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Average Daily Gross Production (DOS): This metric calculates the average of gross production (based on Date of Service ) over the number of unique days within the selected date range where at least one patient visit took place (i.e., based on patient visit configuration). It is used to understand daily performance efficiency and production consistency on operational days.
- Formula: Average Daily Production = Gross Production (DOS) / Number of Days with at least one patient visit.
- Patient visit is based on the configuration set.
- Inclusions:
- Gross production includes all completed procedures (can be patient and insurance production).
- Only days where at least one code was completed are considered as 'production days.'
- Exclusions:
- Days with no patient visits
- Deleted or migrated production codes
- Use Case: This KPI provides insight into how much production is generated on an average working day, allowing practices to evaluate clinical productivity and optimize scheduling strategies.
- Based on treatment provider and treatment location.
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Avg Daily Net Prod (DOS): This metric calculates the average net production amount for each day in which at least one patient visit (based on patient visit logic settings occurred. It reflects actual production earned on the day services were provided, after adjusting for any production adjustments.
- Formula: Average Daily Net Production (DOS) = Total Net Production (DOS) / Number of Days with patient visit
- Where: Net Production (DOS) = Gross Production (DOS) + Production Adjustments (DOS)
- Only includes days where at least one patient visit is counted.
- Inclusions:
- Completed procedures with DOS in selected range
- Production adjustments dated on those codes
- Days with at least one patient visit
- Exclusions:
- Days without any patient visit
- Deleted or migrated production codes
- Use Case: This metric helps track daily operational efficiency and revenue trends based on actual service days, supporting scheduling and productivity planning.
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Avg Gross Prod Per Appt (Appt Date): This metric reflects the average dollar value of gross production per appointment within the selected date range. It only considers procedures that are linked to appointments and calculates their gross production based on Date of Service (DOS).
- This helps assess the revenue contribution of each scheduled appointment and can be used to evaluate scheduling efficiency, provider performance, and case acceptance trends.
- Formula: Average Gross Production Per Appointment = Total Gross Production (from codes linked to appointments) / Total Number of Appointments with Completed Procedures
- Inclusions:
- Completed procedures linked to appointments
- Appointments with at least one completed code
- Exclusions:
- Standalone procedures not linked to appointments
- Appointments without any completed procedures
- Deleted or migrated codes
- Use Case: Useful in determining how effectively appointment slots are being utilized for production. Practices can benchmark average appointment value and identify opportunities to increase treatment planning or case presentation success.
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Based on treatment location and treatment provider
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Avg Net Prod Per Appt (Appt Date): This metric calculates the average net dollar value of production per appointment where at least one procedure was completed and linked to that appointment. It accounts for both patient and insurance production adjustments to reflect true earned production from scheduled visits.
- Formula: Average Net Production Per Appointment = Total Net Production (from codes linked to appointments) / Total Number of Appointments with Completed Procedures
- Where: Net Production = Gross Production (from codes linked to appointments) + Production Adjustments (against codes linked to appointment)
- Inclusions:
- Completed procedures linked to appointments
- Associated production adjustments (both patient and insurance)
- Appointments with at least one completed code
- Exclusions:
- Standalone procedures not linked to appointments
- Appointments without any completed procedures
- Deleted or migrated codes
- Use Case: This is used to evaluate the actual financial value generated from appointments, factoring in all necessary adjustments. It offers a more accurate representation than gross production alone and can inform scheduling strategies and productivity goals.
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Production Adjustments (DOS): This metric reflects the total value of production adjustments applied to both patient and insurance production, where the associated date of service (DOS) falls within the selected reporting period. Production adjustments include corrections, fee changes, write-offs, or any other modifications to the original production amounts — specifically those configured as production-type adjustments.
- These adjustments are tied to the original service date, not the date on which the adjustment was made, making this metric particularly useful for analyzing historical production trends and ensuring alignment between procedure completion and financial corrections.
- This is a key metric for tracking revenue integrity, maintaining accurate DOS-based reporting, and reconciling production performance against collection activity.
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Patient Production Adjustments (DOS): This metric represents the total value of adjustments applied to patient-responsible production amounts for procedures with a Date of Service (DOS) within the selected reporting period. These adjustments may result from discounts, patient write-offs, billing errors, or changes in procedure pricing that affect the portion of the production not covered by insurance.
- It isolates changes specifically related to patient-responsible amounts, enabling more precise tracking of revenue impacts due to practice-level decisions such as discounting or pricing corrections. This is essential for evaluating true patient revenue and understanding net production trends.
- Exclusion:
- Insurance-related production adjustments
- Adjustments tied to deleted or migrated codes
- This metric is especially useful when analyzing patient production versus collections and helps improve billing transparency and patient financial reporting.
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Insurance Production Adjustments (DOS): This metric captures the total value of adjustments made specifically to insurance-related production amounts for procedures with a Date of Service (DOS) that falls within the selected reporting range. These adjustments may include insurance write-offs, fee corrections due to plan coverage limitations, or any modifications impacting the insurance portion of the original production.
- It reflects the impact of payer agreements, claim reprocessing, and administrative corrections on recorded production. By isolating insurance adjustments, this metric helps practices better analyze revenue lost due to insurance contracts and the effectiveness of their fee structures and billing practices.
