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Long time lurker, infrequent poster. I am an emergency physician that works in a environment where I have no understanding of what is charged on my behalf or the cash flow of emergency department. I'm a pretty typical emergency medicine physician who sees 2 to 2.5 patients per hour.
Given a typical mixture patients in a community setting, appropriately documented encounters, reasonable critical care documentation, a normal mix of procedures and a typical admission rate of ~15%...
How big is the pie and how is it sliced?
What are typical RVUs per hour in this scenario? What is the typical reimbursement per RVU (average reimbursed with a typical payor mix)? How much of this goes to the CMG? How much to payroll? Insurance?
If doing locums - how much overhead is there?
How much does credentialing usually cost? Does the hospital bear this in overhead or does it charge back to the EM group?
Somewhat unrelated - if one is forced to sign a chart but only attests that they were in the department but not involved in the care of a PA's or NP's patient - do most patient's get billed at 85% or 100%?
Given a typical mixture patients in a community setting, appropriately documented encounters, reasonable critical care documentation, a normal mix of procedures and a typical admission rate of ~15%...
How big is the pie and how is it sliced?
What are typical RVUs per hour in this scenario? What is the typical reimbursement per RVU (average reimbursed with a typical payor mix)? How much of this goes to the CMG? How much to payroll? Insurance?
If doing locums - how much overhead is there?
How much does credentialing usually cost? Does the hospital bear this in overhead or does it charge back to the EM group?
Somewhat unrelated - if one is forced to sign a chart but only attests that they were in the department but not involved in the care of a PA's or NP's patient - do most patient's get billed at 85% or 100%?