#rvus

There's plenty of folks in the anti-vax space that claim doctors are reaping kickbacks for giving vaccines.

There are also many docs vociferously pushing back, saying they don't get paid anything for vaccinations

The truth is a bit more nuanced, on both sides:

So, in general, docs can bill for giving vaccines. It's not automatically rolled into their compensation for well checks and, if they don't bill for it, insurance is more than happy to not pay for it.

That being said, it's not much.

We get 0.17 RVUs for the first shot and 0.15 for any subsequent shot. That maths out to roughly $10 for the first shot and $8 for the rest, depending on your doc's RVU conversion rate.

Pediatricians have a nice little extra benefit: IF WE PROVIDE EDUCATION ON THE VACCINES, then we can bill a little differently - 0.17 for the first component of each shot, and 0.15 for any subsequent components of each shot. (i.e.: DTaP counts as 3 total components) That can add up, especially since peds really doesn't pay well compared to adult specialties

And, here's the kicker: even if the patients don't get their shots, if we actively provide education in the encounter for at least 8 min, we can still bill for 0.48 RVUs.

New Post has been published on http://medical-staffing-agency.com/we-need-rvus-for-obtaining-a-prior-authorization/?medical-staffing-agency

We need RVUs for obtaining a prior authorization

How to Calculate RVUs (Relative Value Units)?

What is RVUs and wRVUs?

RVU stands for Relative value unit. It is a cost or value assigned for each CPT and HCPCS code by CMS (Centre for Medicare and Medicaid) for providing a service. It has majorly three components, physician work, physician expenses and malpractice overhead. The values of cost of RVU is used for calculating the actual cost for a procedure in Facility and Non-facility setting.…

Every doctor is paid differently. Doctors in private practice who strictly do office work are generally paid on the basis of what they charge, which is a complicated system that basically means that if they see more patients (or more complex patients, or do more procedures), they get paid more. Notice those who charge more do not necessarily get paid more, as private insurance companies, Medicare, and Medicaid often have a set amount that they will pay for a certain diagnosis or procedure code, regardless of how much you charge for it. 

Doctors who are employed by hospitals are generally salaried based on a standard number of RVUs but also get extra pay for going over that baseline RVU number each year (this will be how I will get paid). Docs in academic medicine are generally salaried by a hospital, residency program, or school. 

Yes, we technically do get paid for quality of care, but not in the way you’re thinking, anon. People who don’t actually practice medicine The government sets stupid arbitrary standards that you have to meet in order to get full payment from Medicare and Medicaid. These are things like meeting meaningless “meaningful use” qualifications on your EMR system. There is no bonus involved for meeting their criteria, but there are penalties for not meeting them. It’s stupid.