rvu compensation calculator To make the appropriate calculation of RVUs in this sort of practice, you would need to take the individual practice’s annual RVU number and divide by the number of days per year worked. Association Management Software Powered by Your. 2 Thus, the care of patients with chronic, complex diseases such as IBD, which requires time-consuming office visits, has low compensation and cannot compete with multiple procedures such as colonoscopies that To manually calculate payment amounts for the 2017 Physician and Non-Physician Fee Schedule, you must use one of two formulas: 2017 Non-Facility Pricing Amount = [ (Work RVU * Work GPCI) + (Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) It also includes $10. How does the work RVU formula credit physicians for modified services such as multiple and bilateral procedures, Overview This website is designed to provide information on services covered by the Medicare Physician Fee Schedule (MPFS). Base RVU x GPCI = Total RVU HCMS Work Relative Value Unit (RVU) Calculator - HCMS has developed a work RVU calculator to help Harris County physicians in locality 18 determine their work RVUs. (See “Level 4 office-visit coding,” Contemporary Pediatrics, February 2013, to learn the nuances of coding if you need a refresher. 53 Payment=Approximately $102 GPD1X Podiatry services, medical examination and evaluation with initiative of diagnostic and treatment program, established patient. Nevertheless, quality on average determines only 8% of total physician compensation packages tracked in the Review. Percentile Top {{ expandoResult. Figure 1 shows the compensation trends for private, integrated, and overall cardiologists since 2012, with the median total cardiology compensation per FTE at $577,329 in 2018. 1 RVU is $37. 518). 2. The practice …. aapc. Increase unit selling price 30% with no change in costs and expenses. Work RVU inputs: Work RVU inputs include the physician effort in the "pre", "intra", and "post-service" periods. 89 x $37. 90 0% Practice Expense - PC 0. See full list on jacksonphysiciansearch. 90 would be 815 workRVU. With the growing use of care quality-based and patient-experience metrics, and the pronounced trend toward direct physician employment, predominantly productivity-based compensation is declining. Since then, the study's authors found that incentives paid to faculty, RVUs and publications per useful information. gov or . are using some type of “work relative value unit” (commonly known as a wRVU) structure for compensation purposes, and more than 60% of physicians are paid on the basis of some type of wRVU metric. Use the following calculator to help determine your estimated monthly compensation along with your combined disability rating. Bonus is not calculated until you’ve reached your base salary, $26,000 divided by $31. 43 $95. I know many physicians who lament for the days before the invention of the RVU. 5) + (. The RVUs contained in the OMFS also merit updating because they are based on a variety of different sources. Identify all RVUs paid by Medicare (calculate overall percentage) Calculate Medicare paid outpatient E/M codes in relation to total wRVUs (utilize primary payor) Apply difference in national conversion factor to the wRVU (factor in GPCI) Provider Compensation Distribution of all codes by provider (E/M vs Non-E/M) Apply percent change in OP The . Before its implementation, payers for health care services based compensation on the historical charges physicians billed for their services. 60 min Direct PE: $17. Then take the result and multiply by 1. 2 percent. 8994) and Conversion Factor (37. 90 for tier 1 and $36. 62568-63563 and updated quarterly) for services described [(W rvu * w gpci) + (PE rvu * pe gpci) + (MP rvu * mp gpci)] * CF = MAA Where: W rvu = Work relative value units w gpci = Work geographic practice cost index value Know your worth. 6. Work RVUs are often used in provider compensation models where the intent is to pay the provider based on the amount of work performed, blind to the Download the Free 2019 RVU Calculator. Most medical practices calculate base salary at an amount of compensation per work RVU. 30 $72. Having an RVU compensation model in place is something that should create a mindset of an owner or entrepreneur, not of an employee (even if you are employed by a healthcare system. Nationwide rvu rates of medicare part b ndi examinations among table physician work rvus per procedure according to imaging modality table radiologists workload according to practice characteristics table list of absolute reporting times and relative value units rvus table The current Medicare National Physician Fee Schedule Relative Value File does list Relative Value Units (RVUs) for CPT 98943, extraspinal manipulation. 3 percent. By COVID compensation actions. In this case, CPT code 99212 receives a total RVU of 0. 275. The RVU is the preferred metric for most types of clinical practice because it is ‘blind’ to payer, making it consistent with our goals of providing socially just care and benefits from normalization against robust national databases from academic medical practices. The Department administration will offer help, oversight and continuous stewardship to optimize finances and success of all sections. To calculate his or her total RVU for code 99214, add the following geographically-adjusted component RVUs together: (Work RVU [1. g. Laura took these figures back to her office and compared the insurer’s proposed fee schedule with the practice’s cost for each code so that she could make a The Medscape Physician Compensation Report is the most comprehensive and widely used physician salary survey in the United States. 89 x 138 days = $98,772 RVU 2020 Proposed Work RVU Work RVU Difference Work RVU % Change 2019 Non-Facility PE RVU 2020 Proposed Non-Facility PE RVU Non-Facility PE RVU Difference Non-Facility PE RVU % Change 43197 Esophagoscopy flex dx brush 1. 82 0. Percent of collections, percent of gross charge, fee-per-code, flat hourly, 80 40 rule, salary, minimum hourly guaranty with bonus, hourly differentials, RVU incentive with bonus, minimum hourly plus RVU plus bonus, partnership bonus, (bonus if the moon aligns with Venus on the third Thursday of the fourth quarter) . 00 0% 3. 2 percent, and the weighted average change in compensation per work RVU was 2. RVUs are generally tied to CPT codes, so staying current with these changes and revising RVU calculation methods accordingly will create a fluid and dynamic RVU methodology. ) Generally speaking, employees have the mindset of collecting a paycheck and going home. 06 Rate of return for RVU's: 99213 is 0. RVUs determine physician payments based on the level of difficulty of a procedure or patient evaluation. Percentile Top {{ expandoResult. 1. physician compensation is rising. Check WRVU thresholds are consistent with base salary. Report the relative value units (RVUs), as measured by the Resource Based Relative Value Scale WORK RVUs: Based on the encounters, work RVUs are calculated at 4073 per year, or 1018. 00 per work RVU, he or she would be compensated approximately $339,000 (6000 work RVUs × $56. 