I'm a PA who's been working in Oklahoma doing general surgery and urology at the same hospital since I graduated in May 2018. I have two concerns:
1) I finished a 1-year contract and resigned for a 3-year contract which bases my annual bonus off of RVUs (very low 1520). I recently finished the first year of this contract and I've been told the hospital doesn't know how many RVUs I've accumulated because they don't know how to calculate my RVUs from surgery. Apparently, they have always had this issue with RVU calculations for PAs (there is only one other PA working in ortho at this hospital) and they've been "working to figure it out" , but I've been asking for my productivity for about two years and have yet to get ANYTHING useful. In fact, I have been stood-up twice by the clinic manager for scheduled meetings to discuss productivity.
2) As I mentioned, recently finished off the first year of that contract. I requested an annual review and the clinic manager completely ignored that portion of my email. Seems completely unprofessional to not perform reviews. Convinced my first job at a bowling alley was more professional than this.
Wondering if this kind of thing is normal or just a lazy clinic manager...and maybe any legal advice regarding them giving me a contract with a metric that they have admitted they don't know how to measure. Thanks in advance.
I work at a rural hospital in orthopedic surgery. I recently met with my employer’s director of clinical operations to discuss my productivity. In my second contract (signed this summer) it states that there will be a bonus of $25 for every wRVU over 2350. Last year as a new graduate I produced somewhere around 4300. During the meeting with the director I was given a statement of practice operations stating my current RVUs, charges, etc with the statement that the “fee modifying deduction” has not yet been added to the RVU total. He states that I will receive 25% of the surgeon’s RVUs for each billable surgery. That makes sense, however, they are wanting to give me 85% of my own clinic RVUs. Does anyone else have any experience with these kind of deductions in regards to their bonus payout? I know the conversion factor of $25 is already pretty low, so are they trying to avoid paying me with these deductions? There is nothing in my contract regarding these deductions.
Thanks in advance.
Does anyone have any experience with being compensated with RVU alone? Our physician staffing firm is contemplating straight RVU compensation.
We have been hourly since the beginning, but recently there has been a lot of talk about going to RVU w/o a base salary just like our supervising ED Docs.
Any insights would be greatly appreciated.
hi everyone, I just accepted a new job offer for PA position which I am incredible excited about. My current job has very long and detailed contract (17 pages). A good portion of my salary is paid out in quarterly productivity bonuses, which ends up amounting to ~1/3 of my salary. I received the amount for my most recent productivity bonus (aug/sept/oct), with it cced to payroll stating it will go into my next paycheck (which is unfortunately not until Dec 1). The minimum notice I have to give my current job is 30 days. However, I was hoping to give more time (6 weeks) as I know they will probably need to hire another employee. I am unsure if I should give my notice before I actually receive my bonus in my paycheck. In my contract it states "Payments to the productivity structure will be made during the tenure of your employment with the P.C. No monies under the incentive structure will be due to you, from the day you leave the PC." I am assuming that means after I leave the practice I will not be eligible for the remaining funds. My last date of employment would not be until January 5th (which if needed I can extend as my start date is not until Jan 15). My gut is telling me to wait, but I unfortunately let my boss know I was hoping to speak with him. I was wondering if anyone had any prior experience with this as it is a substantial amount of money. Also, if anyone has any useful tips on giving notice it would be greatly appreciated. I have done it once before, however this time my nerves and anxiety are very high. Probably since I have been at my current job for a lot longer than the previous and have this sense of guilt about leaving (although I know I am not doing anything wrong). Thanks you so incredibly much in advance.
I am an ortho PA for a large hospital owned ortho group. I was hired 3 1/2 years ago to work with a specific surgeon. As the PA's in the group have increased, the management team is looking at our salaries and seeing that we don't make enough RVU's to cover our salary. The only ones who are doing so, work for total joint surgeons. My surgeon does maybe 1 total a week and mostly outpatient surgeries that some can bill for me and some can't. Since the surgeon gets paid based on RVU's (and I get paid a salary from the hospital), he does not want me to do things that can be billed. Therfore, I am seeing all postop's, injections, and fracture follow-ups. There is no way I can make my salary in RVU's if I am not seeing many billable patients.
Does anyone have any advice on how to track our productivity that is not RVU based?
Other ortho PA's - are you paid by the hospital or surgeon? Do you have issues with "making your salary?"
Thanks in advance.