Productivity measurement in psychology and neuropsychology: Existing standards and alternative suggestions

References

• American Medical Association. (2022). Composition of the RVS update committee (RUC). Retrieved December 12, 2022 from https://www.ama-assn.org/about/rvs-update-committee-ruc/composition-rvs-update-committee-ruc
   Google Scholar
• American Psychological Association. (2019). 2019 Psychological and neuropsychological testing billing and code guide. Retrieved July 30, 2022, from https://www.apaservices.org/practice/reimbursement/health-codes/testing/billing-coding-addendum.pdf
   Google Scholar
• American Psychological Association. (2020, December). Psychologists likely to see increases for psychotherapy services, but pay cuts for other services in Medicare for 2021. Retrieved July 30, 2022, from https://www.apaservices.org/practice/reimbursement/government/psychotherapy-services
   Google Scholar
• An introduction to the RUC. (2021). Retrieved December 12, 2022 from www.ama-assn.org/system/files/2021-04/introduction-to-the-ruc.pdf
   Google Scholar
• Baadh, A., Peterkin, Y., Wegener, M., Flug, J., Katz, D., & Hoffmann, J. C. (2016). The relative value unit: History, current use, and controversies. Current Problems in Diagnostic Radiology, 45(2), 128–132. https://doi.org/10.1067/j.cpradiol.2015.09.006
   PubMedGoogle Scholar
• Beck, D. E., & Margolin, D. A. (2007). Physician coding and reimbursement. The Ochsner Journal, 7(1), 8–15.
   PubMedGoogle Scholar
• Brosig, C. L., Hilliard, M. E., Williams, A., Armstrong, F. D., Christidis, P., Kichler, J., Shroff Pendley, J., Stamm, K. E., & Wysocki, T. (2017). Society of pediatric psychology workforce survey: Factors related to compensation of pediatric psychologists. Journal of Pediatric Psychology, 42(4), 355–363. https://doi.org/10.1093/jpepsy/jsx051
   PubMed Web of Science ®Google Scholar
• Carlson, E. R. (2021). Academic relative value units: A proposal for faculty development in oral and maxillofacial surgery. Journal of Oral and Maxillofacial Surgery, 79(1), 36.e1–36.e13. https://doi.org/10.1016/j.joms.2020.09.036
   PubMed Web of Science ®Google Scholar
• Centers for Medicare & Medicaid Services. (2022, July). Physician fee schedule. Retrieved August 8, 2022, from https://www.cms.gov/medicare/physician-fee-schedule/search/license-agreement?destination=/medicare/physician-fee-schedule/search%3F
   Google Scholar
• Chan, D. C., Huynh, J., & Studdert, D. M. (2019). Accuracy of valuations of surgical procedures in the medicare fee schedule. The New England Journal of Medicine, 380(16), 1546–1554. https://doi.org/10.1056/NEJMsa1807379
   PubMed Web of Science ®Google Scholar
• Childers, C. P., & Maggard-Gibbons, M. (2020). Assessment of the contribution of the work relative value unit scale to differences in physician compensation across medical and surgical specialties. JAMA Surgery, 155(6), 493–501. https://doi.org/10.1001/jamasurg.2020.0422
   PubMed Web of Science ®Google Scholar
• DeLuca, J. W., & Putnam, S. H. (1993). The professional/technician model in clinical neuropsychology: Deployment characteristics and practice issues. Professional Psychology: Research and Practice, 24(1), 100–106. https://doi.org/10.1037/0735-7028.24.1.100
   Web of Science ®Google Scholar
• Dillon, E. C., Tai-Seale, M., Meehan, A., Martin, V., Nordgren, R., Lee, T., Nauenberg, T., & Frosch, D. L. (2020). Frontline perspectives on physician burnout and strategies to improve well-being: Interviews with physicians and health system leaders. Journal of General Internal Medicine, 35(1), 261–267. https://doi.org/10.1007/s11606-019-05381-0
   PubMed Web of Science ®Google Scholar