2018 rvu calculator mgma pensation and ion survey median gross charges for u s hospital census U S Physicians Dollars Per Rvu By Specialty 2016 StatistaWork Rvu Pensation Models Best Rate Determination Hsg AdvisorsPhysicians Work Rvu By Specialty U S … According to Sullivan and Cotter the median annual workRVU is 3424 and for this example bonus is paid quarterly. 01] x 80 Payment = 1. Medicare allowable for any code anywhere. You can still complete the survey without RVU data! Another option, if you have access to your CPT coding data, is to send it to MGMA and they will calculate your RVUs for you (that could be helpful data for many practices!) work rvu (0. Naturally, if the conversion factor is increased, then the payment amount is increased. 07 . Medicare has proposed to reduce its conversion factor from $36. 77 $45. Overall, the application of an RVU-based compensation system likely produces a positive influence on EP efficiency and productivity. Table 3 displays how RVUs are compiled for each CPT code based on amount of provider time spent. 75 RVU’s per hour by 1. e. 12. 97 so 85% is 0. S. 74 0. 5 cm), the actual fee schedule varies for each location and place of service. Cardiovascular Provider Compensation & Production Survey! The intent behind this document is to provide poignant and rich peer data to help advance the cardiovascular community. These have all been updated for the 2014 changes from the Centers for Medicare and Medicaid Services (CMS). RVUs and compensation-to-RVU metrics will be calculated and published using the 2020 and 2021 Medicare PFSs. 57 3. 01) x mp gpci (0. Compensation per workRVU is $31. S. 03 $67. gov means it’s official. 2, + 0. RVU for physician professional liability insurance costs (about 4% of the total relative value) Both the physician work and physician practice expense values are further broken out into components as described below. We calculate RVUs from CPT-level data and are thus able to eliminate the RVU data consistency issues that exist in other industry surveys. Using the formula below, first plug in the three Relative Value Unit (RVU) values that have been assigned to the CPT code and the three Geographic Practice Cost Index (GPCI) values that have been assigned to the locality where you are practicing; next plug in the Budget Neutrality Adjustor (which is 0. Divide the total payments by the total wRVUs for each payer and you’ll get a payment per wRVU value per Payer. 89 (which is the current rate as of April 2019), then the incentive for code 99210 will be $37. com. 52 1. Further, myriad circumstances impact the resulting individual physician compensation per wRVU, including clinical role, internal distribution method At $30/RVU and 2. In actuality, that yearly average total RVU number does not measure the amount of daily work. 91 $59. Head to CMS and download the latest 2019 RVU zip file. If you know the code and number of units of a procedure, these tools can do the computation for you. ) Key thoughts: • Work Relative Value Units (wRVUs) have the potential to provide a standard measure of physician productivity, and calculate fair compensation based on their activity. Percentiles. 90) x pe gpci (0. Measures include billing and collection data, relative value units (RVUs; both total and physician work), and information on outpatient, hospital, and ambulatory surgery encounters. RVU FAC RVU RBRVS NF RATE RBRVS FAC RATE . hospitals reporting discretionary compensation for their physicians 2012 Average compensation offered to top recruited U. The GPCI must be set to 1. Unlike the RVP RVUs, RBRVS RVUs do produce conversion factors that can be compared between service categories, because the RBRVS RVUs are set consistently across all service categories, with the exception of Anesthesia. Total compensation for surgeons eight to 12 years in practice: $1. Compensation per workRVU is $31. 6880 . Many RVUs are still based on the 1974 CRVS, while others are The 3% increase in 2018 compared with 2017 resulted in overall cardiology compensation reaching its second highest total since 2012. The CMO, wanting to ensure that the proposed compensation per unit of work was appropriate, had taken the MGMA national median annual compensation for internal-medicine hospitalists ($234,437) and divided it by the national median annual work RVUs (4,185) to arrive at a targeted compensation per wRVU of $56. Committee primarily involved in the (w) work component of the RVU vs. The calculator includes 40 different specialties based upon the top 50 codes for their particular specialty. 1 Sadly, despite how common this form of compensa- So in summary, the compensation per wRVU is a calculated rate, and both wRVUs and total compensation are reported; there is wide variability within the cardiovascular workforce on this measure. 3 “Facility RVUs” shall be used where the place of service is listed as facility (“F”) the Place of Service (POS) Table. Notice the variations of each contract. 30 Divide 2. But to my view, that is like lamenting for the days before the United States used the dollar for currency. wRVUs take into account the complexity of each interaction. A more appropriate calculation would be the daily RVU number. 0 wRVUs per hour are at $32. Extract the PPRRVU19*. Percentile Top {{ expandoResult. It can be restated this way: Pay me based on what income I generate, not the number of hours (which will increase RVU’s) I work. Each provider determines how much it will charge for services provided, but that is not necessarily the amount that will get paid. 90 for Tier 2. 89 (rate)] In a salary plus RVU compensation model, doctors usually receive incentives for every RVU above a given threshold. 78 for a code worth 2 RVUs, $378. 11 min Direct PE=$22. 2. you have to google "wRVU Family practice" - the second result saves a a local file for some reason. The advantage of using RVUs as a measure of productivity is that the RVU is independent of the physician’s charge schedules, patients’ insurance coverage, the reimbursement fee schedules assigned by any payor for any CPT code, or the practitioner’s ability to collect reimbursement revenue for any physician encounter. Do this by taking the total number of work days per year and Below is a list of the most common CPT codes (procedure codes) and there assigned relative value units (RVU) and work RVU used in a PM&R and interventional pain management clinic. ok. Payment = [ (. You may estimate reimbursement by dividing the DWC conversion factor by the Medicare conversion factor, then multiply that amount by the Medicare participating reimbursement amount for the service. Typically a Family Medicine physician will generate 1. 00 per RVU for each RVU generated over 3250 per year, BONUS. 4,000 in compensation, his WRVU 2019 Review of Physician and Advanced Practitioner Recruiting Incentives 2 Merritt Hawkins is a national healthcare search and consulting firm specializing in (According to the 2012 MGMA Physician Compensation and Production Survey the median number of physician work RVUs for neurology in CMA Work Sheet March 2019 Page 3 of 12 1. Divide the total payments by the total wRVUs for each payer and you’ll get a payment per wRVU value per Payer. 