Payroll Management

Compensation your physicians can actually verify.

Production, RVUs, and incentive terms are calculated from the same encounter data your claims come from — so every line on a compensation statement traces back to the work that earned it.

wRVU & production attributionStatements clinicians can auditPayroll-ready output
Compensation statement
Cardiology — March period
Reconciled
Base salary
Monthly, per agreement
$18,750
wRVU production
412 wRVU × $46.20
$19,034
Production threshold
Base credit — 380 wRVU
−$17,556
Quality incentive
4 of 5 measures met
$1,200
Period total
Every line traceable to source encounters
$21,428

From encounter to paycheck, showing the work.

Four steps between the visit a clinician performed and the figure they are paid — with the arithmetic visible at every one.

Stage 01

Credit lands with the right clinician

Attribution is where most compensation disputes begin: shared visits, supervised mid-levels, cross-site coverage, and locum shifts. Each is resolved against the encounter record rather than a spreadsheet convention.

Shared and supervised visits attributed by rule
Multi-site and multi-entity coverage separated
wRVUs derived from the codes actually billed
Step 1 of 4
Compensation intelligence

What changes for your practice.

Compensation stops being the most fragile spreadsheet in the building.

Traceable
down to the encounter

The number stops being contested

When a clinician can drill from their total into the visits behind it, the monthly compensation conversation becomes short and factual.

Hours
off every payroll close

The spreadsheet month ends

Attribution, thresholds, and tiers are calculated from source data instead of rebuilt by hand in a workbook nobody else can safely edit.

Fewer
calculation errors

Mistakes surface before payday

Discrepancies are raised during review rather than discovered in a retroactive correction that damages trust either way.

Every
site and entity in one view

Multi-location groups reconcile

Cross-site coverage, supervised mid-levels, and locum shifts are attributed to the right clinician and the right cost centre.

Clear
cost per wRVU

Leadership can plan with real numbers

Production, compensation, and cost sit against each other, so recruiting and coverage decisions rest on evidence rather than instinct.

Documented
for every review cycle

Defensible when it is examined

Each period retains its inputs, terms, approvals, and outputs — so a compensation question years later has a documented answer.

Whatever your agreements actually say.

Compensation models are configured per clinician, so nobody has to be moved onto a formula that fits the software.

Fixed pay, still fully reported

Straight Salary

A flat salary does not need production math, but it still needs production visibility. Clinicians on salary are measured on the same basis as everyone else, so leadership can see cost against output.

Fixed periods with pro-rata partial months
Production still tracked for reporting
Cost-per-wRVU visible for planning
Sample calculationillustrative
Annual

$225,000 per agreement

Period

÷ 12 = $18,750

Tracked

412 wRVU produced this period

Cost/wRVU

$45.51 — reporting only

Better than the spreadsheet it replaces.

Most groups calculate physician compensation in a workbook that one person maintains. That works until it does not.

Spreadsheet-based comp

One workbook, one owner

Where the math livesA workbook one person understands and nobody dares edit
Production figuresExported, pasted, and reconciled by hand each period
When errors appearIn a retroactive correction after the clinician was paid
Answering a queryRebuilding the calculation to explain a single number
Changing a termA new tab, a new formula, and a new source of drift
NOTENRA

Configured terms, sourced data

Where the math livesConfigured terms applied to source data, visible to everyone
Production figuresDerived from the codes actually billed, updated continuously
When errors appearIn review, before the period is approved and exported
Answering a queryDrilling from the total into the encounters behind it
Changing a termEffective-dated terms with prior periods left intact
Where the line sits

We calculate compensation. Your payroll provider still pays it.

NOTENRA is not a payroll bureau. It determines and documents what each clinician has earned, then hands approved figures to the provider who disburses pay and files employment taxes — so you keep the payroll relationship you already have.

NOTENRA does this
Attribute production to the right clinician
Apply each clinician's compensation terms
Produce statements clinicians can audit
Retain approvals and period documentation
Export approved figures for payment
Your payroll provider keeps this
Disburse pay to clinicians and staff
Withhold and file employment taxes
Issue W-2s, 1099s, and year-end filings
Administer benefits and deductions
Maintain registration in each jurisdiction
HIPAA compliant
BAA executed with every practice
Role-based access
Compensation visible only to those entitled to it
Period audit trail
Inputs, terms, and approvals retained per period
Approval workflow
Nothing exports without a recorded sign-off

Compensation questions.

No. NOTENRA calculates and documents what each clinician has earned, then exports approved figures to the payroll provider you already use. Disbursement, tax withholding, and year-end filings remain with that provider.
Payroll Management

End the monthly argument about the number.

Bring one clinician's compensation agreement to the demo and we will model a real period against it — thresholds, tiers, and all.

Your agreements, not a template
Every line traceable to encounters
Role-based access & full audit trail