• Feigon, M., Block, C., Guidotti Breting, L., Boxley, L., Dawson, E., & Cobia, D. (2018). Work-life integration in neuropsychology: A review of the existing literature and preliminary recommendations. The Clinical Neuropsychologist, 32(2), 300–317. https://doi.org/10.1080/13854046.2017.1411977
   PubMed Web of Science ®Google Scholar
• Gao, Y. N. (2018). Committee representation and Medicare reimbursements-An examination of the resource-based relative value scale. Health Services Research, 53(6), 4353–4370. https://doi.org/10.1111/1475-6773.12857
   PubMed Web of Science ®Google Scholar
• Guiot, A. B., Kirkendall, E. S., Gosdin, C. H., Shah, S. S., DeBlasio, D. J., Meier, K. A., & O’Toole, J. K. (2017). Educational added value unit: Development and testing of a measure for educational activities. Hospital Pediatrics, 7(11), 675–681. https://doi.org/10.1542/hpeds.2017-0043
   PubMedGoogle Scholar
• Hsiao, W. C., Braun, P., Dunn, D. L., Becker, E. R., Yntema, D., Verrilli, D. K., Stamenovic, E., & Chen, S.-P. (1992). An overview of the development and refinement of the resource-based relative value scale: The foundation for reform of U.S. Physician Payment. Medical Care, 30(11), NS1–NS12. https://doi.org/10.1097/00005650-199211001-00001
   PubMed Web of Science ®Google Scholar
• Johnson-Greene, D. (2018). Clinical neuropsychology in integrated rehabilitation care teams. Archives of Clinical Neuropsychology, 33(3), 310–318. https://doi.org/10.1093/arclin/acx126
   PubMed Web of Science ®Google Scholar
• Kairouz, V. F., Raad, D., Fudyma, J., Curtis, A. B., Schünemann., & Akl E. A. (2014). Assessment of faculty productivity in academic departments of medicine in the United States: A national survey. BMC Medical Education, 14(205), 1–6. https://doi.org/10.1186/1472-6920-14-205
   PubMedGoogle Scholar
• Katz, S., & Melmed, G. (2016). How relative value units undervalue the cognitive physician visit: A focus on inflammatory bowel disease. Gastroenterology & Hepatology, 12(4), 240–244.
   Google Scholar
• Labiner, D. M., Bagic, A. I., Herman, S. T., Fountain, N. B., Walczak, T. S., & Gumnit, R. J. (2010). Essential services, personnel, and facilities in specialized epilepsy centers-revised 2010 guidelines. Epilepsia, 51(11), 2322–2333. https://doi.org/10.1111/j.1528-1167.2010.02648.x
   PubMed Web of Science ®Google Scholar
• Laugesen, M. J. (2014). The resource-based relative value scale and physician reimbursement policy. Chest, 146(5), 1413–1419. https://doi.org/10.1378/chest.13-2367
   PubMed Web of Science ®Google Scholar
• Linzer, M., Poplau, S., Babbott, S., Collins, T., Guzman-Corrales, L., Menk, J., Murphy, M. L., & Ovington, K. (2016). Worklife and wellness in academic general internal medicine: Results from a national survey. Journal of General Internal Medicine, 31(9), 1004–1010. https://doi.org/10.1007/s11606-016-3720-4
   PubMed Web of Science ®Google Scholar
• Ma, O. J., Hedges, J. R., & Newgard, C. D. (2017). The academic RVU: Ten years developing a metric for and financially incenting academic productivity at Oregon Health & Science University. Academic Medicine, 92(8), 1138–1144. https://doi.org/10.1097/ACM.0000000000001570
   PubMed Web of Science ®Google Scholar
• Mark, R. E., Klarenbeek, P. L., Rutten, G. J. M., & Sitskoorn, M. M. (2014). Why don’t neurosurgery patients return for neuropsychological follow-up? Predictors for voluntary appointment keeping and reasons for cancellation. The Clinical Neuropsychologist, 28(1), 49–64. https://doi.org/10.1080/13854046.2013.854837
   PubMed Web of Science ®Google Scholar
• Maxwell, S., & Zuckerman, S. (2007). Impact of resource-based practice expenses on the medicare physician volume. Health Care Financing Review, 29(2), 65–79.