4,000 in compensation, his WRVU 2019 Review of Physician and Advanced Practitioner Recruiting Incentives 2 Merritt Hawkins is a national healthcare search and consulting firm specializing in (According to the 2012 MGMA Physician Compensation and Production Survey the median number of physician work RVUs for neurology in Request PDF | Factors Associated with RVU Generation in Common Sports Medicine Procedures | Introduction : Relative value units (RVUs) are integral to the U. Some physician contracts, such as my contract, is 100% based on production, or how many RVU’s I bill for. The allowable charge for each service listed on the Medicare Physician Fee Schedule is calculated by multiplying the relative value units (RVUs) assigned to that service by a standard Medicare conversion factor. 5 so 85% is 1. 051) + (PE RVU x 1. 00 + pe rvu (2. This calculator can be used to track work productivity and to compare one's work productivity to one's compensation. S. “The lion’s share of our revenue is still generated by the number of patients that providers see, so we couldn’t quite shift away from that model fully,” says How to Calculate a CPT Code’s Allowable. Work RVUs: 11,822 3 14. This amount is 27% more than the 75th percentile compensation benchmark, and not consistent with FMV standards. physician compensation system used CMA Work Sheet March 2019 Page 3 of 12 1. From market data on compensation to detailed slices of production and markers for utilization, MedAxiom continues its legacy of peer learning and as a CV connector— Many organizations are choosing to adopt the 2020 Physician Fee Schedule for purposes of physician compensation plans in 2021 to avoid (or delay) the significant physician compensation increases likely to result from the wRVU changes, but this likely involves amending the affected physician contracts if the contract language (and/or historical Compensation per wRVU Work Relative Value Units, or wRVUs, are designed to give value to the time, skill, and effort required to provide a service. To calculate clinician productivity using RVUs for individual clinicians: 1. RVU expectations will be adjusted up or down relative to the faculty member’s compensation compared to their salary benchmark. Compensation to Physician Work RVUs Ratio Providers Groups Mean Stdev 10%tile 25%tile Median 75%tile 90%tile Overall 166 623 $81. 4218) + Adjusted PE RVU (PE RVU x . The questions aimed to capture an extensive list of compensation, productivity, and performance measures for both neurologists and practice administrators. The RVU equation, then, is. But there is no straightforward calculation of overall or incremental costs of the new practice model. 001). x dwc cf $58. At the end of the day, the RVU index was $40 for a surgical subspecialist! The moral here is that if we don't share our information with one another, these hospitals retain all the power. 08 $60. gov. 31 = mar $156. I will endeavor to inform you more about Work Rvu Calculator todays hospitalist. , health insurance, retirement plan, payroll taxes, etc. 26 0. 27 $53. 65 $171. 09 per RVU to $32. 50,000 plus a 6% commission on net sales. overlaps in activities), and work RVUs per unit of time. 924) = 2. Change the compensation of salespersons from fixed annual salaries totaling Br. Additional RVUs can be generated by performing (and documenting) procedures. 0 to 4. http://www. Average NP RVUs per MGMA in 2010 was 3200 for example. This link can bring you to the 2020a release list of RVU files CMS hosts - note that this calculator only works for 2020! Look out for newer versions. Next you will need to determine the estimated number of work days you have per year. 00 FTE RVU expectations. 82 1. This is essentially the amount of dollars you are getting paid by that payer for every one RVU work unit. In my last post discussing nurse practitioner payment based on productivity, I explained the RVU (Relative Value Unit). 52 0. Multiply the number of procedures by the total RVUs (or work RVUs only) for each CPT code. you can look up the values: Work RVU Calculator - Relative Value Unit - AAPC The number of rvu's you get per cpt code remains fixed. RVUs are a part of the system Medicare uses to decide how much it will reimburse physicians for each of the services and procedures covered under its Physician Fee Schedule and which are assigned Current […] How to Measure Productivity as a Nurse Practitioner. Starting salary: $303,560 2 12. 32 times 1. Relative value units (RVUs) – RVUs capture the three following components of patient care. 17 million 10. To ensure data This is a Montana unique code, which replaces CPT code 97799 for purposes of workers’ compensation services. 09 in 2020 to $32. For example, CPU code 99210 will have a rate of 1 RVU. 21 $55. You have to agree to the license and usage rules from CMS, of course. To determine Relative Value Units (RVUs) required per year, start by dividing the desired annual compensation (in dollars) by the compensation per work RUV. the (PEAC) practice expense component of the RVU SCMS introduced the Budget Neutrality Work Adjuster (BNWA) which lowers work RVU for any proposed increase in overall RVU reimbursement S Meaning less compensation for each wRVU to avoid overpayment for the Different from the practice expense RVU or malpractice RVU, the work RVU is a constant value across specialties and geographic locations, providing a good standard for the value of work performed. Clinical productivity and formulas based on units of work have become the most common method of physician compensation. 7260. 04 in 2019 to $36. It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator and various payment policy indicators needed for payment adjustment (i. To ensure data accuracy, Compensation per RVU of U. • Employment rather than independent practice remains the dominant physician recruiting model. 89 for a code worth 1 RVU, $75. 2. Regulation 9789. 61 Midwest 43 244 $96. You have to agree to the license and usage rules from CMS, of course. The RVU file provides the three RVU values for the procedure code. RVUs where the Geographic Practice Cost Index (GPCI) equals any value other than one. 712)] x 80 Payment = [0. 05 x 80 The RVU-based pay plan was implemented at University of Florida Health during the 2013 fiscal year. Faculty compensation shall reflect specialty specific market values, and RVU methodology shall support this goal. S. 44 Geographic Section Eastern 28 115 $65. Increase unit selling price 30% with no change in costs and expenses. With a base salary of $104,000 the monthly paycheck would be $8,666 which would equal $26,000 quarterly. SCommittee primarily involved in the (w) work component of the RVU vs. Transesophageal echo with Color & Doppler CPT code 93312, +93325, +93320 MEDIAN - E&M Tier 2,185 3,603 4,100 • RVU Incentive Targets capped at 75 th percentile Percentile Set at the 68th Percentile 1/2 the Variance of RVU % - Comp Set at the 75th Percentile Clinical Base (Calculation) Comp Percentile Equal to wRVU Percentile × cFTE Comp Percentile Equal to wRVU Percentile × cFTE 56th Percentile × cFTE 68th Percentile × cFTE (90th - 80th)/2 x cFTE (for ex) 75th Percentile × cFTE Fixed Cash percentile, say 90th percentile, that the physician should be The survey consisted of 11 questions–academic rank, % clinical effort, % transplant activity, satisfaction with compensation, and their opinion on RVU. The Final Rule also includes a decrease in the conversion factor used to calculate reimbursement for physician services in order to maintain budget neutrality. Inform your career path by finding your customized salary. Table 2. The base RVU is then multiplied by the Geographic Practice Cost Index (GPCI). Dynamic TCC adjustment factor calculator by specialty. compensation level for a particular service. 