bk84nation Posted December 13, 2016 Share Posted December 13, 2016 Anyone working in ER have RVUs at part of their pay structure? I know its complicated and varies from practice to practice, but those of you who have RVUs could you tell me how much it typically adds to your paycheck? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 13, 2016 Moderator Share Posted December 13, 2016 10-25 dollars/hr at prior jobs. I don't like that practice model as I think it encourages shoddy charting and ordering too many tests in an attempt to generate greater rvus and see more pts, everywhere I work now I get the same hourly rate for zero pts/hr or 6 pts/hr and there is no pressure to see more folks or generate more income or compete with others. I know my care is better when no one is breathing down my back telling me the group avg is 3 pts/hr and X RVUs. FWIW I was always in the middle of the pack for RVUs as I was unwilling to be unduly influenced by that culture. Link to comment Share on other sites More sharing options...
Guest ERCat Posted December 16, 2016 Share Posted December 16, 2016 Our group just instituted RVUs and although it means I can get an extra 12/hour - I hate it. Constant stress looming over my head to turn and burn. Link to comment Share on other sites More sharing options...
RuralER/Ortho Posted December 16, 2016 Share Posted December 16, 2016 We attempted this, but it was very difficult to track. Part of this is because we have a ridiculously antiquated EHR and also a doc Co-signs all my charts eventually. It took a lot of work to straighten out who I saw, etc. In the end, it added up to like 12/HR. Now we just increased my hourly rate to reflect that and there aren't any more questions or long division problems to solve... Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted December 16, 2016 Share Posted December 16, 2016 RVU's are not part of my pay however, the docs are paid $15.52 per RVU with a $150/hour "floor". Through some algorithm that no one knows some unknown portion of the RVU's from the patients I see are added to those for the patients my attending for the day saw. In other words, the doc gets some pay for my patients. No one even knows if that portion depends on whether the doc was a) "available for consultation", b) "discussed the patient" with me, c) actually saw the patient - and this can be "hi" from the doorway to an actual assessment. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 16, 2016 Moderator Share Posted December 16, 2016 Last place I worked that used RVU structure docs got 50% for just signing the chart and 75% if they saw the pt. TOTAL BS Link to comment Share on other sites More sharing options...
slolar Posted December 27, 2016 Share Posted December 27, 2016 We are RVU bonused, usually about 1-2$/RVU. I find the actual amount is a moving target. It doesn't really get me to work any faster or harder as I'm already a hard worker. If there are patients to be seen, I just go see them. Most in our group are the same, but I'm not sure if the "culture" of RVU bonus has weeded out the lazy ones. I just had to give my group a BIG pushback because they wanted to assign part of PA RVUs to the docs. MD's put an addendum on notes when the patient is admitted. This increases reimbursement for BCBS and Medicare by 15%. So their thinking was that that "extra" money should go to the MDs for doing "extra" work. The problem with that thinking is that RVUs don't change depending on provider or reimbursement. So it was essentially taking money OUT of our pocket whenever we admitted a patient. It took me forever to get them to see this. Grrr. Sara Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 27, 2016 Moderator Share Posted December 27, 2016 yup, the rvu thing is a moving target. ours was an rvu bonus based on our performance and the groups profit during the year. one quarter I got 19k and bought the wife a new car for cash. next quarter working just as hard, seeing as many pts, etc I got $240 and the wife and I went to dinner. the difference? the group bought a new u/s machine so "profits" for the 1/4 were down 50k so bonuses went in the toilet. Link to comment Share on other sites More sharing options...
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