I agree with what everyone said above. I would be very cautious with this deal. They calculate your total RVUs and pay you a salary for 5 yrs based on those RVUs? Regardless of your production for the next 5 yrs? I doubt it. What they are probably saying is that they will calculate your RVUs for the last 5yrs and then give you a $/RVU that you will make. That way you can estimate what your total reimbursement will be if you remain as productive for the next 5 yrs as you have been for the last AND that the method for calculating RVUs does not change.

Also, be aware of the distinction between Total RVUs and Work RVUs. Work RVUs exclude all the ancillary stuff that take time like rapid strep test, UA, ECG, PFTs,immunizations, etc. In private practice you get reimbursed for that. If they pay you based on work RVUs (which they probably will) you do not.

My advice: Don't do it.

Our local hospital bought a lot of local practices a few years ago and it is my understanding that many of those physicians are not too happy. They tried to buy me and after making the calculations based on RVUs I realized it was no deal at all. Remember that every penny in your pocket is a penny out of their pocket.


Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM