AFMD

7+ Year Member
Oct 14, 2011
147
27
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Attending Physician
I think it can be pretty confusing for those of us looking for new jobs, especially with comparing the different compensation models. Does anyone know any average numbers for percent of billing, collections, or profit for reimbursement with or without base salary? I've found a few numbers out there, but I can't find much. How do you compare jobs that use percent of billing vs percent of collections vs percent of profit?
 

Blue Dog

Fides et ratio.
Gold Donor
10+ Year Member
Jan 21, 2006
12,406
5,227
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Attending Physician
How do you compare jobs that use percent of billing vs percent of collections vs percent of profit?
I'm not sure you can compare them. It would be stupid to pay somebody based on charges ("billing"), as collections are typically going to be 50-60% of charges. "Profit" is a nebulous term. I would avoid that, as well. Payment based on collections makes the most sense to me, and that's how we do it (collections - overhead = gross pay). The key is transparency. You have to be able to see where the money that's coming in is going. There shouldn't be any "black boxes." You should also, ideally, have control of your overhead. In reality, this is only likely to happen in private practice. If you work for a health system, be prepared for smoke and mirrors - and RVUs.
 
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Bacchus

Staff member
Administrator
10+ Year Member
Apr 28, 2007
21,071
2,369
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Attending Physician
Working for a large physician group, our first year guarantee is the 85th percentile of MGMA data. We can get a bonus our first year based on quality metrics but not wRVU excess. Your subsequent years of salary are based on how many wRVUs you commit. Any wRVU overage does get a payback to you. The value of that reimbursement is determined by which quartile you fall into when compared amongst your peers in terms of quality so you may get $35 per wRVU up to $45 per wRVU in excess.
 
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JustPlainBill

Attending
10+ Year Member
Jan 5, 2007
2,568
2,937
Status
Attending Physician
Working for a large physician group, our first year guarantee is the 85th percentile of MGMA data. We can get a bonus our first year based on quality metrics but not wRVU excess. Your subsequent years of salary are based on how many wRVUs you commit. Any wRVU overage does get a payback to you. The value of that reimbursement is determined by which quartile you fall into when compared amongst your peers in terms of quality so you may get $35 per wRVU up to $45 per wRVU in excess.
Virtually the same here.
 

VA Hopeful Dr

Senior Member
15+ Year Member
Jul 28, 2004
20,624
26,708
Status
Attending Physician
Working for a large physician group, our first year guarantee is the 85th percentile of MGMA data. We can get a bonus our first year based on quality metrics but not wRVU excess. Your subsequent years of salary are based on how many wRVUs you commit. Any wRVU overage does get a payback to you. The value of that reimbursement is determined by which quartile you fall into when compared amongst your peers in terms of quality so you may get $35 per wRVU up to $45 per wRVU in excess.
Similar but I do get any RVU excess, and my bonus is based purely on percentage of AWV's completed - no quality measures past that.

Interestingly, my RVU rate is $40 until I hit 5700 RVUs then it goes up to $52
 
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