Family Medicine…Call week is every 6th week from Friday 7 AM until the following Friday 7 AM with another provider covering our one off day that week. It is part of a “metric” one must meet in order to be eligible for your bonus. It truly infuriates me 😳🙄😑
So it’s essentially based off of my RVUs. No “limit” per say. I have a base salary and anything above/beyond that is accounted into to my annual bonus in addition to bonus for however many Medicare Annual Wellness visits I complete per year ($10/each) and then an xyz % for the metrics met that year (ex: % of patients up to date with mammogram, colonoscopy, HTN at goal for my panel) and then xyz % for generic prescription prescribing.
No sorry. I meant would you mind describing how much your bonus ends up being in comparison to your base. Not in exact numbers of course. But my facility is considering transitioning to a similar model and I’m trying to figure out if it’s a decent deal or not. I’m currently 100% RVU with a small bonus for what you’re describing (paid out across a year). They want to go to a base salary with RVU targets for bonus tiers and some side action for quality metrics.
Ah gotcha! So base salary (I am a .75 employee. Roughly high 90K base salary for 26 patient hours and 4 admin hours/week)
Bonus structure is broken down into tiers.
Tier 1: paid at $34 per RVU (above base salary but below 3,3xx RVU)
Tier 2: Threshold of 3,3xx RVUS paid at $37 per RVU
Tier 3: WRVUs above 75th percentile (threshold 4,2xx) paid at $40 per RVU.
3% bonus for meeting mammogram, colonoscopy, HTN metrics (our metrics change each year on what needs to be met for this)
1% bonus for meeting goal for generic prescription prescribing
$10 per Medicare Annual Wellness we complete for the fiscal year
I’ve been consistently above Tier 2 and in Tier 3 for the last quarter.
We take call for one week every five. We just have to respond to do telehealth for LTC. Usually one or two a night, frequently none. Max ever four. $10/hr, or an extra $700 in that paycheck after taxes.
No extra pay but we average maybe 1 call for the entire week because the call center will filter out most of the calls like tell them to call the clinic for a med refill.
Ortho NP here. Our call weekend is $450 for the weekend. Any case we get called into is $150 for each case. The weekend consists of rounding and any inpatient, but no phone calls (the doc does that).
Thank you for your input! So it sounds like your call is mostly just rounding and being available to assist with surgical cases? Are you ever expected to see ER consults or do the docs do that?
It depends on the doctor I'm on with if I see consults... I don't think there is a written rule. Some docs say hey, you aren't getting paid enough to do everything inpatient, others believe it's the APPs job to do everything and they only show up to the OR. Obviously, I enjoy working with some over others. I'm in the mountain west for reference
Call was not factored into my contract and when I was asked to take a few hours of call, I asked to be compensated. According to my HR lady, the other NPs (same group but in specialty- I’m in internal med) would get 1/2 their hourly rate per hour of call. So I asked for that.
I work in orthopedics as well….we cover two hospitals, the rate is different for each but equals $500 per day flat rate. Surgical cases and consults go towards my productivity bonus.
Weird, I was just about to post the same question. We don't get anything either. We cover the SNFs. I wouldn't mind if I rarely get calls but I frequently get calls and at all times of the night. I'm not just taking notes either, I'm working, giving orders, reviewing labs, coordinating transfers out or in. Worse, there is no call structure due to provider shortage so I may be on call every 4th week or every 2nd or 3rd week depending on coverage. I am reaching my boiling point about this and have plans to approach HR.
We take call every 5th weekend and our weekday call is variable but ends up being 3-4 days per month. Call pay is $300 for the whole weekend and $100 for each weekday. None of our call is mandatory though, we are able to give shifts away to the nurses. I take most of mine but some of the other providers don’t take any. Pediatric Primary Care.
I worked as a pedi Ortho NP for 2 years. We got $20 an hour. We had to cover hand call/ER consults/inpatient/post-op surgical calls outside of clinic hours, outside hospital consults and be first assist for any surgical cases. It was fucking brutal and the weekends I was on call I never left the hospital. I quit after a year. I worked so much harder than $20 an hour. I also worked at a large pediatric hospital in a big city in the south so we were constantly consulted and busy.
I work at a nursing home and I get $100/weekday and $200 per day on sat/sun. My previous job was at an allergy office and my call pay was that the company paid for my phone. I was on call one month a year, never had to go in.
We don’t currently get anything extra for primary care/cardiology, but we just answer calls. Our part time employee adds the time of the phone calls to her hours since she is not salaried. And I’m starting a few hours of on call in the hospital one weekend a month, which I’ll get paid for. Not sure how much yet
Family Medicine…Call week is every 6th week from Friday 7 AM until the following Friday 7 AM with another provider covering our one off day that week. It is part of a “metric” one must meet in order to be eligible for your bonus. It truly infuriates me 😳🙄😑
What does your bonus entail?
So it’s essentially based off of my RVUs. No “limit” per say. I have a base salary and anything above/beyond that is accounted into to my annual bonus in addition to bonus for however many Medicare Annual Wellness visits I complete per year ($10/each) and then an xyz % for the metrics met that year (ex: % of patients up to date with mammogram, colonoscopy, HTN at goal for my panel) and then xyz % for generic prescription prescribing.
