Table 1a.
Definition, rationale, and data source for customized relative value unit (cRVU) for a transplant physician/surgeon.
| Mnemonic | Definition of the Activity |
Activity Type/Time Spent |
cRVU | The Rationale for How cRVUs Are Calculated |
Sample Data Source |
|---|---|---|---|---|---|
| ATT | Manuscript development, research activity, teaching residents and fellows, clinical/regulatory meetings including patient selection, pathology, tumor board, radiology, QAPI | 30 min | 0.56 | RVU calculated on $106 per hour at a rate of $56 per RVU=1.12 RVU per hour or 0.56 RVUs per 30 min (based on CMS Medical Director RCE total August 22, 2014, for hourly rate and FMV source compensation per wRVU) | Fee ticket, sign-in sheets, physician calendars, time studies |
| MANPR | The primary author of manuscript or book chapter publication | Event | 48.00 | Calculated based on an average of 15 patients × New Patient visit code 99205 (RVUs 3.2) =48 RVU | E-copy of publications |
| MANCO | Co-author manuscript or book chapter publication | Event | 24.00 | Calculated based on an average of 15 patients × New Patient visit code 99205 (RVUs 3.2/2) =24 RVU | E-copy of publications |
| MRKT | Marketing and outreach. No additional if included in hours of medical director stipend | 30 min | 2.20 | RVU calculated on $214 per hour at a rate of $48.56 per RVU= 4.4 RVU per hour or 2.2 RVUs per 30 min (based on FMV source median salary and median wRVU) | Physician Calendars, fee tickets, Outreach coordinator activities |
| STBN | Satellite start-up bonus | Event | 48.00 | Calculated based on an average of 15 patients × New Patient visit code 9205 (RVUs 3.2) =48 RVU | EMR |
| NCALL | On-call transplant physician/surgeon | 1 day | 10.29 | On-call market rates $500 per day/48.56 per RVU=10.29 RVUs (FMV source data based on five days per month is considered excessive and earns RVUs | Call schedule |
| STO1 | Coverage of more than one Satellite clinic located more than 30 miles but less than 50 miles away from the center | 1 day | 9.18 | The calculated average of 15 patients × Modified New Patient visit code 99204 (RVUs 2.45*15*25%) | EMR |
| ST30 | Coverage of more than one Satellite clinic located more than 50 miles but less than 100 miles away from the center | 1 day | 18.35 | The calculated average of 15 patients × Modified New Patient visit code 99204 (RVUs 2.45*15 *50%) | EMR |
| ST100 | Coverage of more than one Satellite clinic located more than 100 miles away from the center | 1 day | 36.75 | The calculated average of 15 patients × Modified New Patient visit code 99204 (RVUs 2.45*15*100%) | EMR |
| PICRD | Principal investigator research study | New study | 26.78 | Based on $1500 per study $1550/$56 per RVU=26.78 RVUs | Study list/Physician CV |
| SICRD | Sub investigator research study | New study | 13.39 | Based on $750 per study $750/$56 per RVU=13.39 RVUs | Study list/Physician CV |
| IREO | Patient identification and selection for research studies | Clinic visit | 3.20 | Credit for the time required for patient identification and selection for the research study. Calculated by New Patient Code 99205 (RVU 3.2) | 1st research study patient clinic visit |
| IRE1 | Initial research patient enrollment study lasts <6 months | 1st clinic visit | 3.20 | Credit for patient complexity during the research study. Calculated by New Patient Code 99205 (RVU 3.2) | Research coordinator 1st clinic visit and study timeline |
| IRE2 | Initial research patient enrollment study lasts 6-18 months | 1st clinic visit | 6.40 | Credit for patient complexity during the research study. Calculated by New Patient Code 99205 (RVU 3.2) multiplier 2 | Research coordinator 1st clinic visit and study timeline |
| IRE3 | Initial research patient enrollment study lasts >18 months | 1st clinic visit | 11.80 | Credit for patient complexity during the research study. Calculated by New Patient Code 99205 (RVU 3.2) multiplier 3 | Research coordinator 1st clinic visit and study timeline |
| EVAL | Patient evaluations, waitlist management, and pre-annuals. 1 × each annually per patient | Clinic visit | 3.20 | Credit for patient complexity during pre-transplant evaluations, waitlist management, and annuals. Calculated by New Patient Code 99205 (RVU 3.2) | EMR |
| POOLT | Clinic visit | 1.60 | Credit for patient complexity post-transplant management. Calculated by New Patient Code 99205 (RVU 3.2/2) multiplier ½ | EMR | |
| NPSUP | Clinic visit | 1.00 | Income for NP supervision $3.00 per NP wRVU | EMR |
Abbreviations: RVU, relative value unit; wRVU, work relative value unit; CMS Center for Medicare and Medicaid; RCE, reasonable compensation equivalent; FMV, fair market value.