Hi everyone!
I am a surgical sub-specialist a few years out of fellowship who is starting to look at new opportunities. Right now, I have an offer as an employed doc from a large national Health care organization. It’s for two years guaranteed salary then switches to pure wRVU model. Conversion factor of 55.
I perform almost all of my procedures in the hospital with one notable exception, a mostly lifestyle procedure which I do in the office in a regular exam room. The issue is that the CPT code reimburses a couple of RVUs for physician work, and 10X as much for the facility fee. The practice collects 3-4K each time I do the procedure, then turns around and pays me 55X4 = $220. Has anyone been able to successfully negotiate a portion of these facility fees? Or should I just ask them increase the conversion factor and let it all even out that way?
The employer tells me they have a 6 month waiting list of patients who need this procedure, and it seems like no one else is consistently doing them in the area. I wouldn’t mind doing up to 4 to 5 per week, but the wRVU structure incentivizes me to do more like 0-1 and spend my time in the hospital instead. I’m trying to think of ways for all parties to benefit.
thanks!
I am a surgical sub-specialist a few years out of fellowship who is starting to look at new opportunities. Right now, I have an offer as an employed doc from a large national Health care organization. It’s for two years guaranteed salary then switches to pure wRVU model. Conversion factor of 55.
I perform almost all of my procedures in the hospital with one notable exception, a mostly lifestyle procedure which I do in the office in a regular exam room. The issue is that the CPT code reimburses a couple of RVUs for physician work, and 10X as much for the facility fee. The practice collects 3-4K each time I do the procedure, then turns around and pays me 55X4 = $220. Has anyone been able to successfully negotiate a portion of these facility fees? Or should I just ask them increase the conversion factor and let it all even out that way?
The employer tells me they have a 6 month waiting list of patients who need this procedure, and it seems like no one else is consistently doing them in the area. I wouldn’t mind doing up to 4 to 5 per week, but the wRVU structure incentivizes me to do more like 0-1 and spend my time in the hospital instead. I’m trying to think of ways for all parties to benefit.
thanks!
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