE COMPANIES. IN OTHER WORDS, IT FORECASTS WORKFORCE RESOURCE (MEDICAL BILLERS AND CODERS) SHORTAGES OR EXCESSES IN THE SHORT OR LONG TERM. IT IS COMPUTED BY ANALYZING THE GAPS BETWEEN RESOURCE CAPACITY AND RESOURCE DEMAND. THIS DIFFERENCE CAN BE MEASURED IN HOURS, FTES, OR PERSONAL DAYS. THERE IS A SHORTAGE WHEN RESOURCE DEMAND EXCEEDS CAPACITY OR SUPPLY. EXCESSIVE RESOURCE DEMAND EXISTS WHEN THE RESOURCE DEMAND EXCEEDS THE CAPACITY OR SUPPLY.

Why is balancing important?

A LACK OF PROPER RESOURCE PLANNING CAN ERODE YOUR DOCTOR’S AND PHYSICIAN’S EFFORTS AND EVENTUALLY LEAD TO ZERO OR NO REIMBURSEMENTS. HERE IS A STEP-BY-STEP BREAKDOWN OF HOW IT CAN DERAIL REIMBURSEMENTS: https://www.247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com info@247medicalbillingservices.com

● POOR PLANNING WILL RESULT IN OVERWORKING AND OVERSCHEDULING THE IN-HOUSE BILLERS AND CODERS WITH CONFLICTING PRIORITIES, EVENTUALLY LEADING TO EXHAUSTION AND BURNOUT.

● WHEN IN-HOUSE TEAM MEMBERS ARE OVERWORKED AND OVERSCHEDULED, THEIR MORALE SUFFERS.

● WITH LOW MORALE, SUCH TEAM MEMBERS CANNOT GIVE THEIR 100% IN BILLING AND CODING WORK, LEADING TO AN ENDLESS REWORK CYCLE ON CLAIMS SUBMISSION.

● ALL THIS WILL ENHANCE THE TIME AND COST FOR HEALTHCARE ORGANIZATIONS, WITH A HIGH RISK OF DENIALS OR REJECTIONS OF CLAIMS.