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AbeTheBabe

Collections --> RVU

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I'm in Ortho and currently have a base salary and receive a bonus based on collections. This bonus ranges from 10-12% of your collections depending on how much you bring in total.

We are now partnering with a large healthcare system, and they will be taking over billing and are going to be paying the docs in RVUs at a rate which is about 50% more than what they currently get (higher contracted rates with insurance). I'm not sure I have a question, but how do we make it fair for us PAs with the new system? Since as far as I know our base salary and benefits are not changing, I'm hoping our bonus will at the very least increase by 50% as it seems like the docs are getting a big pay bump.

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Unfortunately I wouldn't count on it...the only fair bonus system for an ortho PA is to have a bonus based on the ortho team's production (surgeon + PA) because of global period followups and so forth.  But never hurts to push for it.

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The surgeon and I both see post-ops split pretty evenly so it's not too bad. I'm just hoping they didn't screw us on the deal keeping our RVU payments low to keep the bonus relatively similar to before.

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