HCAD 5220
Fall 2015
Ed Schumacher
Homework 1
Due Tuesday September 1st
1. You work for a large health system and they have asked you to help with a
physician compensation project. 1 The data in the Excel file: Physician Comp is
what they have given you to work with. This shows data for the system’s
employed physicians for the first six months of 2015. Each row of the worksheet
titled “Physician Data” is a unique billing episode. Relevant variables included
are:
Patient Type Category (Inpatient, Outpatient, Emergency)
Physician Name
Place of Service Type
CPT (current procedure terminology) Output Code and Description
Charge Amount (the listed charge for that service)
Visit Cnt (the number of visits the episode took)
Chg Qty (the number of times charged – so to get total charges for an episode
you multiply Charge Amount by Chg Qty)
Work RVU (the number of Relative Value Units that episode generated)2
Visit (type of visit: surgical, medicine, radiology, etc)
a. Create a pivot table that shows each doctor’s total work RVUs and the
number of episodes of care. Sort the table from largest to smallest. Which
doctor generated the most RVUs? What percent of total RVUs produced
did this doctor generate (show this in your table for all doctors)?
i. Use the Calculated Field function in the pivot table to predict what
each doctor’s annualized RVUs will be for 2015. Likewise
calculate expected compensation given a conversion factor of
$35.757.
b. Create a table that shows the number of episodes, the average and standard
deviation of work RVUs by patient type. What does the differences in the
means tell you? What area has the most variation in RVUs?
c. Create a pivot table that shows the top 10 CPT procedures (in terms of
RVUs) by Patient Type Category. What is the most common inpatient
procedure? Create a PivotChart that shows the top 10 CPT procedures for
inpatient care.
d. Create a table that will show, for any given physician, their top 10 CPT
codes that includes: the CPT code, the description of the code, that code’s
rank (from 1 to 10), the annualized RVUs for that code and the percentage
of that physician’s RVUs that CPT code accounts for. To do this you will
1
For more information about CPT codes, RVUs and physician compensation see the Word file: How are
Physicians Paid – A quick primer on RVU and CPT
2
Since these are employed physicians only the work RVU component is relevant.
need to create a pivot table (and include a Slicer for physician name), you
will probably want to turn off grand totals (in the Design tab) then use the
RANK.EQ() function, then use the VLOOKUP function. Use an IF() or
IFERROR() statements so you do not have N/A in cells when a physician
does not have 10 CPT codes. It should look something as follows:
Top 10 CPT Codes
CPT
Output
Code CD
T1015
99213
99214
59410
59409
59514
99391
99392
99204
99212
CPT Output Code DESC
CLINIC SERVICE
OFFICE/OUTPATIENT VISIT EST
OFFICE/OUTPATIENT VISIT EST
OBSTETRICAL CARE
OBSTETRICAL CARE
CESAREAN DELIVERY ONLY
PER PM REEVAL EST PAT INFANT
PREV VISIT EST AGE 1-4
OFFICE/OUTPATIENT VISIT NEW
OFFICE/OUTPATIENT VISIT EST
Percent
of Total
RVU
17%
14%
12%
8%
7%
6%
6%
4%
3%
3%
Annualized
RVUs
Rank
392.11
1
330.77
2
279.00
3
180.10
4
158.07
5
141.94
6
139.74
7
97.50
8
70.47
9
58.56
10
What does Dr. Castilleja’s top 10 look like?
e. Now suppose there is a subset of your employed physicians who you have
a special contract with. If they produce more than one standard deviation
above the median benchmark for their specialty, they receive a bonus in
their compensation. However if they produce less than one standard
deviation below the median, they have to pay a penalty. The tab titled
“Incentivized Physicians” lists who these physicians are along with their
specialty. The tab titled “RVU Benchmarks” lists the Median benchmark
for each specialty along with the standard deviation. Create a table in
Excel that shows for each of these physicians: their name, their specialty,
their annualized RVUs, the median benchmark, and the standard
deviation. Use conditional formatting to turn the physician’s name cell
green if he/she receives a bonus, and red if they owe a penalty.