KZA © | 312.642.5616 |

On-Demand RVU Compensation: The Disconnect Between Actual Work and Reported Revenues

RVU Compensation: The Disconnect between Actual Work and Reported Revenues

Length: 1 hour

Productivity based compensation, using work RVUs (wRVU) to determine compensation, is the norm in employed physician groups and prevalent in academic practices. Getting paid based upon output seems both equitable and motivational. Yet, the resounding refrain from employed physicians re-negotiating their contracts is that productivity based compensation is not working for them. They are working harder than ever, only to hear their wRVUs are not meeting expectations. How is this happening?

If you are considering hospital employment learn the important details before you sign a contract.

There is a notorious disconnect between the work surgeons perceive they are doing and the wRVUs (and resulting revenue)  the employer reports.

The reasons  are complicated and include:

  • The terms of the original contract. Focusing solely on the dollar amount per wRVU, can be a recipe for disaster and may actually be one of the least important factors in your compensation.
  • Understand the factors significantly impacting your wRVU calculation.  Who is doing the final coding? What codes were ultimately submitted and paid or appealed?  Who is submitting the claims and managing the denials? Does anyone ever ask to meet with you about difficulties with prior authorization documentation, denials or appeals?  If not, that’s a sign of trouble.   

Hospital employment for surgeons should be a mutually beneficial proposition for the surgeon and the institution if the correct processes are adopted by both stakeholders.

Join us for a complimentary hour webinar to learn why problems occur, where to look for “leaks”  and some definitive steps to take to address the main issues. 

Slides and a handout of action steps will be provided to each participant.

Presented by:


Teri Romano, BSN, MBA, CPC, CMDP

Speaker and Consultant


Teri Romano has over twenty-five years of consulting and teaching experience in the health care field. Ms. Romano works with physician groups and hospitals combining a background in clinical systems with solid approaches to operational and organizational problem solving.

Teri is co-developer and instructor for the national coding and reimbursement workshops sponsored by the American College of Surgeons, the Society for Vascular Surgery and the American Association of Neurological Surgeons.  She also provides on-site customized coding and reimbursement courses to physician and hospital groups, specializing in neurosurgery, general surgery, vascular surgery, and vein well as E/M and surgical case audits to assist physician groups in their compliance activities. In addition, she consults with vein, vascular, general surgical, and neurosurgical practices on practice management issues including service line development, revenue enhancement, staffing models, appeals management and expense reduction.

Read more about Teri HERE


Course Handout
Open to download resource.
Open to download resource.
Action Plan Handout
Open to download resource.
Open to download resource.
RVU Compensation: The Disconnect between Actual Work and Reported Revenues
Open to view video.
Open to view video.
Course Feedback
8 Questions

On-Demand: Transfer and Cancellation Policy

All cancellation and transfer requests must be submitted in writing via email to Refunds are subject to an administrative fee per registrant per course according to the following schedule: 

  • The course has not been started.
  • If there is a pdf handout or workbook available, $60 will be deducted from the refund.
  • If a hard copy book has been printed/shipped, $60 plus shipping and handling will be deducted.
  • Timing of your request:
    • Cancellation requests must be received via email within 24 hours of purchase for a full refund less above fees.
    • Cancellations received after 24 hours of purchase will result in a transfer of funds to another on-demand course within the same year less above fees.

Please email to submit your transfer or cancellation request.