35 Physician time: 28. 2. , total value or total RVU) and then multiplied by a standard dollar amount (i. Percentiles. When you are paying a physician by the RVU, you are paying them for the work they do, rather than their payer mix, etc. Departmental support to non -optimized sections will be time-limited. RVU (Relative value unit) is a method the United States Medicare system uses to value reimbursement for physician services. 2 RVU’s per patient average Patients per 8-hour day 18. Has a physician needs assessment plan The Calculator has your back, with an incredibly, insanely, detailed explanation for each element of every calculation. 555) to calculate the approximate cost of providing each service. Percentile Top {{ expandoResult. Don’t assume the 90th percentile compensation cannot be FMV. the RVUs are scaled differently. Work RVU data is adjusted to 1. • 2012 annual work RVU volume of 13,867 •Hospital employer proposed MGMA 90th percentile compensation per work RVU Takeaways: Always test productivity models to ensure the selected metric and expected productivity result in FMV compensation. The widget allows members to enter their clinic's zip code to determine the specific rates for initial evaluations, re-evaluations and follow-up visits. 4260. e. 2x) compared to the PL Life Sciences industry average (8. It should be used for the following services: Face-to-face conferences with payor representative(s)to update the status of a patient upon the request of the payor. 95 $45. It behooves the physician to understand the formula being used at their place of employment, to inquire about who is monitoring the RVUs generated and with what frequency. Confused yet? Let’s use the tables 2 to look at a few familiar codes. Michigan Workers’ Compensation is applying the following Thus the RVU would be the weighted mean RVU of the procedures of that type, with the weight the relative frequency the procedure is used by VA. ) offered by the organization. RVU Compensation Should Generate a Different Mindset Towards Marketing. For the high tier you would have to generate more than 855 workRVU (3424 divided by 4) in a quarter. com On average, physicians are typically paid $42 per RVU performed. Transesophageal echo with Color Work RVU 2. Follow this link to get to the RVU calculator as well as other tools and. may be in part why the RVU incentivized compensation plan has become so popular. The advantage of the RVU is that it is a readily available and easily quantifiable measure of productivity and physician work, Many hospitals will subsidize a hospitalist group based on the RVUs that they generate or based on a target of a certain number © 2021 MJH Life Sciences and Physician's Practice. 18 RVUs (or $913. 16 1. Consequently, in a high managed care practice (e. This is a 3 year contract. A negative budget adjustment factor of –0. If you are a nurse practitioner paid based on your productivity, the RVU is the number used by your employer to determine exactly how much you will be paid. The temporal trend in physician productivity finds a steep Compensation Increase Nationally, there was a 4 percent increase in physician compensation between 2016 and 2017. Total RVU-based compensation requires paying a doctor dependent on the type and amount of work they do in treating a patient. From the years 2007 to 2010, the Medical Group Management Association (MGMA) saw a near doubling of the number of physicians whose compensation and/or productivity assessments were tied to RVUs (from 34% to 61%). They will continue to throw big salaries at Mgma rvu percentiles. 2. By rule, CMS must make all its changes budget neutral, and has proposed an 11% reduction to the conversion factor it uses to calculate reimbursement for physician services, from $36. 4033, which makes sense given the fact that code 99214 denotes a more complex patient. 01. In this year's report, almost 20,000 physicians in more than 30 RVUs x DWC conversion factor = MAR Note: *In calendar years where CMS uses transitional RVUs, use the transitional rates to calculate MAR. Gone are the days of a straight fee for service environment which billed at the prevailing insurance and Medicare rates. 28 8% Practice Expense - TC 0. Verify your payment accuracy and analyze new payer proposals. 1x). Relative value units (RVUs) – RVUs capture the three following components of patient care. So, for example, a basic established level 3 visit awards 0. Notice the variations of each contract. RVU/visit with a range of 2. S. 00 0% 3. Since many health care organizations use wRVUs in their physician compensation models, they will need to move quickly to determine their approach for calculating compensation in 2021. 89 Realistic RVU per day is 18. The Resource Based Relative Value System (RBRVS) was established in 1992 by the Health Care Financing Administration, predecessor of the Centers Mgma rvu percentiles. 235)] x 36. halleyconsulting. 25th percentile work RVUs: 7,793 16. Given the local nature of health care markets, compensation varied significantly between metropolitan statistical areas (MSAs). compensation was decomposed into the product of their work RVUs and compensation per work RVU. 06) by the physician’s actual work RVUs produces compensation of nearly $933,000. ). (3) RVU-Based Productivity Bonus Plans. For each CPT code, Jack multiplied the number of RVUs that are assigned to that code by the Cost per RVU figure ($22. Mgma rvu percentiles. At a high-level, less populated MSAs tend to have a higher average compensation compared to larger cities. 20 5% Work RVU: 1. Need to make 2275 RVU annually for MD, but NP would equate to 3264 (85% of 3264). 25 0. The concept of RVU workload is timely because it undoubtedly will be used to compare workloads across medical subspecialties, and these workloads are likely to be related by third-party payers to compensation. This is essentially the amount of dollars you are getting paid by that payer for every one RVU work unit. 3 Work RVU per patient encounter annually. All rights reserved. [(Work RVU x 1. , patients/hour, NPP oversight, night shift work) with alteration of the RVU conversion factor accordingly. Total compensation for surgeons 23 or more years in practice: $650,714 11. Calculate the fee by taking the Rounded Total RVU NF and Rounded Total RVU F (independently) and multiplying by the Medicare conversion factor. Physician practices and employers still use RVUs to gauge PCP productivity and determine incentive compensation, but to a lesser extent than in the past. 3. © 2021 MJH Life Sciences and Physician's Practice. 2. 90 300,000 6,500 $46 75 225,000 5,500 $41 50 175,000 $40 25 125,000 3,500 $35 Compensation per RVUs Relative value units (RVUs) may be used to demonstrate how hard a physician is working seeing and treating those capitated patients. Percentiles. Calculating RVUs is an intense process that requires a great deal of math. • Base Compensation, RVU production and compensation per RVU all benchmarked at 50th percentile. mil. Speedy RVU is the fastest and easiest way to calculate. PEG Ratio: Insufficient data to calculate RVU's PEG Ratio to determine if it is good value. In medical billing, claims are submitted to generate reimbursement and that reimbursement depends on relative value units. For these calculations, we will use 2020 RVU, GPCI and CF values available on the CMS website (link in footnotes). Physician Compensation and Production Survey: This report provides physician and mid-level provider data on provider productivity. Every work RVU over 1018. Physicians interact with patients in different ways. The other components of a total RVU, practice expense RVUs and malpractice RVUs, are increasing by a much smaller amount. 