NPs/PAs in community oncology practice

[GrassrootMaltan]

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Most community oncology jobs advertised these days require supervision of NPs or PAs in clinic. How do you handle these? Looks like it is almost impossible to avoid this. If the clinic schedules some of your treatment patients and heme follow-ups with the NPs/PAs and you have to attest their notes, how do I get credit for this? In private practice if the physician is a partner they benefit from this, but in an employed practice, how do you get credit for this? Should I ask for a certain number of RVUs from them to be given to me? Should I ask for a fixed amount every month for supervision, and if so what should that amount be approximately? Or is it something else? What should I ask for before signing? How do you all do this?

 

[MD46]

In my experience in an employed model you can ask for a flat supervision rate per NP ( i have seen any where from 25k to 75k per year) or I have seen some thing like $20-$50 per RVU generated by APP. If you are forced to have an NP without any financial benefit, i have seen people off load 3-6 monthly followups to them to create more space for chemo follow ups and new patients on their own panel.

 

[ONC2023]

I’m joining a PP group.

The way they handle it for both partners and non-partners is the supervising physician gets 75% of the RVU value of the NP minus the NP’s salary/benefits. The NP gets 25% of the RVU value.