A one hour presentation on RVUs, factors that effect calculation of RVUs and the use of RVUs in determining productivity, benchmarking and goal setting. The business of running a midwifery practice is difficult enough without negotiating the layers of confusing insurance practices and government payers. One concept that has become more prevalent among midwives regarding collections and payments for services rendered is RVUs or Relative Value Units. Midwifery practice directors need to be savvy in discussions that involve clinical productivity. RVUs place value on the services that midwives provide.