26 in 2021 to account see versus the RVU compensation model. 4 What is the difference between Total RVUs and a physician’s compensation plan based on Work RVU? 4-5 5 How are Compensation per Physician Work RVU Benchmarks Derived and Utilized? 5 6 What are some common RVU productivity bonus systems used in physician employment contracts? 6-8 Capturing these moments of the Work Rvu Calculator rvus valuable tool aiding practice management medical economics. 21. 64 $71. physician To calculate the base RVU, which is the basic compensation rate, combine the three components: W RVU + PE RVU + MP RVU = Base RVU. 21 for the smallest and 2. 27 8% Physician Productivity-based Compensation •Increasing use of wRVUin employed compensation models •2007 (16%) à2016 (> 60%) Work RVU x Work GPCI+ Practice Expense RVU x AAO-HNS 2013 RVU and Payment Rate Information for top 100 Services Provided in the Hospital Outpatient Setting HCPCS Description 2013 Global 2012 Work RVUs 2013 Work RVUs 2012 Facility PE RVUs 2013 Facility PE RVUs 2012 Malpractice RVUs 2013 Malpractice RVUs 2012 Facility Total RVUs 2013 Facility Total RVUs Change in Facility Total RVUs 2012 to Over the past 10 years, the measure of productivity for hospitalists was primarily the RVU. 165) + (Malpractice RVU [0. 25 per quarter. Here's an example on how to calculate CPT 98940 CMT 1-2 Regions. 5. Physicians with large compensation decrease by specialty 2015-2016; Compensation per RVU of U. 10th percentile work RVUs: 5,461 15. RVUs in the Office of Worker’s Compensation Program Fee Schedule. Everything you do in practice has an RVU amount assigned to it. 7373 Payment = Conversion Factor * (RVU [Practice Expense] + RVU [Work Expense] + RVU [Malpractice]) Conversion Factor: The conversion factor is the multiplier that all of the RVU’s are multiplied by. Using this method we would assign an RVU to 85999 "Unlisted hematology and coagulation procedures", based on the VA weighted mean RVU for hematology and coagulation procedures, that is, all procedures Estimated TCC per work RVU pre-, during and post-COVID; Interactive COVID analysis dashboards for estimated work RVUs and TCC to work RVUs: By compensation plan structure changes based on user-defined COVID period; Dynamic filter options: By compensation plan structure; By COVID compensation actions; Dynamic TCC adjustment factor calculator by Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 92537 Caloric vstblr test w/rec, bithermal 1. Data were collected through an online survey, which included approximately 75 questions. While CMS assigns a national average of 28. 3. To understand this more fully, the calculations can be broken into three components – RVUs, the geographical adjustment and the conversion factor. . If a plan is based heavily on compensation per wRVU calculations, there will be an immediate increase in the amount of compensation paid to physicians as a result of the change in wRVU values. 00839 . There are many tasks have become challenging Work Rvu Calculator financial management. The Omnibus Budget Reconciliation Act of 1989 enacted a Medicare fee schedule, and as of 2010 about 7,000 distinct physician services were listed. 8975); and then it Finally, workers compensation expenditures have declined substantially through the 1990s, magnifying the importance of accurate relative prices for services. 07 Payment: Approximately $67 29 The base unit of physician work is known as the relative value unit (RVU). The Medicare conversion factor is the dollar amount that is multiplied by the total RVU values for each physician service to determine Medicare reimbursement. Jan 1, 2006 … The Schedule of Medical Fees is based on the most current Relative Value Units If you multiply the frequency of each service your practice provided (or at least most of the services you provided) by the RVU, you can find out the total RVUs your practice provided. physician compensation system used . In the United States, the most widely used measure of clinical productivity is the relative value unit (RVU) system, which calculates compensation on the basis of relative physician resource costs. aspx. Payment = [(Work RVU x Work GPCI) + (PE RVU x PE GPCI) + (MP RVU x MP GPCI)] x CF. In these days of physician hospital integration, hospitals are using RVU’s as a measure of physician productivity in order to calculate physician compensation. 94 RVUs, etc… The more you do, the more RVUs you accumulate. csv file from the zip file. The fee schedule calculator tool assists you in pulling and exporting a CMS physician fee schedule based on a specific calendar year, which allows you to quickly reference the Medicare payment rate for any procedure code performed at your facility. Membership. 9610) = Michigan Total RVU Most MAP amounts in Chapters 6-12 (except for anesthesia services) can be determined by multiplying the Michigan Total RVU by the Conversion Factor. 00) x work gpci (0. 289) + (MP RVU x 1. 3 patients per hour times 8 hours Answers Calculations RVU’s Per Year 6,111 Divide $275,000 by $45 work RVU RVU’S Per Day 28 Step 1: Estimate days you must work for 1 year 248 work days in a year (20) days of vacation The use of CPT code modifiers to adjust work relative value units (wRVUs) under physician compensation models has become a universal practice among hospitals and health systems that employ physicians—and with good reason. RVUs are units of measure assigned to most codes in medical billing. Multiplying the 75th percentile of compensation per wRVU ($79. 53 0. the (PEAC) practice expense component of the RVU CMS introduced the Budget Neutrality Work Adjuster (BNWA) which lowers work RVU for any proposed increase in overall RVU reimbursement Meaning. physicians by specialty 2013 U. In 2007, the Medical Group Management Association’s Physician Compensation and Productivity Report indicated that 16 percent of group practices used an RVU formula to calculate physician compensation and productivity. g. Using the lowest specialty group’s median total cash compensation per work RVU (i. , health insurance, retirement plan, payroll taxes, etc. 057) + (Practice expense RVU [1. The proposed 2021 PFS changes include documentation and code selection updates, updates to work RVU (wRVU) values, an update to the conversion factor, extension of reimbursement for telehealth services, quality reporting factors related to Accountable Care Organizations (ACO), and 9. However, procedures such as colonoscopy are assigned a RVU between 3. • RVU calculation – Physician Work RVU, Practice Expense RVU, and Malpractice RVU. 50,000 plus a 6% commission on net sales. Specific geographical indices (GPCI) are then applied to the RVU to determine the Total Michig an RVU. 2 on an RBRVS RVU basis. physician compensation system used Relative Value Units (RVU) are derived based on the work expense involved in providing each service, the practice expense (includes office expenses), and the malpractice insurance expense. 