wRvu per year

[Fox800]

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Yes.

Same. Still in fellowship but we are using it on all return patients.

"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (Add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)"

Vast majority our patients get level 4 (2 of more chronic stable illnesses + prescription drug management) + G2211.

 

[hopefulgasman]

Same. Still in fellowship but we are using it on all return patients.

"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (Add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)"

Vast majority our patients get level 4 (2 of more chronic stable illnesses + prescription drug management) + G2211.

Do not forget that social determinants of health counts. If your patient has problems paying their bills or transportation issues document that. I ask that on my intake form. Auto upgraded to a level 4.

 

[paindoc007]

Do you guys document anything specific in a note when adding on g2211?

 

[mdo1738]

Do you guys document anything specific in a note when adding on g2211?

I have a dot phrase, I forget the exact wording but something along the lines of “this patient is being treated for a complex, chronic condition. This condition requires a longitudinal relationship for proper evaluation and management.”

 

[cowboydoc]

I have a dot phrase, I forget the exact wording but something along the lines of “this patient is being treated for a complex, chronic condition. This condition requires a longitudinal relationship for proper evaluation and management.”

Also make sure to mention f/u to indicate continuity of care.

 

[SSdoc33]

Also make sure to mention f/u to indicate continuity of care.

Does the f/u have to be with you personally or with someone else on your ‘team’ ie APP?

 

[BoardingDoc]

Does the f/u have to be with you personally or with someone else on your ‘team’ ie APP?

Doesn't matter. I'm a fellow and I'm billing it on behalf of the attending. Whoever you are supervising you can bill for as if you saw them yourself.

 

[clubdeac]

Do not forget that social determinants of health counts. If your patient has problems paying their bills or transportation issues document that. I ask that on my intake form. Auto upgraded to a level 4.

It’s a messed up system isn’t it. If the patient’s poor and has financial limitations that qualifies as a social determinant of health and they get up coded. I do that for non English speaking patients as well and document “language and communication barrier”

 

[cowboydoc]

Does the f/u have to be with you personally or with someone else on your ‘team’ ie APP?

Don’t think that matters. I was advised to not put prn f/u if using the g2211 code.

 

[mdo1738]

Don’t think that matters. I was advised to not put prn f/u if using the g2211 code.

My hack for most of those is putting something like “interventional management currently working well. Patient may return when interventional benefit has worn off for reassessment.”

 

[itzamemario]

Can the g2211 be billed on procedure days or is it only on regular office visits?

 

[callmeanesthesia]

Can the g2211 be billed on procedure days or is it only on regular office visits?

Currently it’s with E&M only, and cannot be billed with a 25 modifier. I think I saw something about allowing it with a 25 modifier for certain services next year.

 

[Taus]

My hack for most of those is putting something like “interventional management currently working well. Patient may return when interventional benefit has worn off for reassessment.”

Perhaps, or it just hasn’t been audited yet?

 

[BobBarker]

It can’t really be audited. There are no guidelines/lcd for this code other than the one sentence blurb.

 

[Status Sciaticus]

are yall getting EKGs regularly on patients? If so, how much is it reimbursing? Debating if its worth the trouble to get an EKG machine and do this in-house

 

[clubdeac]

are yall getting EKGs regularly on patients? If so, how much is it reimbursing? Debating if its worth the trouble to get an EKG machine and do this in-house

EKG for what? You prescribing a lot of methadone?

 

[BoardingDoc]

are yall getting EKGs regularly on patients? If so, how much is it reimbursing? Debating if its worth the trouble to get an EKG machine and do this in-house

We get them annually on patients who are on methadone for QTc monitoring but don't do them in office. I would argue that unless you're comfortable reading EKGs well, you're probably better off sticking with having cardiology do this.

Yeah, you can look at the printout numbers up top for the qt and rely on the computer generated interpretation up top. That said, I can't begin to calculate how many people I've seen in the ER who were sent in for an "abnormal EKG" who had a perfectly normal one, or people who had a computer read saying "this is fine" who were having a subtle MI / were in CHB / had brugada etc etc.

Again, likely not worth the 0.24 wRVU unless you're comfortable not missing things that will later get you sued. Plus, a tech/MA who doesn't do these all the time will likely burn a good 10 minutes of time getting this done.

 

[Ducttape]

are yall getting EKGs regularly on patients? If so, how much is it reimbursing? Debating if its worth the trouble to get an EKG machine and do this in-house

dont do this.

doing unnecessary tests is what will put you in the mindseye of those out to punish physicians.

 

[BobBarker]

EKG’s pay an office about $10. It loses money.

 

[Status Sciaticus]

EKG for what? You prescribing a lot of methadone?

