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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Benefits of Outsourcing Primary Care Billing Services

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Increased administrative hassles and reduced potential for income are two main reasons behind the shortage of PCP in the US. Primary Care Billing and revenue-related challenges have been causing great dissatisfaction among primary care doctors. This has also led to a steady decline in the number of medical students willing to pursue a career in primary care.

  • Around 52,000 more PCPS will be required in the United States by 2025
  • The total number of office visits to primary care doctors will increase to 565 million in 2025
  • By 2025, the population in the USA will increase by an estimated 15.2%. There will be a 60% increase in the older-than-65 age group

Challenges Faced by Primary Care Doctors

  • PCPs are paid less than surgeons and other specialists. Care provided by them is not appropriately recognized by payment policies and this affects their compensation
  • Due to low income, physicians have no option but to keep the costs down
  • They are forced to attend to a large number of patients on a daily basis to ensure that the overhead is met and income is garnered
  • Being part of a non-sustainable business model, physicians have to accept unpleasant burdens from insurers and spend hours co-ordinating the details on phone, which they don’t get paid for
  • According to the American Medical Association, the increasing number of visits from elderly patients is also posing a challenge for PCPs. It has increased the average duration of a visit
  • PCPs also have to balance preventive care and acute care along with expanding choices in drug therapy
  • Due to low pay, physicians haven’t been able to invest in Health IT or other measures that can help increase productivity and decrease practice expenses

PCP faces various other challenges related to the effective implementation of EHR, hassle-free integration of Health IT into the practice, and meeting the requirements for Meaningful Use standards.

Outsourcing primary care billing services can help you timely payments from insurance companies which will strengthen your revenue cycle. Read Here how Outsourcing has helped primary care physicians strengthen their revenue cycle: https://bit.ly/3TBKwBt. To know about our Primary Care Billing Services, Contact us at info@ medicalbillersandcoders.com/ 888-357-3226

Location: United States

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