Call to take the next step 888-434-4374
We are one of the most established dermatology-only billing companies in the country, with decades of experience dedicated exclusively to this specialty. Our work has always focused on dermatology, which allows us to understand the coding nuances, payer behavior, and reimbursement challenges that directly impact a practice’s bottom line.
Over the years, we have supported thousands of dermatology providers across nearly every state. That depth of experience translates into strong internal systems, informed decision-making, and a team that understands how dermatology practices truly operate.
Our longevity is not just about time in business. It reflects consistency, stability, and relationships built over many years of serving this specialty.
Click on Testimonials and we’ll let our clients do the bragging.
Outsourcing billing should actually provide greater visibility into the financial performance of your practice, not less. When billing is handled internally, many physicians have limited time to monitor the details of charge entry, claims processing, payment posting, aging reports, and write-offs. As a result, practices can sometimes operate without clear benchmarks or consistent oversight.
Our clients maintain direct access to their billing data through the practice management system and reporting tools. This allows physicians and administrators to review charges, payments, adjustments, and aging reports in real time. Key financial metrics can be monitored by provider, by location, or across the entire practice.
In addition, our reporting provides clear insight into important performance indicators such as claims processing timelines, accounts receivable aging, and adjustment activity.
These tools allow practices to evaluate the effectiveness of their billing operations and quickly identify areas that may require attention.
The goal of our service is not to remove control from the practice. Instead, it provides structured reporting, transparency, and dedicated oversight so physicians can clearly see how their revenue cycle is performing.
Well-managed billing operations follow established performance benchmarks that help practices evaluate the health of their revenue cycle. While individual results vary by payer mix, claim complexity, and documentation quality, several industry benchmarks are commonly used to measure performance.
One important benchmark is the time between the date of service and payment posting. For clean claims, many payers now process electronic claims within several weeks. Delays beyond that timeframe often indicate claim issues, payer problems, or insufficient follow-up.
Another key indicator is accounts receivable aging. Ideally, the majority of insurance claims should be resolved within the first few months, and the percentage of claims older than 90 days should remain relatively small. Claims that do move into older aging categories should already be in active review, appeal, or resubmission status. Strong billing teams monitor these benchmarks closely and maintain disciplined follow-up processes to ensure claims move through the system efficiently.
Across the practices we support, our team consistently focuses on maintaining healthy accounts receivable cycles, timely payment posting, and aggressive follow-up on unresolved claims. Practices working with our team are provided with reporting that allows them to clearly see these benchmarks and understand the financial performance of their billing operations.
Yes. Many of the dermatology practices we support utilize Physician Assistants and Nurse Practitioners as part of their clinical teams. Our billing staff is experienced in submitting claims for their services and understands the documentation and supervision requirements involved.
We routinely manage billing for PA and NP services in both incident-to and general supervision settings in accordance with current payer guidelines.
No. All billing, coding, account management, and support functions are handled by U.S.-based team members. We do not outsource or offshore any portion of our work.
Maintaining a fully domestic team allows for stronger communication, better accountability, and a deeper understanding of payer policies, compliance standards, and the regulatory environment in which dermatology practices operate. It also ensures that protected health information is managed within established U.S. privacy and security frameworks.
Our clients work directly with a dedicated team that understands their practice, their region, and the unique nuances of dermatology billing, without layers of third-party handoffs or overseas coordination.
Professional billing services require a formal agreement because the billing relationship involves access to financial data, patient information, payer contracts, and ongoing operational responsibilities. A written agreement clearly defines the responsibilities of both parties, outlines service expectations, and establishes the terms under which services are provided.
Our agreements are designed to protect both the practice and our company. They define costs, responsibilities, and the process for addressing concerns or terminating the relationship if necessary. Having these terms clearly documented helps prevent misunderstandings and ensures both parties are aligned from the start.
Most established billing companies operate this way because the work involved in transitioning a practice, managing accounts receivable, and maintaining compliance requires a long-term operational partnership rather than a short-term arrangement.