Yep. where I trained, it was the opioid of choice.

EKG’s pay an office about $10. It loses money.

Guess I will refer it out to PCP then.

 

[BobBarker]

Get your patients off methadone. It isn’t worth the headaches for you and the stigma for the patient. I’m sure you are prescribing low doses like 5mg tid. I don’t have a problem with it from a clinical standpoint and used to prescribe it.

 

[BobBarker]

I would just print an order and have the patient get the ecg outpatient at the hospital.

 

[clubdeac]

Yep. where I trained, it was the opioid of choice.


Guess I will refer it out to PCP then.

I used to do a fair amount of methadone at the VA but then learned about levorphanol. That stuff is way better than methadone. Try it, you'll like it

Is levorphanol a better option than methadone? - PubMed

 

[Status Sciaticus]

Get your patients off methadone. It isn’t worth the headaches for you and the stigma for the patient. I’m sure you are prescribing low doses like 5mg tid. I don’t have a problem with it from a clinical standpoint and used to prescribe it.

what headaches have you encountered?
sounds like its just getting regular EKGs?

Typically do 5-20mg BID dosing. its worked well than the 120-150 Norcos QID that some patients are on.

I used to do a fair amount of methadone at the VA but then learned about levorphanol. That stuff is way better than methadone. Try it, you'll like it

Is levorphanol a better option than methadone? - PubMed

I'll look into it. Thanks!
EDIT: gddamn! Levorphanol is 1000 vs methadone for 18 bucks...

 

[BobBarker]

I never got ecg’s with low dose methadone. Just questions from pharmacies and the patients. It just has a bad reputation.

 

[Dr. Ice]

i started Pain at age 45. looked at 2 employed PP jobs, considered academia, and the one i am at now. there was no doubt which was the best job.


both of those private practices are gone.


if you are doing regen now, you may be able to convince the HOPD to allow you to continue, and make a plan of having the hospital reimburse your cash procedures with wRVU in a way that is favorable to you.


with respect to bobs comment - not everyone is wRVU based. some have a base salary with bonus based on exceeding some minimum wRVU, and if that minimum is low enough.... stress free vacation.

This is what I’m looking at, and the base is considerably more than what I’m making now, even if I were to be 1.5 x more productive in my current set up and be able to get more in bonus, it would still be less than the base the hospital is offering

 

[Taus]

This is what I’m looking at, and the base is considerably more than what I’m making now, even if I were to be 1.5 x more productive in my current set up and be able to get more in bonus, it would still be less than the base the hospital is offering

How many years is the base guaranteed and what happens after that?

 

[Ronin1]

The aspect of HOPD employment that appealed to me at the age I went over (56) was that it was expressly written in the contract that any judgement over policy limits was covered by the hospital.

I also made more money every year than I was making being employed by an AMC and taking OR call. Approximately 200 k more. Not as relevant now that anesthesia salaries are skyrocketed

The length of the contract guarantee is offset by the 90 day termination clause. I agreed to it at the time in exchange for waiver of noncompete.

 

[Dr. Ice]

How many years is the base guaranteed and what happens after that?

2 years. It auto renews

 

[au bon pain]

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The aspect of HOPD employment that appealed to me at the age I went over ([emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]]) was that it was expressly written in the contract that any judgement over policy limits was covered by the hospital.

I also made more money every year than I was making being employed by an AMC and taking OR call. Approximately [emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji6]][emoji[emoji6]]][emoji[emoji[emoji6]][emoji[emoji6]]] k more. Not as relevant now that anesthesia salaries are skyrocketed

The length of the contract guarantee is offset by the [emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]]]][emoji[emoji[emoji6]][emoji[emoji6]]] day termination clause. I agreed to it at the time in exchange for waiver of noncompete.

The hospital agreed in a contract that they would cover anything above policy limits and waived their non-compete??

I’ve never heard of the first thing happening, and the latter is solid work on your part (and rare).

Mind sharing if the hospital is urban vs rural and what region of the country?

 

[Ronin1]

The hospital agreed in a contract that they would cover anything above policy limits and waived their non-compete??

I’ve never heard of the first thing happening, and the latter is solid work on your part (and rare).

Mind sharing if the hospital is urban vs rural and what region of the country?

Suburban. South Florida

 

[clubdeac]

The hospital agreed in a contract that they would cover anything above policy limits and waived their non-compete??

I’ve never heard of the first thing happening, and the latter is solid work on your part (and rare).

Mind sharing if the hospital is urban vs rural and what region of the country?

I’m gonna ask admin to block you until you can fix your tech glitch issue 😉

 

[CopaceticOne]

I’m gonna ask admin to block you until you can fix your tech glitch issue 😉

@au bon pain just needs to update their app.

