Hello I was hoping to get opinions on a couple scenarios.
My practice is about 75% insurance and 25% cosmetic based. I'm in the process of renegotiating my contract and am looking at moving to a base + bonus structure vs eat what you kill. Since my billers don't have a great track record with collections, I'm leaning towards an RVU model.
Does anyone have experience assigning RVUs to cosmetic procedures? Alternatively, is a combination of wRVUs for insurance payments and collections for cosmetic procedures too complicated?
Another question is regarding assigning a value to the wRVU. My admin has decided on a largely out of network model to benefit another specialty within our practice, but this limits my wRVUs because of the difficulty in establishing relationships with referring doc. Given this difficulty in reaching a high wRVU level, and a payer mix that results in high reimbursement to the practice, does it make sense to ask for a higher $/wRVU.
Any advice would be appreciated.
My practice is about 75% insurance and 25% cosmetic based. I'm in the process of renegotiating my contract and am looking at moving to a base + bonus structure vs eat what you kill. Since my billers don't have a great track record with collections, I'm leaning towards an RVU model.
Does anyone have experience assigning RVUs to cosmetic procedures? Alternatively, is a combination of wRVUs for insurance payments and collections for cosmetic procedures too complicated?
Another question is regarding assigning a value to the wRVU. My admin has decided on a largely out of network model to benefit another specialty within our practice, but this limits my wRVUs because of the difficulty in establishing relationships with referring doc. Given this difficulty in reaching a high wRVU level, and a payer mix that results in high reimbursement to the practice, does it make sense to ask for a higher $/wRVU.
Any advice would be appreciated.
Comment