Average wrvus for hospital employment

[EtherBunny]

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quick question...

A buddy of mine in fellowship right now is looking at a hospital employment gig and is curious about the average wrvu production for hospital employed interventional pain. He asked me but I'm in private practice and have no clue. Anyone know the average in this environment or a reasonable expectation?

 

[lobelsteve]

Reasonable is 8000
More than 13000 and something aint right. Less than 7000 means lazy.

 

[painfree23]

Reasonable is 8000
More than 13000 and something aint right. Less than 7000 means lazy.

What does 8000 translate to in a regular work day?? 15 follow ups and 8 new patients daily and 50 procedures (assume bread and butter) a week?

 

[BobBarker]

Steve,
I would bump that ain't right number up to around 15,000. I could crack 13,000 if I worked just a little harder and did my own implants always.

 

[cowboydoc]

What does 8000 translate to in a regular work day?? 15 follow ups and 8 new patients daily and 50 procedures (assume bread and butter) a week?

I see about 15 per day, do 20-25 fluoro procedures per week on average, and surpass the Lobel laziness threshold, though I feel kind of lazy at this pace. I could easily do 30 to 40% more if the incentive were there. (I also do some medicolegal/non rvu work about a half day a week.) 7000-8000 is certainly not a feverish pace.

 

[painfree23]

I see about 15 per day, do 20-25 fluoro procedures per week on average, and surpass the Lobel laziness threshold, though I feel kind of lazy at this pace. I could easily do 30 to 40% more if the incentive were there. (I also do some medicolegal/non rvu work about a half day a week.) 7000-8000 is certainly not a feverish pace.

Nice, how many rvus u get for that a year?? Do you do ur procedures in clinic or asc?

 

[DODOCSS]

Bonus starts at what rvu # for u guys?

 

[cowboydoc]

Nice, how many rvus u get for that a year?? Do you do ur procedures in clinic or asc?

On track for upper 7000s.

All fluoro in ASC...30 min block minimum per procedure kills productivity...

I get a ~$3 rvu bonus, applied to ALL my rvus, if I'm at the 75th percentile...for pm&r, which is something like 6500.

 

[BobBarker]

If my base was x and my conversion factor was y then I receive a bonus of y/unit for every unit in excess of x/y.

Advice:

If you don't out earn your base within 18 months or so your base will either decrease or you will be fired.

 

[drusso]

It's a little dated, but still a good read...

http://karenzupko.com/wp-content/uploads/article_GB_JanFeb2013_AllWorkRVUs_SW.pdf

 

[ziggyziggy]

Reasonable is 8000
More than 13000 and something aint right. Less than 7000 means lazy.

1. Does it include physician extender (PA or NP)?
2. For hospital employed physicians, do you get 100% wRVU credit for work done by your mid level?

 

[lobelsteve]

I dont use a midlevel.

 

[Ducttape]

Mid level work is separate.

You can bargain for a percentage of wrvu for supervising the mid levels work.




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[BobBarker]

I just let her have all of her wrvu's. Her conversion factor is half mine.

 

[DODOCSS]

I'm at 78$ per above 6800


Thoughts?

 

[BobBarker]

That's great! Congrats. Work hard and you will make more money than you would believe was possible.

 

[DOctorJay]

DODOCSS, as long as you have a reasonable base that's fantastic

 

[EtherBunny]

I'm at 78$ per above 6800


Thoughts?

I guess $78/wrvu is high. What is "normal" for reimbursement per wrvu? In the 60s?

 

[clubdeac]

I guess $78/wrvu is high. What is "normal" for reimbursement per wrvu? In the 60s?

I was offered $59 but I think average is ~$65. Anyone correct me if I'm wrong. $78 is ridiculously high for anyone these days. Nice work. Never leave that job

 

[BobBarker]

I get $66.99

 

[lobelsteve]

Was 52, now 56.

 

[drusso]

In private practice "negotiating" with the insurance companies over reimbursement is pretty much a one-way conversation. The contracts are total RVU-based--we have contracts ranging from $30-$90/RVU. It seems like the "information asymmetry" would be so much worse with the hospitals. After all, they actually KNOW their real costs AND payments and you know nothing. In PP, I know our real costs and they DON'T know our other contracts.

Where's the leverage in talking to the hospitals?

 

[DOctorJay]

the only real leverage lies in the ability to walk away. they don't want to lose out on those facility fees especially when they've built a suite onto your office.

so it's important to limit the non-compete radius and build up the FU account.

 

[drusso]

the only real leverage lies in the ability to walk away. they don't want to lose out on those facility fees especially when they've built a suite onto your office.

so it's important to limit the non-compete radius and build up the FU account.

I suppose that's why some people think that site of service differential distorts markets.

A hospital/health system employed MD compensation is an "input" cost (that's built into the overall pro-forma), whereas a private practice MD compensation is a net revenue output (it's the output from the overall pro-forma). In other words, I need to figure out how to make my compensation someone else's overhead! If the government pays farmers not to plant crops, would they pay doctors not to do spine injections?

 

[thecentral09]

67-68$/wRVU depending on the amount