U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Planning, Evaluation & Research

RRM Category: ADMINISTRATION

RRM Module: Business Office

Overview:
The RRM Business Office staffing module estimates the requirements for business manager, patient registration technician, benefits coordinator, and clerical support staff to perform patient registration and benefits coordination. The workload parameters that are the key variables in the staffing estimation are hospital admissions and Outpatient Visits (OPVs).

Services Description:
The Business Office staff performs the following activities:
  • Patient Registration
  • Benefits coordination
  • Billing and collecting fees for services rendered
  • Maintenance of third party RPMS/COTS billing packages
  • Coordination activities associated with inpatient admissions.
  • Provides UFMS support.

Staffing Criteria:
All facilities
Fixed Business Manager staff of 1.0 FTE for each facility.

Fixed Patient Registration Technician staff of 1.0 FTE for each facility, plus 1.0 FTE Patient Registration Technician for every 2,000 admissions, plus 0.5 FTE Patient Registration Technician for every 10,000 OPVs above 20,000 OPVs.

Fixed Benefits Coordinator staff of 1.0 FTE for each facility plus, 1.0 FTE for every 30,000 OPVs above 10,000 OPVs.

Fixed Billing Clerk staff of 1.0 FTE for each facility, plus1 FTE Billing Clerk for each 2,000 admissions, plus 1 FTE Billing Clerk for each 10,000 OPVs above 10,000 OPVs.

Fixed UFMS Clerk of 1.0 FTE for each facility.

STAFFING FORMULAE

Personnel Categories:
Business Manager
Patient Registration Technician
Benefits Coordinator
Billing Clerk
UFMS Clerk

Driving Variables:
Admissions
OPVs

MINIMUM STAFFING LEVELS (fixed):

Personal Category FTEs per Driving Variables Min. Max.
Business Manager 1 Per facility   n/a  
Patient Registration Technician 1 Per facility   n/a  
Benefits Coordinator 1 Per facility   n/a  
Billing Clerk 1 Per facility   n/a  
UFMS Clerk 1 Per facility   n/a  

Plus, VARIABLE STAFFING LEVELS:

Personal Category FTEs per Driving Variables Min. Max.
Patient Registration Technician 1 2,000 Admissions 0 n/a
Billing Clerk 1 2,000 Admissions    
Patient Registration Technician 1 10,000 OPVs 20,000 n/a
Benefits Coordinator 1 30,000 OPVs 10,000 n/a
Billing Clerk 1 10,000 OPVs 10,000 n/a


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