Our billing process is structured so that our staff never handle client funds directly. Each
practice maintains its own bank lockbox or payment processing system, and all insurance payments, patient payments, and credit card transactions are deposited directly into the practice’s designated bank account.
Because funds move directly from the payer or patient to the practice’s account, our staff never take possession of payments. Our role is limited to posting payments, reconciling accounts, and managing the revenue cycle within the practice management system.
In addition, we conduct background checks on employees and maintain appropriate
business insurance as an added layer of protection. This structure allows practices to
maintain full control over their funds while still benefiting from a dedicated billing team.
Yes. Adjustments and write-offs are never made without the knowledge and authorization of the practice. Our role is to identify situations where adjustments may be appropriate, such as contractual obligations, payer determinations, or specific patient account circumstances.
In those situations, the details are reviewed and communicated to the practice so the appropriate decision can be made. We follow the guidelines and approval process established by each client to ensure that all adjustments are handled accurately and with full transparency.
This process allows the practice to maintain control over financial decisions while ensuring accounts are managed properly within the billing system.
Billing fees vary widely across the industry depending on the scope of services being provided. Some companies advertise very low percentages but charge additional fees for services that are essential to the revenue cycle, such as patient statements, claim submissions, reporting, or system access.
Our fee structure is designed to be comprehensive. Most operational costs associated
with billing are included in our services so practices are not surprised by multiple additional charges. Certain items, such as the practice’s bank lockbox, postage for mailing documents to our offices, and EMR system fees maintained directly by the practice, remain the responsibility of the practice.
Fees are determined through a structured evaluation that considers factors such as the
number of providers, patient volume, payer mix, and overall billing complexity. Because
every dermatology practice operates differently, each agreement is customized to reflect the level of work required. When evaluating billing services, practices should always look beyond the percentage alone. The experience of the billing team, the scope of services included, and the overall impact on collections and operational efficiency are far more important indicators of value.
Our service fees are determined through a structured evaluation process that considers several factors specific to each practice. Annual receipts are one component, but we also review elements such as the number of providers, payer mix, procedure mix, and overall billing complexity.
Because every dermatology practice operates differently, our goal is to establish a fee structure that reflects the scope of work required while remaining fair and sustainable for both parties.
Practices interested in learning more about our fee structure are encouraged to contact us so we can review their practice profile and provide a tailored proposal.
No. Cosmetic services and retail product sales can be separated from the billing services we provide and are not subject to our service fees.
However, all medically necessary clinical services must still be submitted through our billing process, even when a patient pays cash or does not carry insurance. This ensures that proper documentation, coding, and record keeping are maintained for those services.
We are not a collection agency. Collection of bad debt is regulated by federal law under the Fair Debt Collection Practices Act and is enforced by the Federal Trade Commission. Because of those regulations, our role is focused on patient billing and account support rather than debt collection.
We bill patients for balances owed, answer questions regarding statements through our toll-free patient support line, and assist practices with managing patient account inquiries. All patient calls are handled by our team and recorded for quality assurance.
When a patient account becomes delinquent, the decision to send that account to a collection agency is made by the practice. At that point, accounts may be referred to a third-party collection service that has been approved by the client practice.
Generally, no. Most group practices bill under a single group NPI and payments are issued to the practice as a whole. Because of that structure, separating billing services by individual provider within the same group would create significant operational and accounting complications.
No. Our billing services are implemented at the practice level rather than by individual payer. Managing only selected carriers would create inconsistencies in reporting, accounts receivable management, and overall revenue cycle oversight.
Handling the full scope of billing allows our team to maintain accurate reporting, consistent workflows, and complete visibility into the financial performance of the practice.
While we are not a credentialing service, our team does assist practices with certain aspects of the credentialing process to help ensure billing can begin as smoothly as possible. We handle Medicare enrollment for providers and can help coordinate the credentialing process with commercial carriers so it aligns with the billing transition.
Our role is to support the process from a billing perspective by helping ensure providers are properly linked within the systems needed for claims submission. Final approval and credentialing timelines remain with the individual payers.
