Quote from jer_sd
With this patient population you will primarily be seeing medicare patients.
Look up the medicare reimbursement for RVUs in your area. Keep in mind you get 85% of the physicians fee schedule.
Look up the E+M codes for nursing facilities and other cpt codes you will be billing for. Look at over all reimbursement and how much you will get.
Personally I am a fan of "eat what you kill" for NPs. It is fair and rewards effort. However make sure your share is fair.
I have no problem of hard work, but like PsychGuy mentioned earlier I also like stability. I would be going to 2-3 facilities per day. No telling where they would be, the practice manager said it would be no further than 30 miles from my home.
This is a new venture for the company although they already do PM&R in other facilities. I'm already leaning towards saying "NO" to this offer.
A few other things that threw me off during the interview:
- No vacation! They justified it by saying paying PTO would leave providers making less than they would if they just took off for a week???
- No clear holiday schedule (don't know if you work or if you're off, just see your patients)
- What if the LTAC census drops?
- No clear answer to whether or not call is required
There are way too many variables that make this a viable offer for me. Thanks for your input..I was really just interested if any other providers worked strictly off of RVU's.