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Conversion from multi group to Hospital employment with wRVU Otolaryngology

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  • Conversion from multi group to Hospital employment with wRVU Otolaryngology

    I am in the process of joining a growing hospital system in a rural state. As an otolaryngologist I as being offered a salary with benefits conversion rate of $38 per wRVU and this is based on 10900 wRVU annual billed. Any suggestions? I am looking at AGMA with the administrator but they are not using MGMA. Is it worth joining the MGMA site and getting that data?

  • #2
    Have you had an attorney review the contract? WCI recommendations provide MGMA as part of the package. I personally used Resolve and had a great experience.

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    • #3
      I would say no to the MGMA data. The reason is that it won’t slice and dice to the level you need.
      I would see if you can get production data specific to the hospital. Total compensation at 25/50/75/90 and wRVU’s for a region (like 12 states) is all you will get. A contract review might help. If they are sharing AMGA , does it seem fair?
      Another survey will only comfort you in a wide range.

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      • #4
        That seems like a crummy wRVU conversion rate, if you asked me.

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        • #5
          I’m a graduating ENT resident and have a few friends who just signed hospital employed contracts.

          That conversion rate sounds really low. The conversion factors I was seeing for jobs varied from 50-60s with some with high 60s depending on location. 10k rvu is also a really high target, average is close to 7k if I’m not mistaken so you should be making much more than that for that kind of production.

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          • #6
            10k wRVU's is too high in my opinion. Crazy actually. Lots of really busy ENT's I know don't hit that. 75th percentile MGMA for Otolaryngology is 8800 wRVU's in 2019.

            $38/RVU is low as well for employed ENT position but could be ok depending on benefits you get with part you don't keep - I've been told average collections for hospital-based ENT (which I am) is $72/RVU. So you're keeping more than half. So what are you buying with that difference - admin staff, nursing, clinic space, equipment, billing, malpractice?

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            • #7
              I would get the mgma data just so you can ballpark the wrvu/yr and $/rvu. Frankly, wrvu seem really high, wrvu otoh, really low...which means theyre really taking you at both ends, which is concerning as a starting point.

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              • #8
                Our Np makes 40/rvu.. just saying. But sometimes people “convert” their rvus in different ways based on whether than includes benefits, additional income streams, ect

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