Gross Collection (TXN): This metric captures the total gross amount of payments collected based on the transaction date, regardless of when services were rendered or when the payment was actually received. It includes cash inflows from multiple sources, offering a complete view of revenue received during the selected time period.
Inclusions:
Patient payments
Insurance payments
Collection agency receipts
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Exclusions: Certain category of payments are excluded from this metric. These are:
Income reduction
Special credits
Transfers
Membership credit
Transaction charges from receipts are excluded
Collection adjustments are also not included in this metric
This metric reflects the actual cash received, making it valuable for tracking liquidity, forecasting, and financial reconciliation.
Note: Since this is by transaction date, any deleted receipts or updates are counted separately against the date when the transaction happened.
Gross Patient Collection (TXN): This metric captures the total gross amount of payments collected based on the transaction date, regardless of when services were rendered or when the payment was actually received. It includes cash inflows from multiple sources, offering a complete view of revenue received during the selected time period.
Inclusions:
Patient payments
Collection agency receipts
Migrated Receipts
Exclusions: Certain category of payments are excluded from this metric. These are:
Income reduction
Special credits
Transfers
Membership credit
Transaction charges from receipts are excluded
Collection adjustments are also not included in this metric
This metric reflects the actual cash received, making it valuable for tracking liquidity, forecasting, and financial reconciliation.
Note: Since this is by transaction date, any deleted receipts or updates are counted separately against the date when the transaction happened.
Gross Insurance Collection (TXN): This metric captures the total gross amount of payments collected based on the transaction date, regardless of when services were rendered or when the payment was actually received. It includes cash inflows from multiple sources, offering a complete view of revenue received during the selected time period.
Inclusions:
Insurance payments
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Exclusions:
Transfers type of receipts are excluded.
Transaction charges from receipts are excluded
Collection adjustments are also not included in this metric
This metric reflects the actual cash received, making it valuable for tracking liquidity, forecasting, and financial reconciliation.
Note: Since this is by transaction date, any deleted receipts or updates are counted separately against the date when the transaction happened.
Gross Collection (Payment Date): This metric captures the total gross amount of payments collected based on the payment date. It includes cash inflows from multiple sources, offering a complete view of revenue received during the selected time period.
Inclusions:
Patient payments
Insurance payments
Collection agency receipts
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Exclusions: Certain category of payments are excluded from this metric. These are
Income reduction
Special credits
Transfers
Membership credit
Transaction charges from receipts are excluded
Collection adjustments are also not included in this metric
This metric reflects the actual cash received, making it valuable for tracking liquidity, forecasting, and financial reconciliation.
Note: Since this is by payment date, deleted receipts are not counted in this metric. Any update made on a receipt is rolled and counted against the payment date of the original receipt.
Gross Patient Collection (Payment Date): This metric captures the total gross amount of payments collected based on the payment date. It includes cash inflows from multiple sources, offering a complete view of revenue received during the selected time period.
Inclusions:
Patient payments
Collection agency receipts
Migrated Receipts
Exclusions: Certain category of payments are excluded from this metric. These are:
Income reduction
Special credits
Transfers
Membership credit
Transaction charges from receipts are excluded
Collection adjustments are also not included in this metric
This metric reflects the actual cash received, making it valuable for tracking liquidity, forecasting, and financial reconciliation.
Note: Since this is by payment date, deleted receipts are not counted in this metric. Any update made on a receipt is rolled and counted against the payment date of the original receipt.
Gross Insurance Collection (Payment Date): This metric captures the total gross amount of payments collected based on the payment date. It includes cash inflows from multiple sources, offering a complete view of revenue received during the selected time period.
Inclusions:
Insurance payments
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Exclusions:
Transfers type of receipts are excluded
Transaction charges from receipts are excluded
Collection adjustments are also not included in this metric
This metric reflects the actual cash received, making it valuable for tracking liquidity, forecasting, and financial reconciliation.
Note: Since this is by payment date, deleted receipts are not counted in this metric. Any update made on a receipt is rolled and counted against the payment date of the original receipt.
Net Collection
Net Collection (TXN): Calculated as the total of all payments received from patient, insurance, and collection agency receipts, based on the transaction date, adjusted for collection adjustments, refunds, and transfers.
Inclusions:
Patient payments
Insurance payments
Collection agency receipts
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Transfers
Membership Credits
Refunds
Collection Adjustments
Excludes:
Income Reduction receipts
Special Credits
Transaction Charges
This metric reflects the actual net money collected during the period, helping practices assess collection performance and reconcile operational cash flow against production.
Net Patient Collection (TXN): Calculated as the total of all payments received from patient, insurance, and collection agency receipts, based on the transaction date, adjusted for collection adjustments, refunds, and transfers.
Inclusions:
Patient payments
Collection agency receipts
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Transfers
Membership Credits
Refunds
Collection Adjustments
Excludes:
Insurance payments
Income Reduction receipts
Special Credits
Transaction Charges
This metric reflects the actual net money collected during the period, helping practices assess collection performance and reconcile operational cash flow against production.
Net Insurance Collection (TXN): Calculated as the total of all payments received from insurance receipts, based on the transaction date, adjusted for collection adjustments, refunds, and transfers.
Inclusions:
Insurance payments
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Transfers
Membership Credits
Refunds
Collection Adjustments
Excludes:
Patient payments
Income Reduction receipts
Special Credits
Transaction Charges
This metric reflects the actual net money collected during the period, helping practices assess collection performance and reconcile operational cash flow against production.
Net Collection (Payment Date): Calculated as the total of all payments received from patient, insurance, and collection agency receipts, based on the transaction date, adjusted for collection adjustments, refunds, and transfers.
Inclusions:
Patient payments
Insurance payments
Collection agency receipts
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Transfers
Membership Credits
Refunds (based on refund date)
Collection Adjustments (based on DOS)
Excludes:
Income Reduction receipts
Special Credits
Transaction Charges
This metric reflects the actual net money collected during the period, helping practices assess collection performance and reconcile operational cash flow against production.
Net Patient Collection (Payment Date): Calculated as the total of all payments received from patient, and collection agency receipts, based on the transaction date, adjusted for collection adjustments, refunds, and transfers.
Inclusions:
Patient payments
Collection agency receipts
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Transfers
Membership Credits
Refunds (based on refund date)
Collection Adjustments (based on DOS)
Excludes:
Insurance payments
Income Reduction receipts
Special Credits
Transaction Charges
This metric reflects the actual net money collected during the period, helping practices assess collection performance and reconcile operational cash flow against production.
Net Insurance Collection (Payment Date): Calculated as the total of all payments received from insurance receipts, based on the transaction date, adjusted for collection adjustments, refunds, and transfers.
Inclusions:
Insurance payments
Capitation payments (prepaid payments for covered services)
Migrated Receipts
Transfers
Membership Credits
Refunds (based on refund date)
Collection Adjustments (based on DOS)
Excludes:
Patient payments
Transaction Charges
This metric reflects the actual net money collected during the period, helping practices assess collection performance and reconcile operational cash flow against production
Practices can use this guide to learn all about gross and net collection metrics.