8245 and 99214 is 1. physicians by specialty 2013; Annual compensation earned by U. 56 6% Professional Component 0. e. If you don’t already have a lawyer, you can use our compensation calculator to request that we put you in touch with one. , payment of assistant at surgery, team surgery, bilateral surgery, etc. Work RVU: 0. HCMS Work Relative Value Unit (RVU) Calculator - HCMS has developed a work RVU calculator to help physicians determine their total work RVUs. Two faculty within the same division with the same assignment but with different levels of compensation would have different 1. e. ARIZONA PHYSICIANS' FEE SCHEDULE Surgery Codes 2018 Surgery/Radiology Conversion Factor: $82. subspecialty and by rank will be used as the compensation benchmark. S. 18 2% Practice Expense 0. Calculate total payments and total wRVU values for each of your top payers. 5. • Base compensation determined annually from prior year production o Base compensation changes when production is <90% or >105% of threshold • Conversion factor compared annually to 3rd party compensation survey data • Production bonus for work RVUs exceeding threshold (semi-annual payouts) • Advanced practitioner supervision stipend Work RVUs increase Conversion Factor decrease Complexity for leveling includes Medical Decision Making only Time counts all clinician activities on date of encounter Complexity levels are based on 2 out of 3 elements for All patients 2021 Time or Complexity Document Level, not patient 2020 Time or Complexity Document as New or Established Mgma rvu percentiles. Coding is very important in RVU analysis. The second method used the Federal Department of Labor’s Office of Workers’ Compensation Program (OWCP) FY 2015 fee schedule to supply RVUs for all the remaining codes. 2. We calculate RVUs from CPT-level data and are thus able to eliminate the RVU data consistency issues that exist in other industry surveys. Every work RVU over 1018. This means that the physician whose total compensation is reported at the 90 th percentile does not necessarily mean he/she is earning a 90 th percentile compensation per WRVU rate. comHow should we use wRVUs as a tool in constructing compensation models?We really do have a preference for Work RVU models, and Productivity By RVU The most common use of productivity, the relative value unit (RVU) system, is often used by owners of medical practices to measure physician productivity and to set compensation. 69 + 0. 43] x 1. The fee for each service depends on its relative value units (RVUs), which rank on a common scale the resources used to provide each service. In these days of physician hospital integration, hospitals are using RVU’s as a measure of physician productivity in order to calculate physician compensation. Indeed, the Medical Group Management Association in 2007 reported that 16% of group practices used RVU’s (or WRVU’s) to calculate physician compensation and productivity and that 34% of physicians had their most comprehensive compensation report for neurologists in the United States. There are three different calculations that are used to calculate RVUs. By dividing that total by your total practice expenses (with and without physician expenses), you can determine how much it costs your practice to provide one RVU of service. Additional RVUs above and beyond 4. 0 RVUs per hour would lead to $130, this equals $33/RVU. How efficiently your facility captures charges will vary and the dollar per rvu collected by the facility varies based on payer source/mix/contract/setting etc. There are several factors that affect the amount that will actually be reimbursed. Is the RVU bonus subject to higher taxes than my normal income will be? How many RVU's can I expect based on an avg pt load of 25 pt per day? I am going to counter with a request for DEA, License Registration paid, and 50 dollars per/hr. For all medical specialties, the weighted average change in median compensation was 1. Find out what you should earn with a customized salary estimate and negotiate pay with confidence. The calculator includes 4. Total the products. Most of the contracts for multispecialty medical groups are based upon a percentage of work RVU compensation when compared to Medicare rates, e. hospital organizations, RVUs have become the standard measure of physician productivity used to calculate phy-sician compensation. Specialties included had the Of most interest to allergists are the physician work RVUs, because this is what health systems and employers often use in their compensation plans. 00 per work RVU). 37 $35. Are you in a SDG? CMG? What does your payer mix look like? At the same $52 compensation rate per wRVU, annual compensation would increase to $312,000 in 2021 with no change in physician work effort. 55) by the physician’s actual work RVUs produces compensation of $875,000. By entering the appropriate code and number of units associated with it, you will receive the total work RVUs and individual work RVU value for that code. Thus, the total RVU for code 99214 is 3. Schedule of Medical and Hospital Fees – Oklahoma Workers … cec. 35 to get the OIC Max Work RVUs are often used in provider compensation models where the intent is to pay the provider based on the amount of work performed, blind to the payer mix or amount of revenue generated. 94 $119. Median work RVUs: 11,586 Everybody associated with physician compensation is familiar with RVU’s. 99 0. Medicare’s final rule reduces its conversion factor from $36. compensation level for a particular service. 0000) + Adjusted MP RVU (MP RVU x 1. 4,000 in compensation, his WRVU 2019 Review of Physician and Advanced Practitioner Recruiting Incentives 2 Merritt Hawkins is a national healthcare search and consulting firm specializing in (According to the 2012 MGMA Physician Compensation and Production Survey the median number of physician work RVUs for neurology in Request PDF | Factors Associated with RVU Generation in Common Sports Medicine Procedures | Introduction : Relative value units (RVUs) are integral to the U. It is critical to Medicare, Medicaid, and commercial health insurance reimbursements. useful information. Download an EOFS in friendly PDF format to share your payment calculations. 29 4% Technical Component 0. If you were to generate 100 more work RVUs each year, your compensation would increase by $4440. 3 shows the same comparison as Table 2. 28 0. 26 and 5. For example, if an RVU is given a $40 value, and a physician performs 100 RVUs, then a physician would earn $4000 ($40 x 100 RVUs = $4000). 6796 + mp rvu (0. Work RVU Calculator (Relative Value Units) The work RVU calculator provides quick analysis of work relative value units associated with CPT ® and HCPCS Level II codes. Iit has an RVU of . The survey data used to calculate the example range above is based entirely on cash compensation (W-2 compensation) and does not take into account fringe benefits (i. S. , greater than fifty percent of patients), physician compensation often includes a base salary and a bonus component based on total RVUs. 22The conversion factor, which represents the dollar value of each RVU, is adjusted annually by CMS to meet statutory requirements related to the sustainable growth rate (SGR); however, Congress has the authority to override the statutorily defined formula. This accounts for the geographic differences in practice expenses and malpractice costs. The survey lists RVU data as required. Federal government websites often end in . , conversion factor). 