Locations

Dermatology Billing Services by Location

We bill dermatology claims for practices in all 50 states and the District of Columbia, with detailed billing guides for the metropolitan markets where dermatology volume is heaviest. Each guide sets out the Medicare Administrative Contractor governing your Part B claims, the payers that actually decide your revenue, and the denial patterns specific to that market.

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Metro billing guides

Detailed guides covering the local Medicare contractor, dominant payers, the denials we see most often in that market and the controls we run against them.

State billing rules pages

Each published state page covers the Medicare contractor that processes Part B claims there, the state Medicaid program, filing and prompt-pay deadlines, and the denial pattern we see most in that state. We publish a state page as our caseload in that market grows, and we bill for practices in states that do not yet have one.

States grouped by Medicare Administrative Contractor

Your MAC writes the local coverage determinations that decide how many actinic keratosis destructions are payable, when Mohs is indicated and whether photodynamic therapy is covered. Practices in different states often share the same rulebook. Each contractor has its own guide under Medicare dermatology billing.

National Government Services

New York

Noridian Healthcare Solutions

Novitas Solutions

New Mexico

Frequently asked questions

Do you have to be located in our state to bill our claims?

No. Billing is performed remotely inside your practice management system. What matters is knowing your Medicare Administrative Contractor's local coverage determinations, your state Medicaid program and the commercial plans that dominate your market.

Why does the state matter for dermatology billing?

Local coverage determinations differ by MAC on lesion destruction frequency, Mohs indications and photodynamic therapy. Medicaid managed-care rules and dominant commercial plans differ by state as well, so the same claim can pay in one jurisdiction and deny in another.

Can you bill for a practice with locations in several states?

Yes. Jurisdiction is applied by service location rather than practice address, and each location is enrolled and credentialed separately.