Optimizing Encounters Per Provider/Provider Production

Editor's note: This is Part 5 of a 12-part series focused on optimizing medical group financial performance. Each brief in this series takes 2 to 3 minutes to read and identifies specific actions medical groups can take to achieve sustainable financial improvements.

Assessment

Evaluating provider production requires comparing both encounter volume and wRVU generation against industry benchmarks. While wRVU per encounter issues were addressed in the previous revenue opportunity, a second revenue gap arises when both encounters and wRVUs fall below benchmark levels. 

To quantify this opportunity:

1. Identify each provider’s encounter shortfall based on the organization’s specialty-specific volume goals per full-time-equivalent (FTE) provider.
2. Convert that encounter shortfall into wRVU shortfalls using the provider’s actual wRVU per encounter ratio. 
3. Multiply the wRVU shortfall by the provider’s actual net revenue per wRVU to calculate the revenue opportunity per provider.