Dermatology billing and accounts receivable

Lesion destruction, excision sizing and Mohs staging make dermatology heavily documented and heavily audited.

Where the money leaks in dermatology

These are the recurring denial reasons in this specialty. They are not exotic. They are the ordinary ones that go unworked because the person who could fix them is at the front desk answering a phone.

• Excision size documented after closure rather than before
• Benign versus malignant destruction coded from an unconfirmed pathology
• Mohs stages billed beyond payer limits
• Modifier 59 on multiple lesion removals rejected as unbundling
• Cosmetic versus medically necessary determination not documented

What a seat does about it

One trained person works your queue from the difficult end, from our office in Rawalpindi, Pakistan, logged into your own system on your hours. Every call is logged with the payer reference number and the outcome, so an appeal can quote what was said rather than start again. Denials are categorised, which is how the same reason stops coming back next month. On Friday you get it in writing. Some payer contracts and some state Medicaid programs restrict or require disclosure of offshore access — check yours before placing a restricted queue on this seat (more on /security/).

The roles that matter most in this specialty are AR calling and denials at $1,700, prior authorization at $1,900, and medical coding at $2,500, on request.

Questions