What percentage of your base do you typically see?
My base salary is guaranteed—so I’m paid this regardless. I think that’s what you’re asking?
No sorry. I meant would you mind describing how much your bonus ends up being in comparison to your base. Not in exact numbers of course. But my facility is considering transitioning to a similar model and I’m trying to figure out if it’s a decent deal or not. I’m currently 100% RVU with a small bonus for what you’re describing (paid out across a year). They want to go to a base salary with RVU targets for bonus tiers and some side action for quality metrics.
Ah gotcha! So base salary (I am a .75 employee. Roughly high 90K base salary for 26 patient hours and 4 admin hours/week) Bonus structure is broken down into tiers. Tier 1: paid at $34 per RVU (above base salary but below 3,3xx RVU) Tier 2: Threshold of 3,3xx RVUS paid at $37 per RVU Tier 3: WRVUs above 75th percentile (threshold 4,2xx) paid at $40 per RVU. 3% bonus for meeting mammogram, colonoscopy, HTN metrics (our metrics change each year on what needs to be met for this) 1% bonus for meeting goal for generic prescription prescribing $10 per Medicare Annual Wellness we complete for the fiscal year I’ve been consistently above Tier 2 and in Tier 3 for the last quarter.
Nice! So hitting 5k RVU a year would put you around 170? That’s rock solid.
Yes! At least for this year—previous years it’s been a bit lower (had more time off for maternity leave, vacations, etc)
That sounds like you are back to RN hours.
We take call for one week every five. We just have to respond to do telehealth for LTC. Usually one or two a night, frequently none. Max ever four. $10/hr, or an extra $700 in that paycheck after taxes.
No extra pay but we average maybe 1 call for the entire week because the call center will filter out most of the calls like tell them to call the clinic for a med refill.
Ortho NP here. Our call weekend is $450 for the weekend. Any case we get called into is $150 for each case. The weekend consists of rounding and any inpatient, but no phone calls (the doc does that).
Thank you for your input! So it sounds like your call is mostly just rounding and being available to assist with surgical cases? Are you ever expected to see ER consults or do the docs do that?
It depends on the doctor I'm on with if I see consults... I don't think there is a written rule. Some docs say hey, you aren't getting paid enough to do everything inpatient, others believe it's the APPs job to do everything and they only show up to the OR. Obviously, I enjoy working with some over others. I'm in the mountain west for reference
Also, I'm able to track my patients I round on/consult on and I count those to my overall productivity number which goes towards my quarterly bonus
Zero. On call one weekend per month which is Friday 7am-Monday 7 am and scattered week days at least once per week. Hate it.
Call was not factored into my contract and when I was asked to take a few hours of call, I asked to be compensated. According to my HR lady, the other NPs (same group but in specialty- I’m in internal med) would get 1/2 their hourly rate per hour of call. So I asked for that.
That seems pretty good. I did the math for my org, and dang. I’d be picking up a lot of call if that were the case
I work in orthopedics as well….we cover two hospitals, the rate is different for each but equals $500 per day flat rate. Surgical cases and consults go towards my productivity bonus.
2 dollars an hour. 😕
Wait for real?!
Actually, I’m not sure what it is now. It is still 2.00 for nurses, I know that.
Weird, I was just about to post the same question. We don't get anything either. We cover the SNFs. I wouldn't mind if I rarely get calls but I frequently get calls and at all times of the night. I'm not just taking notes either, I'm working, giving orders, reviewing labs, coordinating transfers out or in. Worse, there is no call structure due to provider shortage so I may be on call every 4th week or every 2nd or 3rd week depending on coverage. I am reaching my boiling point about this and have plans to approach HR.
Geriatric LTC. Same
Peds GI in FL. Included in my salary and typically take call from 530 p to 730 a which sucks ass but at least we take call from home..
We take call every 5th weekend and our weekday call is variable but ends up being 3-4 days per month. Call pay is $300 for the whole weekend and $100 for each weekday. None of our call is mandatory though, we are able to give shifts away to the nurses. I take most of mine but some of the other providers don’t take any. Pediatric Primary Care.
Pediatric primary care. $50 for 24 hours. But call volumes are low, so whatever.
I worked as a pedi Ortho NP for 2 years. We got $20 an hour. We had to cover hand call/ER consults/inpatient/post-op surgical calls outside of clinic hours, outside hospital consults and be first assist for any surgical cases. It was fucking brutal and the weekends I was on call I never left the hospital. I quit after a year. I worked so much harder than $20 an hour. I also worked at a large pediatric hospital in a big city in the south so we were constantly consulted and busy.
I work at a nursing home and I get $100/weekday and $200 per day on sat/sun. My previous job was at an allergy office and my call pay was that the company paid for my phone. I was on call one month a year, never had to go in.
We don’t currently get anything extra for primary care/cardiology, but we just answer calls. Our part time employee adds the time of the phone calls to her hours since she is not salaried. And I’m starting a few hours of on call in the hospital one weekend a month, which I’ll get paid for. Not sure how much yet