I am looking for some insight from any PA practicing in outpatient psychiatry, especially is TN or VA
I heard from a colleague that there has been some issue with reimbursement in the outpatient psychiatry realm that is specific to PA services
I wondered if anyone currently practicing in this specialty or anyone with knowledge about the situation could weigh in.
Are PAs reimbursed at the normal rate or at a decreased rate?
Are there discrepancies between reimbursement for medicare/Medicaid and commercial insurers?
Thank you all 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.
3 years in Derm.
Right now :
1. Part time pay $57.50 an hour no benefits except 401k he’s putting in 3%. Only PA in solo practice. One time bonus in December of $1,500. Pays for all CME activities no cap, but does not pay accommodations or other expenses.
2. Work 20-25 hours a week. I tally about 60 patients a week and sometimes less.
3. I Do some cosmetics
4. I was offered productivity based salary at first, had no Derm experience but I declined because I was brand new to practice. Worked IM 3 years before starting.
same base salary : part time hourly $57.50
productivity: net Collections first year 3%, 2nd year 4% and 3rd year 5% above 200k. Reports quarterly but collected and calculated from Whole practice
30% in cosmetic procedures
Same benefits as above
I work as a physician assistant at an orthopedic urgent care center where we offer Neuromuscular Electric Stimulation (NMES) as a therapy to aid in recovery and healing. We have a therapist here 3 days a week for that. As a PA, are we able to bill a therapy code for that therapy on the days therapist is not here and I provide the therapy? Any help with this issue is 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.