The Physicians & Surgeons Fix Kit
Built for physicians and surgeons.
Physicians search compensation, RVU models and contract review. The money leaks inside the contract: a productivity report nobody reconciles, wRVU values that shifted with the 2026 fee schedule, notes coded below the work, a tail bill on the way out, signing money with a clawback, CME dollars unused, call pay uncounted, denials never appealed, a non-compete nobody priced, and locums income with no tax set aside. I wrote this kit so you can check each against your own contract, reports and claims.
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The 10 leaks it covers
4 you can close it · 4 the other side owes it · 2 a pro decides
- wRVU productivity report never reconciled with what you billedWhere to look first: Get your monthly wRVU report from your employer and your own list of services from the schedule or EHR.Keep it from coming back: Reconcile the report every quarter, within the contract's dispute window.The other side owes it
- wRVU values that shifted with the 2026 fee scheduleWhere to look first: For 2026, Medicare set the conversion factor at $33.57 for qualifying APM participants and $33.40 for others (VERIFIED: Hall Render summary of the 2026 final rule).Keep it from coming back: Check the contract each November when the new rule comes out.The other side owes it
- Notes coded below the work documentedWhere to look first: Pull 20 recent evaluation and management visits.Keep it from coming back: Request a coding audit yearly.A pro decides
- Malpractice tail bill on the way out the doorWhere to look first: Find out whether your malpractice coverage is claims-made or occurrence.Keep it from coming back: Ask for a tail quote at every contract renewal.You can close it
- Signing, relocation or loan repayment money with a clawbackWhere to look first: Pull every agreement tied to money you received: signing bonus, relocation, loan repayment, retention.Keep it from coming back: Calendar every clawback end date.You can close it
- CME allowance left unusedWhere to look first: Find your CME allowance and what it covers: courses, travel, board fees, licenses, DEA registration, journals.Keep it from coming back: Check the balance every September.You can close it
- Call coverage never counted against call payWhere to look first: Find your contract's call terms: required call, call pay rate, and extra pay beyond required call.Keep it from coming back: Log call shifts monthly.The other side owes it
- Denied claims never appealedWhere to look first: If you own or share in practice revenue, pull the denial report for the last 90 days.Keep it from coming back: Review denials weekly.The other side owes it
- Non-compete never priced before signingWhere to look first: Find the restrictive covenant in your contract: radius, duration, specialties, and sites it covers.Keep it from coming back: Review the covenant at every renewal.You can close it
- Locums or moonlighting income with no tax set asideWhere to look first: Locums and moonlighting paid on a 1099 is usually self-employment income. Self-employment tax is 15.3%: 12.4% Social Security and 2.9% Medicare (VERIFIED: IRS).Keep it from coming back: Set aside from every locums payment.A pro decides
Free: one full leak from this kit
No sign-up, no email. Here is leak 1 of 10 exactly as it appears in the kit, so you can see what you get before you buy.
wRVU productivity report never reconciled with what you billed
The other side owes it- Get your monthly wRVU report from your employer and your own list of services from the schedule or EHR.
- Pick one month. For each service, check that it appears on the report with the right code and wRVU value.
- Look for missing encounters, procedures credited to another clinician, and modifiers that changed credit.
- Total the missing wRVUs and multiply by your contract's rate per wRVU (CALCULATED: missing wRVUs x rate).
- Ask for a correction in writing.
Your part: Reconcile one month, then quarterly.
Email to the compensation office: Hi [NAME], In reconciling my [MONTH] wRVU report, I found [NUMBER] encounters missing or credited differently, totaling [WRVUS] wRVUs. List attached with dates and codes. Please review and correct, or explain. [YOUR NAME], [CREDENTIALS]
Reconcile the report every quarter, within the contract's dispute window.
What this kit can't decide for you: Your contract and compliance office govern credit. We never say what you are owed.
That's 1 of 10. The other 9 come the same way in the kit: steps, words to send, a habit to keep each one closed.
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What people in this work look up
When physicians and surgeons go looking for answers, they search things like “physician compensation”, “rvu compensation”, “physician contract review” and “physician salary”. Those searches turn up forms, averages and other people's numbers. This kit starts from your own records instead: the 10 places money leaks in this work, where to look first and the words to send to close each one.
What you get for each leak
- Numbered steps to close each leak
- Your part, spelled out
- Words you can use: letters and scripts, ready to send (fill in the brackets)
- A habit that keeps each leak from coming back
- An honest line on what the kit can't decide for you
A page from the kit
Questions people ask
wRVU productivity report never reconciled with what you billed: where do I start?
Start here: Get your monthly wRVU report from your employer and your own list of services from the schedule or EHR. To keep it from coming back: Reconcile the report every quarter, within the contract's dispute window.
wRVU values that shifted with the 2026 fee schedule: where do I start?
Start here: For 2026, Medicare set the conversion factor at $33.57 for qualifying APM participants and $33.40 for others (VERIFIED: Hall Render summary of the 2026 final rule). To keep it from coming back: Check the contract each November when the new rule comes out.
Notes coded below the work documented: where do I start?
Start here: Pull 20 recent evaluation and management visits. To keep it from coming back: Request a coding audit yearly.
What it can't decide for you
This kit works from your own records. It doesn't give legal, tax, licensing or financial advice, and it never tells you what to charge. Where a CPA, attorney, insurer or state board makes the call, the kit says so and gets your records ready for them.
16-page PDF · instant download after payment · Code VYR-KIT-PHYSICIANS-01
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Next step
- Run your free LeakReceipts check — it reads your own receipts and records and shows where money is leaking out, line by line.
- TrueNET — the whole-picture money truth: what you actually keep after every cost, across everything you earn and spend.
Use Jobber or Housecall Pro? Run the free leak check — it reads your job export in your browser and shows the money leaks the software doesn't flag. Nothing is uploaded.