[MCOH-EH] RVU/Incentive Based Models for Employee Health/Occupational Medicine

[Khaled Altassan]

Good afternoon Farah,

I hope you are doing well.

Unfortunately, RVU doesn’t capture the time/revenue generated by the physicals as the CPT codes used for these physicals do not have RVU weight assigned to them, at least in our EPIC. If you attempt to assign RVU weight to them, then you will run into the problem of using the same weight for a respirator exam that takes 10-15 minutes vs a heavy regulated firefighter exam that takes about 45-60 minutes, which aren’t the same physical but yet would have the same RVU. There is a way to make the RVU assignment specific to each exam, but our system would rather focus on a much larger departments than ours. Also, you will run into issues of what blended survey to use for salaries. We all know that OccMed practices can vary quite a bit and they are not all the same in complexity and lines of services.

We track revenue and visit counts vs budget on the physical side of our business. We still track RVU on the WC side of the business but no one’s salary is linked to a set goal of RVUs.

I hope this helps.

Best Regards,
Khaled Altassan, MD, MPH

Department Chair, Occupational and Environmental Medicine, Baylor Scott and White Medical Center-Central Texas
P:254-724-0270   F:254-724-0271

> On Jan 28, 2025, at 12:11 PM, Haq, Farah via MCOH-EH <mcoh-eh at mylist.net> wrote:
> 
> 
> Good Afternoon,
> 
> Does anyone have experience with any RVU or incentive-based models for medical center employee health and/or for occupational medicine (not limited to medical centers)?
> 
> We are looking into possible salary plus RVU or productivity/incentive-based pay for our providers but are not familiar with models that may work for employee health.
> 
> Thank you,
> 
> Farah
> 
> 
> 
> Farah Haq MD, MPH
> 
> Division Head, Occupational, Environmental and Clinical Preventive Medicine
> 
> Clinical Assistant Professor
> 
> Dept. of Family, Population and Preventive Medicine
> 
> Stony Brook Medicine
> 
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