- Exclusion:
- Patient-related production adjustments
- Adjustments tied to deleted or migrated codes
- This metric supports accurate net production calculation and deeper insights into insurance-related revenue performance.
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Production Adjustment (TXN): This metric reflects the total value of production adjustments made to both patient and insurance production, where the adjustment occurred within the selected transaction date range. Production adjustments typically include corrections, fee changes, write-offs, or any other modifications to the original production amounts. These are adjustments of the type set as production.
- This metric helps track changes that directly impact gross and net production figures, ensuring transparency in revenue reporting and aiding in accurate reconciliation with collection metrics.
- This metric helps track changes that directly impact gross and net production figures, ensuring transparency in revenue reporting and aiding in accurate reconciliation with collection metrics.
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Production Adjustment Rate: This metric measures the proportion of adjustments made to production values relative to the total gross production, within a selected transaction date range. It helps monitor how frequently and significantly production values are being altered after initial entry — due to corrections, fee modifications, or other adjustment types configured as production adjustments.
- It is calculated as: Production Adjustment Rate = (Production Adjustments (TXN) / Gross Production (TXN)) × 100
- A high adjustment rate may indicate issues in initial production entry accuracy or frequent changes in procedure billing, while a low rate typically reflects better production stability and cleaner revenue records.
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Migrated Production (DOS): This metric reflects the total production value attributed to migrated balances, calculated based on the Date of Service (DOS) of the corresponding Migrated Starting Balance (MSB) codes.
- It includes:
- Production tied to MSB codes as part of migration
- Any entries added directly to CareStack through MSB code addition as part of migration handling
- It excludes native production data (i.e., production generated from actual clinical procedures performed in CareStack). This metric helps practices isolate legacy balances for reporting and auditing, especially useful during onboarding periods and while reconciling with historical financials from a previous PMS.
- It includes:
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Migrated Production (TXN): This metric reflects the total production value attributed to migrated balances, calculated based on the transaction date when the migrated production was recorded or entered into CareStack.
- It includes:
- Production tied to MSB codes as part of migration
- Any entries added directly to CareStack through MSB code addition as part of migration handling
- It excludes native production data (i.e., production generated from actual clinical procedures performed in CareStack). This metric helps practices isolate legacy balances for reporting and auditing, especially useful during onboarding periods and while reconciling with historical financials from a previous PMS.
- It includes:
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New Patient Production: Calculated as the total gross production of all codes completed on the same Date of Service (DOS) as the first visit code for new patients, checked out within the specified date range.
- A patient is considered new based on the configuration defined in your CareStack environment, which can be set as either:
- The date of first checked-out procedure, or
- Completion of a specific code or group of codes (e.g., D0150).
- This metric is useful for understanding the production contribution of newly acquired patients and tracking the performance of new patient onboarding and scheduling processes.
- A patient is considered new based on the configuration defined in your CareStack environment, which can be set as either:
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New Patient Production %: This metric represents the proportion of total new patient production that is generated from new patients within the selected date range. Calculated as the total gross production of all codes completed on the same Date of Service (DOS) as the first visit code for new patients, divided by the total gross production during the selected date range.
- A patient is identified as new based on the configuration set in your CareStack environment, which can be defined by:
- The first checked-out procedure, or
- The completion of a specific code or set of codes (e.g., D0150).
- It is calculated as: (New Patient Production / Total Gross Production DOS) × 100
- This KPI helps assess the impact of new patient acquisition on overall production, making it useful for tracking marketing effectiveness, front desk conversion performance, and practice growth trends.
- A patient is identified as new based on the configuration set in your CareStack environment, which can be defined by:
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Procedures Completed: This metric reflects the total count of procedures that were marked as completed within the selected transaction date range. It excludes any procedures that were deleted or had their initial entry triggered by only a location or provider update (i.e., not an actual treatment completion).
- This count helps in understanding clinical activity volume and operational efficiency during the selected period.
- This count helps in understanding clinical activity volume and operational efficiency during the selected period.
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UCR Production (DOS): This metric represents the total value of procedures completed within the selected date of service (DOS) range, calculated using the Usual, Customary, and Reasonable (UCR) fee for each procedure — regardless of insurance contracts or discount plans. It captures the full, undiscounted value of services rendered based on standard office fees.
- UCR Production is useful for evaluating the true gross earning potential of the practice without factoring in insurance fee schedules or patient discounts. It provides a baseline against which to compare adjusted production and collections, helping assess the impact of fee adjustments, insurance participation, and discount plans on overall revenue.
- Exclusion:
- Deleted codes
- Migrated balances (MSB codes)
- Exclusion:
- UCR Production is useful for evaluating the true gross earning potential of the practice without factoring in insurance fee schedules or patient discounts. It provides a baseline against which to compare adjusted production and collections, helping assess the impact of fee adjustments, insurance participation, and discount plans on overall revenue.
- This metric helps practices understand the gap between what they could have earned under standard fees versus what was actually collected or adjusted, offering insights into write-offs, discounts, and payer mix impact.
Practices can use this guide to learn all about production metrics.