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WRVU goals for sub specialized department
Are you aware of any subspecialized practices having different wRVU goals for specialties? Seems like its not right to have same goals for breast, body, neuro, etc. If so, anything published or available on a website?
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20 Replies
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AAARAD breaks it down by subspecialty.
Absolutely different expectations based on subspecialty.
It’s not near perfect since the way high-RVU and low-RVU is distributed among groups in subspecialized practices is highly variable. But that is how my RVU productivity is assessed … as a comparison to other academic MSK rads.
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Do you have a rough breakdown for body, neuro and msk? Thanks.
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No. It is a paid service. Available in the “members only” section of their website.
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We also have different expectations based on subspecialty, private practice.
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Can you give me rough numbers or any references? I cant seem to find anything online. Need to make a case that goals should be different for sub specialties. My guess breast and neuro >> msk>body
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It depends on the individual practice, how many X-rays people are expected to read, procedures, etc.
But in general you have body and msk switched. Body CT and US are big time RVU generators (unless the CT is heavy on the complex oncology, hence somewhat job dependent).
I would also put a pure mammo reader not expected to pitch in with a decent number of X-rays on a level above neuro.
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Yep.
Body > msk almost always.-
Body has a huge range depending on if you are reading ER studies or complicated inpatients and onocology patients. The rest could also have a huge range depending if you are reading young ER patients, or elderly patients. I imagine you could find something for mammo, but the rest are highly dependent on the kinds of cases you are reading. You will rack up a lot more RVUs in any subspecialty reading the ER cases and young patients.
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Same variability for Msk
If you are MR heavy you will be up near neuro
If you are just slogging plain film you will be down near chest and peds
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I’ve seen in other posts a CT abd/pelvis w/ has wRVU of 1.8 (I think).
Does anyone know off the top of their head the wRVU for the following:
Bilat screening mammo (w/o tomo):
Bilat screening mammo (w/ tomo):
Diag mammo bilat:
Rough estimate wRVU would be helpful too.
Thanks. -
W/o tomo -1
W tomo – 1.5
Dx: only marginally above
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Mammo is an rvu goldmine. Can be slow and still do better then the fast ones. When did this happen? When I came out years ago, mammo was a money loser.
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Removed due to GDPR request
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yeah mammo is solid. Professional component for screener with tomo per medicare fee schedule is $68.85. That on par with non con MR joints and better than most non con CTs of all body parts.
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If 1 wRVU is like ~$36, then how is the professional reimbursement $68 if a mammo is 1 wRVU (68/36= 1.89). My analysis must be completely off. Or is 1 wRVU NOT $36?
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You need to understand that the wRVU is about 60% on avg if the total pro fee for an exam. On avg.
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What would goals be in a subspecialized department where everyone takes general call and does mostly subspecialty work during the day?
Do you think its fair to hold all sections to the same goals in this environment? The work is partly university level and the rest community. Would love to show the admin some reference.
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Define goals ?
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Goals= to get bonus, stay off the radar of admin and maybe keep your job in an employed situation although not explicitly stated
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I completely agree with this. Where I work, the general rads read the simple neuro cases from the ER, and the neurorads read everything else (any complex ER and inpatient CT cases, and all of the CTA and MRI cases that have a zillion images to review), thus selecting for a preponderance of time consuming cases. I wouldn’t expect to have to meet RVU standards that are based an average that includes practices where the neurorads read all of the neuro, including a large volume of simple ER cases.
Quote from striker79
Body has a huge range depending on if you are reading ER studies or complicated inpatients and onocology patients. The rest could also have a huge range depending if you are reading young ER patients, or elderly patients. I imagine you could find something for mammo, but the rest are highly dependent on the kinds of cases you are reading. You will rack up a lot more RVUs in any subspecialty reading the ER cases and young patients.
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