Renegotiate contract for advanced procedures

[ChiSox]

I'm a few months into my first job out of fellowship at an ortho group - I'm currently salaried with an RVU based production bonus. There are advanced procedures that were not previously offered at the group - I have access to an ASC and I'm getting contracts for set up for a few of the procedures including peripheral nerve stim (Sprint), BVN and MILD procedure. Obviously the reimbursement for said procedures is more significant than the RVU numbers - my plan is to renegotiate my current contract so that I'm getting a percentage of total billing for procedures that I'm establishing at the practice. I wanted to get some input from anyone who has experience with this and advice on how to broach the subject with the group.

---

Members don't see this ad.

 

[RoloTomassi]

Will you have ownership in ASC? If not I smell Stark issues with what you're proposing. Probably better off sticking to RVU model, as pro fee isn't great for any of the above.

 

[BobBarker]

Whoa. You can’t get a cut of the total facility ASC billing unless you are an owner. You can negotiate a professional service agreement with the ASC and get maybe $90 per wrvu or buy into the ASC. But you can’t just ask for a share of the total facility reimbursement for your cases.

 

[ChiSox]

Whoa. You can’t get a cut of the total facility ASC billing unless you are an owner. You can negotiate a professional service agreement with the ASC and get maybe $90 per wrvu or buy into the ASC. But you can’t just ask for a share of the total facility reimbursement for your cases.

I stand corrected - it's the professional service agreement is what I'm inquiring about not the total facility ASC - per my contract I'm given equity/shares in the ASC. Appreciate the input

 

[MitchLevi]

Buy into the surgical center. Your only real option.

 

[RoloTomassi]

The above are potential money losers for the ASC, so you don't have the best leverage, but even different % of pro fee collections for procedures in their ASC vs clinic is fishy.

 

[au bon pain]

Cleanest option is to negotiate for highest $/rvu you can via a PSA— if there are multiple ASC’s within driving distance for you, you should have some room to negotiate.

Another possibility, if your ortho group happens to have a big ownership stake in this ASC, is to negotiate for a higher base.

 

[ChiSox]

Cleanest option is to negotiate for highest $/rvu you can via a PSA— if there are multiple ASC’s within driving distance for you, you should have some room to negotiate.

Another possibility, if your ortho group happens to have a big ownership stake in this ASC, is to negotiate for a higher base.

It's an in-office ASC that is owned solely by the group. Also a second, much larger ASC (that I don't use) where the othro/spine do most of their cases. That's good to know, definitely looking for the cleanest option.

 

[BobBarker]

Agreed with @RoloTomassi

Last I looked MILD lost money, BVN was ok, PNS was good.