RVU-based Bonus/Contract and Annual Reviews

[CPPAC]

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.

[MediMike]

1 hour ago, CPPAC said:

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.

Can't offer you help with legalities...but from an ornery standpoint they'd sure as hell better pay you the same and probably more than they did the last year, with a plan in place to appropriately assess the metrics they included in the contract.

[mgriffiths]

The legal issue is simple in theory, but as with anything in reality will likely be a convoluted mess.  Your employer agreed to pay you based on RVU production...they are not holding their end of that agreement.  They have two choices: either figure it out NOW, or make a new agreement with you regarding payment for those estimated RVUs that can't be quantified.

 

In regards to the clinic manager, I give three attempts in writing.  After that I go to the next level forwarding the unresponded emails.  This shows the next level that the clinic manager isn't managing and therefore you need guidance.  It's kind of a ballsy move, but the clinic manager is acting unprofessionally and I'm willing to take steps.