   PubMedGoogle Scholar
• NAN. (2001). Definition of a clinical neuropsychologist. Retrieved September 8, 2022, from https://www.nanonline.org/NAN/Files/PAIC/PDFs/NANPositionDefNeuro.pdf
   Google Scholar
• Nurok, M., & Gewertz, B. (2019). Relative value units and the measurement of physician performance. Journal of the American Medical Association, 322(12), 1139–1140. https://doi.org/10.1001/jama.2019.11163
   Web of Science ®Google Scholar
• Petranovich, C., Johnson, A., Smith-Paine, J., Tlustos, S. J., & Baum, K. T. (2023). A survey of pediatric neuropsychologists serving inpatient rehabilitation, Part II: Billing, time allocation and tracking, and professional identity and perceptions. Child Neuropsychology, 29(3), 445–456. https://doi.org/10.1080/09297049.2022.2097652
   PubMed Web of Science ®Google Scholar
• Rosenstein, L. D. (2017). Commentary on the use of 96119 in billing for neuropsychological services. The Clinical Neuropsychologist, 31(8), 1273–1282. https://doi.org/10.1080/13854046.2017.1329459
   PubMed Web of Science ®Google Scholar
• Rosner, M. H., & Falk, R. J. (2020). Understanding work: Moving beyond the RVU. Clinical Journal of the American Society of Nephrology: CJASN, 15(7), 1053–1055. https://doi.org/10.2215/CJN.12661019
   PubMed Web of Science ®Google Scholar
• Satiani, B., Matthews, M. A. B., & Gable, D. (2012). Work effort, productivity, and compensation trends in members of the society for vascular surgery. Vascular and Endovascular Surgery, 46(7), 509–514. https://doi.org/10.1177/1538574412457474
   PubMed Web of Science ®Google Scholar
• Sebro, R. (2021). Leveraging the electronic health record to evaluate the validity of the current RVU system for radiologists. Clinical Imaging, 78, 286–292. https://doi.org/10.1016/j.clinimag.2021.02.007
   PubMed Web of Science ®Google Scholar
• Sogg, S., Lauretti, J., & West-Smith, L. (2016). Recommendations for the presurgical psychosocial evaluation of bariatric surgery patients. Surgery for Obesity and Related Diseases, 12(4), 731–749.https://doi.org/10.1016/j.soard.2016.02.008
   PubMed Web of Science ®Google Scholar
• Stites, S., Vansaghi, L., Pingleton, S., Cox, G., & Paolo, A. (2005). Aligning compensation with education: Design and implementation of the Educational Value Unit (EVU) system in an academic internal medicine department. Acad Med, 80(12), 1100–1106. https://doi.org/10.1097/00001888-200512000-00006
   PubMed Web of Science ®Google Scholar
• Sweet, J. J., Klipfel, K. M., Nelson, N. W., & Moberg, P. J. (2021). Professional practices, beliefs, and incomes of U.S. neuropsychologists: The AACN, NAN, SCN 2020 practice and “salary survey”. The Clinical Neuropsychologist, 35(1), 7–80. https://doi.org/10.1080/13854046.2020.1849803
   PubMed Web of Science ®Google Scholar
• Urwin, J. W., & Emanuel, E. J. (2019). The relative value scale update committee: Time for an update. JAMA, 322(12), 1137–1138. https://doi.org/10.1001/jama.2019.14591
   PubMed Web of Science ®Google Scholar
• Weidemann, D. K., Ashoor, I. A., Soranno, D. E., Sheth, R., Carter, C., & Brophy, P. D. (2022). Moving the needle toward fair compensation in pediatric nephrology. Frontiers in Pediatrics, 10, 1–9. https://doi.org/10.3389/fped.2022.849826
   Web of Science ®Google Scholar
• Zupanc, M. L., Cohen, B. H., Kang, P. B., Mandelbaum, D. E., Mink, J., Mintz, M., Tilton, A., & Trescher, W. (2020). Child neurology in the 21st century. Neurology, 94(2), 75–82. https://doi.org/10.1212/WNL.0000000000008784
   PubMed Web of Science ®Google Scholar