JBI Database System Rev Implement Rep. 2015. Also, these larger practices and corporations cant really keep track to see if the insurance actually reimbursed for the RVU you produced. She thinks the 5000 number is high. I hope this post helped you understand how to structure a simple bonus incentive. Things like rent, utilities, administrative staff salaries, maintenance, equipment leases, legal and accounting fees, and supplies are all examples of operating expenses. When you hire a new mid-level provider, you expect them to break-even. Now lets assume the practice collected $2,000,000 in net receipts for the year. Physicians have for years recognized the value provided by physician assistants (PAs), nurse practitioners (NPs), and other nonphysician practitioners (NPPs) to enhance their practices'. From my experience, most bonus incentives are either based on the mid-level providers collections or work RVUs. I was making $32 per RVU at an urgent care just FYI. This could cause potentially financial problems if you are strapped for cash. Make sure your providers understand the concepts the bonus program is based on. So how exactly is productivity payment calculated? Thanks so much for all the information. From my experience, smaller practices generally pay by collections because of its simplicity. You need to be making at least $75 an hour you are being ripped off. Keep this in mind. The pay for production system is very complicated. Provider shall be eligible to earn Bonus Compensation of up to ten percent (10%) of Provider's Base Compensation, each year, based on Provider's performance related to finance, quality measures, and professionalism as set forth in the Bonus Compensation Chart during the previous calendar year. Now, I will take you through the steps of how an RVU translates into payment for a healthcare provider. Collections: Think about how much you generate for a practice and then what the overhead is for the practice. The incentive compensation will then be paid by 60 days after the Employer's fiscal year ends. Most nurse practitioners report this being in the 30%-60% range. Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: $100,000 - $116,600 - $148,390 (Commensurate with . Investigate the number of patients and work RVUs to match to your model as your baseline. At this level of production, the collected receipts will cover the mid-level providers compensation package and the operating expenses associated with the collections. Do you have a bonus incentive plan for your mid-level providers? I work part-time, 22 hours per week. Save my name, email, and website in this browser for the next time I comment. I do this for my telemedicine practice. Just a point of clarification, if you dont mind: youre talking about $32/RVU and you said that a level 3 visit will collect $75-$100 on average, but from what Im seeing online, CMS reimbursement is $33.59 per RVU. What are the benefits of hourly pay or salary? If youd like a copy of the spreadsheet above, you can download it here. Save my name, email, and website in this browser for the next time I comment. Unauthorized use of these marks is strictly prohibited. Base the bonus on data, not on feelings or the subjective opinion of the owner. Disclaimer. The practice must pay for medical supplies and equipment as well as employ nurses or medical assistants. For this reason, it might make sense to compromise. Alaska average nurse practitioner salary: $122,880. Go straight production if the clinic is busy. So, if you generate $30,000 one month to the practice, you would earn your negotiated percentage of that number. Nurse practitioners' clinical productivity was associated with several modifiable practice characteristics such as practice autonomy and billing and payment policies. No base salary. Careers. The owner should have a return on investment (ROI) on the mid-levels work. For every patient they see over 957 patients per quarter, they receive $10 per patient. The Carter review into efficiency in the NHS recommended a new staffing metric be adopted to measure nursing resources, but workforce experts are not convinced Abstract The Carter review of efficiency in the NHS published this year recommended that a new staffing metrics of care hours per patient day be adopted to measure and compare how . 1. Nurse Practitioner income in the private sector is approximately $118,140 for base pay with a full benefits package of $49,911. All rights reserved. Your employer will specify your compensation methods in your physician contract. The example I just gave is based on collections. Required fields are marked *, Nurse Practitioner Productivity Payment: How Does it Work? The bonus is a set percentage of profit or net revenue, bottom line, or however you define it. Posted 12:00:00 AM. Negotiate more or find another job or start your own practice and earn what you deserve. September 21, 2021 by Tyler DeVries Leave a Comment. Should they be willing to disclose that information to me, how many RVUs I generate? A minimum to reach per quarter? If it is a high overhead clinic, I believe 40%-50% is reasonable or ask for RVUs. The site is secure. So wRVUs can be used both/either for base compensation or for above and beyond bonuses. The .gov means its official. Hi Justin, I am a fairly new NP and am being offered a position as a primary care hospitalist. We offer an excellent APP Training Program. If nurse practitioners working in a family practice can successfully treat 80 percent of the patients coming into the practice, referring the 20 percent that represent higher acuity cases to a. 2. Does this seem reasonable ? I recently cut back to 30 hours per week and was making 91,000 in family practice. productivity bonus. I am an endo NP so I bill 99913 and 99914. Remember that total RVUs and work RVUs are two different things. J Allied Health. Your email address will not be published. The top practice settings are hospital inpatient unit and hospital outpatient clinic. Any advice or information would be greatly appreciated. //