On Demand: Inside the Numbers: MedAxiom's 2026 APP Compensation and Utilization Survey Report Review-Handout

Handout - APP Webinar Q&A

Pdf Summary

The document summarizes Q&A from an APP webinar on August 20, 2026, covering APP productivity, billing, compensation, and scheduling.

Key points:
- <strong>wRVUs by ownership model:</strong> Private APPs generate the highest total wRVUs, followed by Integrated and Academic programs. Academic APPs have a much higher inpatient share of wRVUs, while Private and Integrated programs have similar inpatient/outpatient mixes.
- <strong>Shared clinic billing:</strong> If an APP and physician see a patient together, the physician must have a meaningful role in assessment, plan, and decision-making, and documentation must support billing under the physician. Rules may vary by payer.
- <strong>Inpatient split/shared vs independent rounding:</strong> The webinar does not show a major shift away from split/shared billing in hospitals. In outpatient settings, many organizations are moving away from incident-to billing and toward more independent APP practice. Independent APP models require stronger onboarding, competency checks, and continuing education.
- <strong>Non-billable work vs high RVUs:</strong> Organizations are increasingly using call stipends, hourly call pay, and productivity incentives to recognize APP workload, especially as APPs take on more inpatient coverage and care coordination.
- <strong>Call pay benchmarks:</strong> No regional call-rate benchmark data were collected in this survey.
- <strong>Compensation by state:</strong> Compensation benchmarks are reported by region, not state, because sample sizes are too small for reliable state-level comparisons.
- <strong>Online scheduling:</strong> Successful strategies include scheduling based on diagnosis, visit type, acuity, and new vs. established status, plus APP-specific pathways for routine follow-ups, preventive care, medication management, and post-procedure visits.

Overall, the document highlights growing APP autonomy, the need for better compensation alignment with workload, and practical ways organizations are using APPs more effectively.

Keywords

APP webinar

wRVUs

productivity

billing

compensation

scheduling

split/shared billing

inpatient rounding

call pay

APP autonomy