35 + 0. According to SullivanCotter’s 2019 Physician Compensation and Productivity Survey, nearly 3/4 of organizations indicated that wRVUs represent more than Download the Free 2020 RVU Calculator. Chances are your future compensation will be based at least partially, if not fully, on your productivity. Price to Book Ratio PB vs Industry : RVU is good value based on its PB Ratio (4. [(Work RVU * Statewide Work GAF) + (Facility PE RVU * Statewide PE GAF) + (MP RVU * Statewide MP GAF)] * Conversion Factor (CF) = Base Maximum Fee Following are the three alternate methods that were used to assign RVUs to the remaining codes. less compensation for each wRVU to avoid overpayment for the The Physician Salary Calculator allows you to compare compensation data such as benefits, incentives, and bonuses for more 20+ specialties by location. 41 $78. 26 per RVU to keep the proposed wRVU changes budget-neutral from a reimbursement standpoint. This link can bring you to the list of RVU files CMS hosts - but this calculator only works for 2019! Look out for newer versions. An attorney, whether a Law Vegas workers’ compensation attorney, or another part of the state, can advise you of your rights and obligations when filing a claim. 06 and a 99215 receives a total RVU of 2. 14 percent impacted the 2019 conversion factor to offset overall increases in RVUs relative to 2018. The catch was that the RVU target was astronomical. 78 $21. Just like with any mathematical process, a dedicated calculator can make it easier. To download the new RVUs for procedure codes, click the RVU16A link to the Medicare website. 01 times 0. Computing the complex formula. These resources include the physician’s work, the expenses of the Calculate total payments and total wRVU values for each of your top payers. Plus, if a particular code is not listed within the top 50 codes RVU compensation meaning an anesthesia boarded pain doc in the Midwest was paid on average how many dollars per work RVU, $63 and 60 cents per work RVU on average or at the 50th percentile or the 75th percentile in 2018 these data points are going to be really helpful for us in evaluating our peer group and benchmarking a prospective job offer. Relative Value Units RVUs) JANUARY 12, 2015 Medicare uses a physician fee schedule to determine payments for over 7,500 physician services. So, if 1 RVU is equal to $37. The modernized fee schedule is set to be enacted on April 1, 2019. Visit the post for more. 73 $129. 2. e. Here is a pretty good lecture on the subject as well as some warnings on RVU compensation. All rights reserved. . Head to CMS and download the latest 2020 RVU zip file. I suspect you are using multiple mid-level providers otherwise your overhead would be lean. 0391 (see Table 2). 17 5% 43198 Esophagosc flex trnsn biopy 1. Additionally, the formulas to calculate RVUs are updated on the CMS site at least annually. More information on RVUs. Determine RVU Values. It is no wonder residents struggle with this issue. In other words, Medicare would pay $37. Background. 107) + (. The data below is compiled from this CMS website. It can also be used to compare work productivity to practice management system reports. 90 for Tier 2. Unfortunately, there is no one set formula or standard set of rules in place to calculate RVUs. We call this an EOFS, Explanation of Fee Schedule. The compensation per work RVU rates are derived by dividing the total compensation for the physician by the physician’s total work RVU. In 2020, physicians will see a 0. 170,000 to total salaries of Br. 2. RVUs, or Relative Value Units, are a measure of value used in the US Medicare Reimbursement Formula for Physician services. According to the 2011 Medical Group Management Association’s Physician Compensation and Productivity Report, more than one-third of physician group practices in the U. 09 per RVU to $32. e. Physician productivity usually refers to clinical productivity. 89 $49. 10] x 1. 170,000 to total salaries of Br. If using RVUs to calculate productivity, a Title X agency can use just the work component of the RVU or the total CPT RVU. 4 2. (MP RVU * Statewide MP GAF)] Conversion Factor (CF) (a) Non-facility site of service [(Work RVU Statewide Work GAF) + (Non-Facility PE RVU Statewide PE GAF) + (MP RVU * Statewide MP GAF)] Conversion Factor (CF) CCR § 9789. 0 full-time equivalent physician. This results in an inequality of RVU capture by individual pathologists and, therefore, a source of resentment in a purely RVU-based incentive compensation model. 41 per RVU to keep the wRVU changes budget-neutral from a reimbursement standpoint. 09. Understanding how work relative value units are credited is an essential element of This means that each work RVU translates into $44. Interactive COVID analysis dashboards for estimated work RVUs and TCC to work RVUs: By compensation plan structure changes based on user-defined COVID period. 4,000 in compensation, his WRVU 2019 Review of Physician and Advanced Practitioner Recruiting Incentives 2 Merritt Hawkins is a national healthcare search and consulting firm specializing in (According to the 2012 MGMA Physician Compensation and Production Survey the median number of physician work RVUs for neurology in Request PDF | Factors Associated with RVU Generation in Common Sports Medicine Procedures | Introduction : Relative value units (RVUs) are integral to the U. 2. To understand this more fully, the calculations can be broken into three components – RVUs, the geographical adjustment and the conversion factor. The American Medical Association’s Relative Value Update Committee (RUC) proposes RVUs based on specialty society surveys and provides recommendations to CMS for consideration. S. 37 RVU/visit at the moderate-sized sites (p<0. Sign on bonus: $40,000 13. 14% increase in that conversion factor, from $36. The net impact is an increase of about $0. 90 for tier 1 and $36. Over 90% of Merritt Hawkins’ search assignments feature employed practice settings, while less Relative Value Unit (RVU) Data Analysis AHIMA 2009 Audio Seminar Series 2 Notes/Comments/Questions The Components of a Medicare RVU Three components • Work RVU (wRVU) ≈52% • Relative time, effort, and skill needed by a provider in the provision of a procedure • Practice Expense RVU (peRVU) ≈44% • Costs associated with maintaining a Fifty-two percent of the RVUs were in general radiology, 37% in sectional imaging, and 10% in special procedures. 85 Physician time: 21. These are all of the relative Value Units used to calculate reimbursement. 25 per quarter receives a bonus of $10. Physician work RVU – The relative … The medical center ultimately rolled out its new compensation model in August, 2018. To determine the Medicare reimbursement rate, the three RVUs – work, practice expense and professional liability insurance - are summed (i. E/M VS. Step 2. 2 Calculation of the Maximum Reasonable Fee - Services Other than Anesthesia Key: RVU = Relative Value Unit Calculate the Total Michigan RVU using the following formula: Adjusted Work RVU (Work RVU x 1. 