Estimate how many new patient billing cases a team can process after productive hours, average handling time, rework, and working days are considered. The model distinguishes first-pass throughput from sustainable new-case capacity.
Effective capacity is the sustainable volume of new cases while the same team also absorbs the modeled rework burden.
This estimate assumes one extra average handling cycle for each reworked case. Use a separate time estimate if rework is materially shorter or longer.
Eight specialists with 6.5 productive hours each provide 3,120 minutes. At 16 minutes per case, gross capacity is 195 cases daily. With 12% rework, sustainable new-case capacity is 174.1 per day, or 3,482 over 20 days.
New cases generate additional workload, so gross processing capacity is shared between first-pass work and the rework it creates.
Convert the rework rate to an equivalent workload rate based on relative handling time before entering it.
Include them if the same team spends time correcting or resubmitting them during the modeled period.
No. Productive hours should be the portion of paid time realistically available for processing cases.
No. It estimates processing volume, not payment value, payer response time, or cash collections.
| Measure | Definition |
|---|---|
| Gross capacity | All available processing cycles |
| Rework burden | Extra cycles generated by prior work |
| Effective capacity | Sustainable new cases |