Managing accounts receivable (AR) can be one of the toughest challenges for dermatology practices. With industry benchmarks indicating that AR over 90 days (from DOS) should account for no more than 15% of your insurance AR, it’s essential to have

Navigating the world of dermatology billing can sometimes feel like walking a tightrope, especially when it comes to minor surgical services. These procedures, though routine, are critical for patient care—whether it’s removing a suspicious mole or treating an uncomfortable cyst.

As of January 1, 2024, Medicare (CMS) will implement new edits to prevent payment of the complexity add-on HCPCS code G2211 when associated with an office and outpatient (O/O) evaluation and management (E/M) visit reported with Modifier 25. This change,

What is Incident to Billing? Incident-to billing allows non-physician providers (NPP), such as Nurse Practitioners and Physician Assistants, to render follow-up services to patients under the direct supervision of a physician.  The direct supervision means that the physician provider must be physically

The ever-evolving landscape of medical coding sees 349 changes in the 2024 Current Procedural Terminology (CPT) updates, encompassing 225 additions, 75 deletions, and 93 revisions. While Dermatology experiences minimal alterations, practitioners should stay vigilant to ensure accurate billing. While you

Unpacking Factors Affecting Q1 Revenues In the ever-evolving landscape of healthcare, dermatology practices find themselves at the intersection of medical expertise and financial acumen. As we approach the end of 2023, it’s crucial to delve into the intricacies of fiscal

Dermatology billing and coding can be a complex landscape to navigate.  Understanding the endless rules, regulations, and modifiers is challenging at best.   In this article, we’ll focus on two essential modifiers, -59 and -XS, and provide real-world scenarios to clarify

Many dermatologists in private practice have a Mohs surgeon(s) as part of their group.  Practices that have a large Medicare population and/or support other dermatology practices in the area that do not have a Mohs component, can significantly increase their

Dermatologists are acutely aware of the significant provider shortages in the market. The challenges of sourcing high-quality staff for billing and recruiting Physician’s Assistants, Nurse Practitioners, as well as M.D.s and D.O.s, are extremely difficult. Dermatologist Staffing Challenges The shortages

Mohs Micrographic Surgery (MMS) is a precise and effective technique for treating specific skin tumors and cancers. It aims to achieve high cure rates while minimizing tissue damage in critical areas.  Reimbursement issues can arise when billing for MMS procedures.