Dermatology Year-End Billing Challenges: Why Revenue Drops and How Outsourcing Protects Practices

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Top Year-End Billing Pain Points Dermatology practices face some of the most complicated coding and reimbursement issues at the end of the year. Seasonal appointment spikes put additional pressure on billing teams struggling with: Declining reimbursements for common procedures such as biopsies, lesion excisions, cryotherapy, and Mohs services Payer-to-payer coding variability, especially on pathology-linked services Bundling disputes where multiple procedures performed in the same session are denied due to improper modifier usage Cosmetic vs. medical necessity confusion, leading to denials when documentation doesn’t clearly justify why a lesion needed removal Increased scrutiny on skin cancer—related services due to rising utilization These persistent challenges often leave dermatologists with more unpaid claims, lost revenue, and rising patient AR at year-end. What Practices Are Doing Right Now To reduce claim rejections before the year ends, most dermatology practices are: Re-trainin...
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General Surgery Billing Alerts that determine your revenue cycle

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For a surgeon or medical practitioner, group practice, or clinic, insights into how specialty medical billing works can be a scary task. A billing agent that does not bill the sittings correctly misses deadlines, or does inadequate follow-up can have an abysmal effect on your facilities’ bottom line. However, a well-organized billing service cannot only simplify and improve your practice but also greatly improve both your income cycle and cash flow. At Medical Billers and Coders our specialist team is well trained in general and specialty surgery charging. For a general surgery practice to be financially successful, special attention must be paid to a number of factors, right from patient information and coding the full scope of services to following the Current Procedural Terminology codes and the Healthcare Common Procedure Coding System guidelines. Keep in mind that insurance provider payments are largely determined by these categories, and it is imperative that all information and codes are entered correctly by the billing team.

Avoid denials and reckless audit risks

Our general surgery coding personnel will strengthen your practice with timely guidance to overcome the challenges of general surgery coding updates that threaten your claims and compliance success.

Here are the updated General Surgery Coding alerts that determine your RCM:

  • Capture the severity of rectal abscess with the K61 code set
  • Use specific codes for cholangitis (K83.0)—including changed combination codes
  • Forget the old post-procedure infection codes and use the new T81.4 series instead
  • K35: Apply the newly expanded code set for appendicitis
  • K82: Grab the right gall bladder code every time
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Location: 108 W 13th St, Wilmington, DE 19801, USA

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