Vag Dash Can 5.17 Free Download. DEFINITION of 'Net Collections' A term used in medical accounting to describe the amount of money collected on the agreed-upon fees charged. Net collections are usually lower than net charges (the total amount the provider agrees to accept as payment) and it is certainly lower than gross charges (the provider’s total amounts before insurance adjustments and other adjustments). The net collections rate is calculated by dividing payments received from insurers and patients by payments agreed upon with insurers and patients. A medical practice reports its net collections on the along with gross charges, net charges and the gross collection rate. BREAKING DOWN 'Net Collections' Many factors affect how much a medical practice actually collects compared to how much it would like to collect in an ideal world. To start with, several factors lower gross collections. For example, insurance companies may not pay the doctor’s full fee; doctors typically agree to limit their fees to scheduled amounts under their agreements with companies.