Dermatology Billing Services Built Only for Skin

Yes. Dermatology, dermatopathology, and Mohs surgery exclusively. That focus is why our coders catch staging, biopsy, and modifier issues generalist billers miss.

No. We work directly inside ModMed EMA, Nextech, eClinicalWorks, Athenahealth, AdvancedMD, and most major systems. No migration required.

We separate cosmetic self-pay from medically necessary services at charge entry, so insurers see clean claims and patients get accurate, itemized statements.

Most practices are live in 14 days. We run parallel with your current process for the first two weeks so nothing drops.

Yes. We execute a Business Associate Agreement before any PHI is shared, encrypt PHI in transit and at rest, enforce least-privilege role-based access, and keep full audit logs. Our HIPAA notice and security practices are published on this site.

Charge capture and CPT/ICD-10 coding, claim scrubbing and submission, payer follow-up, denial management and appeals, prior authorization, eligibility verification, patient statements and A/R, credentialing, and reporting — all scoped to dermatology, dermatopathology, and Mohs surgery.

Mohs is billed with 17311 through 17315 by stage and block count on the same anatomic site, with repair and pathology handled separately where documentation supports it. Stage sequencing and unit counts are the most common source of underpayment we correct.

Where the practice owns the technical component and the professional component is read elsewhere (or vice versa), we split 88304, 88305, 88312 and 88342 with the correct TC or 26 modifier and match it to the payer's global billing rules for the place of service.

Most payers now apply automated edits to a same-day E/M billed with a minor procedure. The E/M must be separately identifiable in the note, not just present. We review documentation patterns, correct them at the source, and appeal the denials that are payable.

We work legacy A/R alongside current claims rather than writing it off. Aged balances are triaged by payer, timely-filing window, and recoverability, and reported separately so you can see exactly what came back from the old book.

Yes. Cosmetic services are separated as self-pay at charge entry with clear patient-facing pricing, while medically necessary services go to insurance with supporting diagnosis linkage. Mixed visits are split so neither side contaminates the other.

Biologic and injectable claims need the correct J-code units, administration code, and JW or JZ wastage modifier, plus an authorization on file before administration. Missing wastage documentation and expired authorizations are the two failures we see most.

Monthly clean claim rate, days in A/R, denial rate by reason code, net collection ratio, payer mix, and provider-level productivity — pulled from your own practice management system so the figures are independently verifiable.

We charge a percentage of net collections, tiered by practice size, with no setup fee and no long-term lock-in. Pricing is published on this page.

Across all 50 states and the District of Columbia. Medicare rules vary by MAC jurisdiction and Medicaid rules vary by state, so we maintain state-level payer notes for every location we bill.

You do. All claims, remittance, and patient financial data remain the property of the practice and are exported to you in a usable format on request, including at termination.

It depends on volume. A percentage of net collections usually lands below the loaded cost of a salaried biller once benefits, payroll tax, clearinghouse fees, coding references, and supervision time are counted — and it removes the coverage gap when that one person is out. Below roughly one provider's worth of volume, in-house can still be the better fit.

A generalist codes what the note says. A dermatology-only coder knows that a Mohs stage count, a repair classification, a 17110 unit range, an 88305 TC/26 split, and a modifier 25 pairing each have payer-specific edits that decide whether the claim pays. The difference shows up in denial rate and net collection ratio, not in the invoice.

Four numbers tell you quickly: clean claim rate below 95%, days in A/R above 35, denial rate above 8%, and net collection ratio below 96%. If any of those are off, the free claims audit quantifies the gap in dollars against your own last 90 days of remittance data.

We review a sample of your recent claims and remittances, score coding accuracy on surgical and pathology lines, identify denial patterns by reason code, and return a written estimate of recoverable revenue. There is no charge and no obligation to sign.

No. Our agreements run month to month after the initial onboarding period, with a 30-day notice period and no termination penalty. Data is returned to the practice on exit.

Yes. We manage CAQH maintenance, initial enrollment, revalidation, and group linkage for Medicare, Medicaid, and commercial plans, and we track effective dates so claims are not billed before a provider is active.