Provider Productivity & Revenue Realization Scorecard for eClinicalWorks Using Practices

See Whether Productivity Is Actually Turning Into Revenue

eClinicalWorks can show you a provider's wRVUs in one place and their collected revenue in another. Nobody's connecting those two numbers, so a provider quietly running behind on realization looks exactly like one who's simply seeing fewer patients.

This scorecard converts wRVUs into expected revenue using the 2026 Medicare conversion factor, then measures what was actually collected against it. The gap gets split into denials, fee schedule underpricing, and undercoding wherever you've already quantified those, with whatever's left flagged honestly as unexplained.

What's Inside This Scorecard?

One workbook, three tabs: the real 2026 conversion rate, a place to build each provider's numbers, and a ranked list of where the gap is biggest.

1. Realization Benchmarks

• The 2026 Medicare conversion factor is built in as the default dollar-per-wRVU rate
• MGMA's 96 percent net collection rate sets the realization target, with the flag threshold fully adjustable
• Swap in your own blended rate the moment you have one; Medicare alone undercounts a practice with real commercial volume
• Every number here is a documented starting point, not a locked assumption

2. Provider Data Input

• Annual wRVUs and actual collected revenue get entered once per provider
• Expected revenue and the realization gap calculate on their own
• Denial write-offs, fee schedule underpricing, and undercoding each get their own dollar line, filled in only where you've already done that work
• Whatever's left over after those three shows up as an unexplained gap instead of getting quietly folded in somewhere

3. Realization Diagnostic Summary

• Every provider's total gap rolls up into one ranked list
• Providers sort by size of the gap, largest first, so the conversation starts with the one that matters most
• A practice-wide breakdown shows which cause, denials, underpricing, or undercoding, is actually driving the numbers
• Rerun it next quarter and see whether the gap closed or just moved somewhere else

Built for Healthcare Leaders Responsible for Provider Productivity & Revenue Performance

Built for the people who have to explain a revenue gap in a provider meeting, not just notice one.

Practice Administrators

Turn a vague sense that a provider is running behind into a specific number and a specific cause.

CFOs & Finance Leads

See exactly how much of this year's revenue gap is denials, underpricing, or undercoding, and how much is still unexplained.

Billing Directors & Managers

Know which provider's gap is worth a denial deep-dive versus a coding conversation.

Medical Leadership

Bring a provider a number instead of an impression when productivity comes up.