Compensation to wRVU ratio discussion

[SPHarrington]

In process of negotiating contract.
I'm a 24 yr veteran in PM&R, fellowship in SM, working in a hospital owned Ortho Dept the entire time with another [Interventionalist] PM&R colleague.
Current comp plan has me at 53$/wRVU. I do ~ 7,300 wRVU annually.
Looking over 2024 MGMA (I am a member) it would appear the median ratio is ~ 63$/ wRVU , and I would be at approx the 75th percentile in wRVU productivity (median in 6,080 and 75th is 7,300 wRVUs). It would seem I am undervalued. Looking for some perspective from the group and advice. I'm inclined to go back to admin and request 63$/wRVU.

* FYI for those early in their careers... pure RVU based comp plans are awful. But, here we are....

Thanks in advance

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[DOctorJay]

yes, you should bring the numbers to them and show them you're above the 75th percentile in productivity and may be compensated at or below the 25th percentile for $/wRVU (the data set should include the 25th percentile but I don't see it in your screenshot).

with your experience, productivity, and length of time being undercompensated I'd ask for something like $65/wRVU (and be ok with it being negotiated down to the median of $63/wRVU).

let us know how it goes!

 

[j4pac]

Agree with DOctorJay, but I would also consider your location.

 

[SSdoc33]

your numbers are for PM&R. you should be classified as pain medicine: nonanesthesia. the numbers are different

 

[anonperson]

In process of negotiating contract.
I'm a 24 yr veteran in PM&R, fellowship in SM, working in a hospital owned Ortho Dept the entire time with another [Interventionalist] PM&R colleague.
Current comp plan has me at 53$/wRVU. I do ~ 7,300 wRVU annually.
Looking over 2024 MGMA (I am a member) it would appear the median ratio is ~ 63$/ wRVU , and I would be at approx the 75th percentile in wRVU productivity (median in 6,080 and 75th is 7,300 wRVUs). It would seem I am undervalued. Looking for some perspective from the group and advice. I'm inclined to go back to admin and request 63$/wRVU.

* FYI for those early in their careers... pure RVU based comp plans are awful. But, here we are....

Thanks in advance

This is the hospital administration playbook:

75th percentile work for 25th percentile pay.

This is the entire plan.

I would expect they will push back hard on paying you more and the clueless administrator will talk about having to pay "market rate" or they may throw out Stark law etc.

Definitely fight for a better paycheck. Please update how it goes

 

[lejeunesage]

Yeah, this is bull.
It's very low for PM&R rvu-based compensation.
Definitely make a fuss about it but think about your plan B.
What are you willing to do if they don't budge? Are you ready to walk away?

 

[Dr. Ice]

Is there a way to convert total collections to wrvu?

 

[Dr. Ice]

Like if someone makes 1.2 mill in collections/year what’s the equivocal wrvu?

 

[DOctorJay]

You can’t convert wrvus that way. The wrvu values are set to CPT codes and can be found here.

RVU Calculator - AAPC Relative Value Units

CPT® RVU calculator provides a quick analysis of the work relative value units associated with a certain volume of CPT or HCPCS codes.

www.aapc.com

Also a spreadsheet was posted in another thread on the pain forum a while back.

You could tally your wrvus daily in a spreadsheet like that if you wanted to. I did that for a year or so to ensure my employer was accurate and they were spot on.

 

[olafa]

In process of negotiating contract.
I'm a 24 yr veteran in PM&R, fellowship in SM, working in a hospital owned Ortho Dept the entire time with another [Interventionalist] PM&R colleague.
Current comp plan has me at 53$/wRVU. I do ~ 7,300 wRVU annually.
Looking over 2024 MGMA (I am a member) it would appear the median ratio is ~ 63$/ wRVU , and I would be at approx the 75th percentile in wRVU productivity (median in 6,080 and 75th is 7,300 wRVUs). It would seem I am undervalued. Looking for some perspective from the group and advice. I'm inclined to go back to admin and request 63$/wRVU.

* FYI for those early in their careers... pure RVU based comp plans are awful. But, here we are....

Thanks in advance

can you post the non anesthesia pain data from MGMA

 

[DOctorJay]

@SPHarrington any updates to share?