Feedback - Posts in thread contain long sequences of nested “[emoji …]” strings

For example, from 2024-2025 Mayo Clinic - Minnesota: Pre-II R [emoji[emoji6][emoji[emoji6]][emoji[emoji6]]] And now, here it is in plain text (what I see in the email notifications…...

forums.studentdoctor.net

 

[au bon pain]

[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]][emoji[emoji[emoji6]][emoji[emoji6]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]" data-quote="CopaceticOne" data-source="post: 0" class="bbCodeBlock bbCodeBlock--expandable bbCodeBlock--quote js-expandWatch">

[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]][emoji[emoji[emoji6]][emoji[emoji6]]]]@au bon pain just needs to update their app.

[emoji[emoji6]][emoji[emoji6][emoji6]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]][emoji[emoji[emoji6]][emoji[emoji6]]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]]]/" 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Just followed the steps in your link (I use the SDN app not tapatalk) …. and here goes….

 

[au bon pain]

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Just followed the steps in your link (I use the SDN app not tapatalk) …. and here goes…. [emoji[emoji[emoji[emoji6]][emoji[emoji6][emoji6]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6][emoji6]]]][emoji[emoji6][emoji6]][emoji[emoji[emoji6][emoji6]][emoji[emoji[emoji6]][emoji[emoji6]]]]]]]

 

[Ducttape]

you got a lot of emojis in you...



this is a safe place. let them all out.....

 

[bedrock]

Dude. Just log into the website without that tap talk thing.

 

[Dr. Ice]

I’m very green to wRVU methodology, but according to the data presented to me from my current practice, 10.5k wRVU generated is making me much much less than the same amount generated under a HOPD contract, like significantly less…

 

[DOctorJay]

I’m very green to wRVU methodology, but according to the data presented to me from my current practice, 10.5k wRVU generated is making me much much less than the same amount generated under a HOPD contract, like significantly less…

what $/wRVU are they offering?

 

[cowboydoc]

I’m very green to wRVU methodology, but according to the data presented to me from my current practice, 10.5k wRVU generated is making me much much less than the same amount generated under a HOPD contract, like significantly less…

This is expected. HOPD contract is going to net you a slice from the SOS (d). Is @drusso just preaching into the abyss? I'm awaiting an analysis the other way around to see what my numbers look like in a PP outpatient model. Similar output to you, and I probably will be disappointed with the comparative #.

 

[BobBarker]

You make much more money in a HOPD model for office visits and simple injections. The math starts to favor private practice somewhat with RFA, but does wildly favor private practice for si fusion, kypho, scs trials.


BUT… the math wildly favors scs implants and IPG exchanges in an employed hopd model if you have no facility ownership.

Long story short, you will make more
money in a wrvu hopd model on a per encounter basis in most scenarios but you will be able to do usually many more encounters in a private practice set up which may make up for that.

 

[Dr. Ice]

what $/wRVU are they offering?

Only $60/wRVU but the salary offered and possible bonus if threshold met is quite a bit more than I’m making now

 

[cowboydoc]

Curious how many RVU people are averaging in academic? Our place considering switching to RVU but I worry logistics, fellow teaching, lack of kypho (done by IR) would make target hard to reach

Or you could use the cheap labor force (residents) to pad the stats and be credited for a ton of RVUs? I had an attending who was doing 23k+ wRVU/year, because he always had at least 4 residents on a few different services. Completely depends on the setup and available workload.

 

[au bon pain]

Or you could use the cheap labor force (residents) to pad the stats and be credited for a ton of RVUs? I had an attending who was doing 23k+ wRVU/year, because he always had at least 4 residents on a few different services. Completely depends on the setup and available workload.

23k is wild and you’re right it can work well under the right circumstances. At one of our academic clinics the attendings would often do 12-17k wRVU doing 4.5d/wk. They insisted the hospital still give them 1-2 nurses and 4 rooms to each so they could also pick up loose ends from fellows/residents and help scribe. While I was there a new admin came in and tried to change their setup… I don’t know what the attendings did exactly but within a few weeks that admin was “transferred” to a PCP clinic.

 

[BobBarker]

Kypho would be a negative for time spent in an academic center. 7 wrvu for probably 90 minutes of time with how slow academic places are. Not worth it.

Only makes a difference if you are way underbooked. Over a clinic day you will average 2 wrvu per office visit. You will average 2.75 wrvu per encounter for all tfesi/si joint/mbb etc. I assume you will get credit for every encounter you supervise of the fellows as the fellow is being paid with government funds. But you need to confirm that. You should be able to guesstimate 80% of your wrvu’s quite accurately.