What Clean Claim Rate Should a Dermatology Billing Partner Actually Guarantee You?

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Choosing a dermatology billing partner based only on a promised clean claim rate can be misleading. A billing company may tell you that it maintains a 95%, 97%, or even 99% clean claim rate. But before accepting that number, you need to know how the rate is measured, what claims are included, and whether those clean claims are actually being paid correctly . For dermatology practices, this matters because a claim can pass an initial billing check and still face problems related to medical necessity, modifiers, procedure coding, payer policies, or underpayment. A clean claim rate should therefore be viewed as one part of the revenue cycle, not the entire performance picture. What Clean Claim Rate Should a Dermatology Billing Partner Guarantee? A reasonable contract target is 97% or higher , provided the billing partner clearly defines the metric and measures it consistently at the payer level. The percentage itself, however, is only part of the agreement. A dermatology practice should a...
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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
If you want to read the complete blog then click below: 


Location: 108 W 13th St, Wilmington, DE 19801, USA

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