Production Up, Collections Down
Production climbing while cash stalls is usually not a production problem. It is the widening gap between what the practice produced, what adjustments stripped out, and what still has not cleared from insurance or patient balances.
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The Problem
Production climbing while cash stalls is usually not a production problem. It is the widening gap between what the practice produced, what adjustments stripped out, and what still has not cleared from insurance or patient balances.
The Playbook
Pull gross production, adjustments, net production, and collections side by side for the same month so you can see whether the leak starts with write-downs or after the charge is posted. Run an aging A/R report and separate claims still moving normally from insurance delays, patient balances, and accounts already past due. Fix one leak at a time — fee-schedule pressure, patient-financing follow-up, or payer lag — instead of treating every collections miss like the same problem.
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