The full fee-schedule value of all procedures performed, before any adjustments.
Gross production is the total dollar value of procedures completed in a period, valued at the office's fee schedule. It does not account for write-offs, insurance adjustments, or discounts. It's useful for measuring clinical output, not actual revenue.
Gross production after insurance write-offs and other legitimate production adjustments.
Adjusted production equals gross production minus write-offs and production-side adjustments (PPO fee reductions, courtesy discounts, etc.). It's the best proxy for the real expected value of the work performed.
Total money actually collected (patient payments + insurance payments) in the period.
Gross collections is the total cash received from patients and insurance carriers. It includes direct patient payments (PmsODPayment.payAmt) and insurance check amounts (PmsODClaimPayment.checkAmt).
Gross collections minus merchant / finance fees. The money that actually lands in the practice's bank.
Net collections = gross collections − |merchant & finance fees|. Merchant fees come from card processors and financing companies (e.g., CareCredit) and are tracked as negative adjustments. Net collections represent the true cash that reaches the practice after those fees are deducted.
Collections divided by adjusted production. A health check on how well you collect what you earn.
Collections ratio = collections / adjusted production. A healthy practice typically runs at 98%+ over a trailing window. Sub-95% often signals billing, follow-up, or write-off issues.
Fees charged by card processors and financing companies, deducted from gross collections to get net collections.
Merchant and finance fees are costs charged by payment processors (Visa, Mastercard, CareCredit, etc.) for accepting cards and patient financing. In the PMS they usually appear as negative adjustments. Root Data reports them as an absolute value and subtracts them from gross collections to calculate net collections.
The cost of running the practice as a percentage of collections.
Overhead is total practice operating expenses (staff, rent, supplies, lab, etc.) divided by collections. Benchmarks vary by specialty; most general practices target 55-65%.