For ASC administrators and revenue-cycle teams

Close the month without rebuilding the math.

Enter aggregate charges, payments, refunds, adjustments, and A/R once. The workbook calculates collection rates, rolling trends, approximate days in A/R, and threshold-based exceptions automatically.

Do not enter patient names, dates of birth, account numbers, procedure details, payer IDs, or other protected health information. This workbook is designed for aggregate month-level totals only.

One monthly close view

See cash, adjustments, and A/R together.

The workbook keeps the source values visible beside each calculated metric, so an exception can be traced back to the month-level inputs that produced it.

01Enter aggregate totalsMonth, gross charges, payments, refunds, contractual and other adjustments, bad debt, and beginning and ending A/R.
02Review consistent formulasNet cash, collectible charges, collection percentages, refund and adjustment rates, A/R movement, and approximate days in A/R.
03Investigate exceptionsEditable thresholds flag low net collection, elevated refunds or adjustments, and growing A/R without turning a flag into a diagnosis.
Synthetic preview

Formula results remain inspectable.

The figures below are fictional and appear in the included sample rows. Replace them before operational use.

Month Gross charges Payments Refunds Collectible charges Net collection Ending A/R Flag
Jan 2026 $500,000 $318,000 $4,000 $336,000 93.5% $228,000 Below target
Feb 2026 $525,000 $344,000 $3,500 $355,000 95.9% $231,000 —
Mar 2026 $540,000 $359,000 $4,200 $365,500 97.1% $226,000 —

Default net collection formula: (payments collected − refunds) ÷ (gross charges − contractual adjustments − approved other non-collectible adjustments). Definitions vary; confirm the denominator with your finance or revenue-cycle owner.

Delivery proof

The workbook already exists.

Version 1.0 was generated, reopened, fully recalculated in Microsoft Excel, and checked against the synthetic sample before this page was published.

4 sheetsStart, input, dashboard, dictionary
24 monthsTwo years of monthly capacity
26,399 bytesMacro-free .xlsx artifact
Excel verifiedSample formulas and dashboard recalculated

Artifact SHA-256: e2a53422aa636e65fc2ddc0204deef4067bf93eeb5791cb4fcdefd6bad409b43

Boundaries

Operational reporting, not professional advice.

No PHIThe workbook is intentionally limited to aggregate month-level values. It is not a patient ledger or claim tracker.
No hidden logicFormula cells remain visible. Thresholds are editable. The data dictionary states what each field is intended to mean.
No compliance claimThis is not billing, accounting, compliance, reimbursement, coding, legal, or financial advice. Reconcile every month to your source system.
Order

Request the ready-to-deliver workbook.

The order request is public and asks only about role, spreadsheet application, and reporting cadence. Do not include patient data, PHI, private financial data, payment information, or an email address.

Availability and private payment and delivery instructions are confirmed before payment is due. Delivery begins only after cleared payment. The workbook may not be redistributed, resold, or published.

Built from a public request for an ASC spreadsheet covering charges, payments, refunds, contractual adjustments, and collection percentages. The requester does not endorse this product.