[log in to unmask] wrote:
> Our multi-hospital group has gone to a (partially) RVU based compensation
> structure. We have one Children's hospital in the system. There is discussion in
> the group about the fairness and equitableness of using RVUs for
> compensation when the population of patients is so different in the children's v. mixed
> EDs. Does anyone have experience with this issue?
I have a fair amount of experience with RVUs in private peds offices
(i.e., not hospital-based) and there are three big issues that come up
- immunizations themselves don't have RVUs yet they represent ~20% of
the overhead of a typical peds office. Depending on the patient mix
for the provider (lots of newborns? lots of girls, 9-13?), this can
- cognitive CPT codes, particularly well visits, are notoriously
under-valued. It's not at all surprising to have a 45m teen girl
physical...yet generate <$100 in revenue for it.
- finally, although I think RVUs (particularly the physician portion)
make an excellent measure of productivity, they don't tell the
entire picture when it comes to practice value. The guy who cranks
out 40 kids in a day and racks up the RVUs is not necessarily as
valuable to the practice as the one who sees only 4 kids in the
afternoon because the latter might focus on special needs kids and
keeps them out of the former's schedule.
Hope this makes sense and helps.
Chip Hart - Pediatric Solutions * Physician's Computer Company
chip @ pcc.com * 1 Main St. #7, Winooski, VT 05404
800-722-7708 * Confessions of a Pediatric Practice
f.802-846-8178 * Consultant - http://chipsblog.pcc.com
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