jbm14 Posted October 25, 2019 Share Posted October 25, 2019 Hello everyone, I work at a rural hospital in orthopedic surgery. I recently met with my employer’s director of clinical operations to discuss my productivity. In my second contract (signed this summer) it states that there will be a bonus of $25 for every wRVU over 2350. Last year as a new graduate I produced somewhere around 4300. During the meeting with the director I was given a statement of practice operations stating my current RVUs, charges, etc with the statement that the “fee modifying deduction” has not yet been added to the RVU total. He states that I will receive 25% of the surgeon’s RVUs for each billable surgery. That makes sense, however, they are wanting to give me 85% of my own clinic RVUs. Does anyone else have any experience with these kind of deductions in regards to their bonus payout? I know the conversion factor of $25 is already pretty low, so are they trying to avoid paying me with these deductions? There is nothing in my contract regarding these deductions. Thanks in advance. Quote Link to comment Share on other sites More sharing options...
Arthropathy Posted October 26, 2019 Share Posted October 26, 2019 I don't know what a typical RVU is worth since I've never been on that model. However a 1st assist fee is usually only 15% of the procedure reimbursement, and I'm sure you are aware that E&M codes are usually reimbursed at 85% for a PA vs physician. So as far as the "Fee modifying calculation" that sounds legit to me. Quote Link to comment Share on other sites More sharing options...
jbm14 Posted October 26, 2019 Author Share Posted October 26, 2019 6 minutes ago, Arthropathy said: I don't know what a typical RVU is worth since I've never been on that model. However a 1st assist fee is usually only 15% of the procedure reimbursement, and I'm sure you are aware that E&M codes are usually reimbursed at 85% for a PA vs physician. So as far as the "Fee modifying calculation" that sounds legit to me. Yes, I understand that from a billing perspective. I’ve just never seen any posts about people discussing these types of deductions for a bonus payout. I was just curious if it was common practice. Thank you for the reply Quote Link to comment Share on other sites More sharing options...
AbeTheBabe Posted October 26, 2019 Share Posted October 26, 2019 We just switches over to RVU system as we partnered with a large healthcare organization. They pay out PA wRVU at $90. I get a bonus of 10-12% of that every quarter. Doing a deduction on your RVUs is pretty dumb, they should just pay a lower rate. Maybe they are deducting that for overhead? Do you have your own MA? (I share an MA with the surgeon most of the time) Quote Link to comment Share on other sites More sharing options...
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