Please help. I am desperately trying to find data on the evaluation of NP productivity in a surgical clinical practice. If a NP is working in a surgical clinical setting and is seeing new patients, follow ups, and postops (1 week, 6 weeks, and 3 months)..I find that when "productivity" is evaluated by management..only new patients and follow ups reimbursements are being counted (since post-op patients fall into the post-op global charge). I know that we should get "credit" for seeing postop patients, but at present, my management/MD are not giving us any credit when looking at our numbers/reimbursement $. I would estimate that at least 30-40% of my patients are post-ops. Is there a formula, something..where someone has figured out how the NPs can get "credit" for post-op patients. I feel a bit discouraged that when my future productivity ($) is evaluated, it will not be a true value since I am not getting credit for 30-40% of patients that I am seeing in clinic. If there is any surgical clinical NP/PA out there that can shed some light on this topic and educate me, I would appreciate it. I have attempted to do a literature search on this topic and continue to find data. Appreciate any input. (fyi...I work full-time in a neurosurgical practice, strictly clinic at this time.)
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NP productivity
Started by Jas girl
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Wait, arent you a "doctor?" Dont you practice INDEPENDENTLY AND AUTONOMOUSLY from the physicians? Dont you introduce yourself as "Dr Nurse" to "your" patients in surgery clinic everyday? Doesnt your "collaborating" MD refer to you as "doctor" in front of your patients? Whats the name/location of your practice, so I can call your "supervising" and tell him that you are just as good as a doctor? I'm sure he'll love that.
Socrates25...what are you talking about?? I was asking for information but instead received a reply that sounds very bitter. NO, I do not refer to myself as a doctor since I am not. I do practice along side my "collaborating" MD and do see my own patients independently and autonomously. I never said that I am just as good as my MD but I do feel that he would be greatly disadvantaged without the NPs that he employs. You apparently appear somewhat threatened by NPs which is unfortunate.
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There are a couple of ways to do this. They both revolve around RVUs. There is an old CPT code 99024 which was used for post op visits. It has a reimbursement value of $0 but has RVUs associated with it. You can subtract the RVU associated with 99024 from the RVU associated with the physician work component of the surgery and credit that to the provider that does the follow up. Or you can shadow bill the appropriate follow up 99212-99215 and credit that RVU value to the provider that did the follow up.
How much this makes sense depends on the practice. For example if a lumbar diskectomy has 12 work RVUs and there are 3 visits for F/U each at 1 RVU then you are valuing the follow up at 1/4 of the work RVU fee. YMMV.
David Carpenter, PA-C
David, that you so much for the helpful information.