31 in reimbursement) to CPT ® 52317 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2. Under a normal model, RVUs are given one dollar value. Multiplying the75th percentile of compensation per work RVU ($83. 000 (neutral); or. S. 839) = 0. While the value of the RVU collection figure remains a constant, documentation and patients/hour are variables that can be improved upon. 7. 4. Results: 109 nephrologists (assistant • Single Tier Model with a Guaranteed Cash Compensation of $175,000 with additional incentive compensation of $40 per RVU above 4,500 RVUs work. 5 RVUs/patient and 2 patients/hour, this equates to $150/hour for physician compensation in our budget. Those RVUs should be used in calculating the fee for CPT 98943 using the formula and rules set forth in the workers’ compensation fee schedule regulations. 951) = 0. 24 depending upon the procedure (CPT codes 45378-45389). physicians by employment type 2020 RVUs and Provider Productivity 6 procedure cost analysis, productivity-based compensation models and more (Anderson and Glass, 2002a). RVU’s have been introduced as far back as the 80’s and were widely adopted in 1992. 40 in revenue. The three RVU values are: Physician Work (Work) The average change in median work relative value units (RVUs) was −0. ) offered by the organization. Before RVUs were used, Medicare paid for physician services using "usual, customary and reasonable" rate-setting which led to payment variability. Dynamic filter options: By compensation plan structure. Change the compensation of salespersons from fixed annual salaries totaling Br. , primary care) in place of the individual physician’s total cash compensation per work RVU, we computed a standardized compensation value for each physician. How to use this calculator Enter the total number of rated disabilities, and then provide an appropriate disability rating for each of the conditions. If the value of an organization’s benefit package is above average, The survey data used to calculate the example range above is based entirely on cash compensation (W-2 compensation) and does not take into account fringe benefits (i. 46 times 1. If your employer pays via an RVU compensation model, you should understand how they’re calculated. Although the Medicare conversion factor is lower in 2021, this change is offset by the higher wRVUs, resulting in 22% net positive payment impact for Medicare services for this specialty. 90 for a code worth 10 RVUs and so on, regardless of the type of service. Productivity revolves around the number of patients a nurse practitioner sees during a set period of time. Percentiles. For instance, a doctor might negotiate a salary of 4,000 RVUs earned at $50 per unit, for a base salary of $200,000, and the doctor’s salary can never be less than that. The NYPTA is offering members a widget to calculate the impact of the recent reforms to the NY WC Medical Fee Schedule (MFS). Office-based medical practices must see high numbers of patients due to relatively low reimbursements, according to a May 2012 article in Forbes. The model layers a 50/50 share of any incentive payments on top of a work RVU-based component. Since 1992, many physician organizations have used work relative value units (RVUs) as a methodology for physician productivity and as an element of their physician compensation formulas. 99 $88. This amount is 35 percent more than the 75th percentile compensation benchmark, and not consistent with FMV standards. Most physician salaries are determined by the amount of RVUs a doctor produces in a given year, and in most cases, can range between$35 and $45 per RVU in primary care, depending on geographic location and specialty. @SarelGaurMD discusses RVUs: what they are, why they're important Work RVU compensation formulas and surgery modifiers: To discount RVUs or not Orthopedics Today – September 2017 by Sarah Wiskerchen, MBA, CPC In hospital employment settings, as well as large groups, work relative value unit-based compensation agreements and formulas are often standard. yes. 38 CODE CATEGORY NF Here is the median compensation and work RVU for 28 specialties in 2015, which is based on AMGMA data. 3. 5 per 15-minute unit. Instead, provide ASA units and leave this question blank. 04 to the 2019 conversion factor, as shown in Table 92 from the Final Rule, with a published conversion factor of $36. On August 4, 2020, CMS posted the proposed Medicare Physician Fee Schedule (PFS) for calendar-year (CY) 2021. Certain weaknesses in RVU compensation methods may be overcome by tracking other EP metrics (e. com/practice-management/rvu-calculator. 50] x 1. Table 2. Use the work RVU calculator online at www. Collect data on the number of procedures each clinician has performed by CPT code for a given period of time. A former co-resident of mine is looking at jobs and had one with an excellent salary guaranteed for two years. 0846. 120% of Medicare. 97 RVUs, a knee injection awards 1. 89 [1 (RVU) x $37. When a provider […] RVU Calculation. They are RVU, GPCI, and Conversion Factor. Before sharing sensitive information, make sure you’re on a federal government site. 1. Now, I will take you through the steps … Nurse Practitioner Productivity Payment: Part 2- Translating RVU’s Into a Patients Per Hour 2. June 1, 1994 the schedule has been based on the most recent relative value units (RVU) devised by the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) (last published November 15, 2019, 84 FR 62568, pp. The RVU-based bonus looks like a way to “incentivize”the employee, but it is not based on actual income, only some theoretical calculation of work. The basic element used to measure this productivity is known as the RVU, or the Relative Value Unit – and it is based on physician effort, training, and other factors. Why should healthcare organizations that employ […] This reimbursement is dependent on RVUs, which stands for relative value units. 1. 25 per quarter receives a bonus of $10. If only it were that simple. 79 3. How to Calculate RVUs. However, if you don’t capture RVU data, MGMA will make an exception. g. 19, which is the Update Table, Subsection C, contains a link to Medicare’s new RVUs. RVUs and compensation-to-RVU metrics will be calculated and published using the 2020 and 2021 CMS Medicare PFSs. Anesthesiology departments. physician produced 6000 work RVUs per year and was paid at a median survey rate of $56. A physician who performs 3,000 RVUs in a year should make about $126,000. Two examples are the MGMA RVU calculator and the AAPC online work RVU calculator. Over the last few years, physician productivity and compensation models across the country have become wRVU-based due to the growing focus on improving the quality of care. The risks of not applying CPT code modifiers—such as an inability to objectively measure performance—are significant. The advantage of RVUs is that they are not dependent upon a physician’s charge schedule, insurance coverage, a reimbursement program by any payor for a specific CPT code, or the physician’s collec- The Medicare conversion factor is the dollar amount that is multiplied by the total RVU values for each physician service to determine Medicare reimbursement. Compensation is easy to calculate under this model. rvu compensation calculator