Why Dermatology Practices Overbundle and Undercollect – 10 Hidden Billing Errors Reducing Revenue in 2026

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  Introduction: The Growing Revenue Challenges in Dermatology Why dermatology practices overbundle and undercollect has become an important financial concern in 2026 as dermatology providers face increasing payer scrutiny, reimbursement pressure, and coding complexity. Dermatology billing involves a wide range of procedures, including biopsies, lesion removals, Mohs surgery, cosmetic treatments, pathology services, and evaluation and management visits. Because many dermatology procedures occur during the same patient encounter, correct coding and modifier usage are essential for accurate reimbursement. However, many practices unintentionally overbundle services, meaning separately billable procedures are grouped together incorrectly. This leads to lower reimbursement, hidden revenue leakage, and declining collections over time. Without specialized dermatology billing services and advanced medical billing services , practices often struggle to identify these silent financial l...
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Declaration of Blanket Waivers for SNFs

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On 7th April 2022, in response to the COVID-19 PHE and under section 1135 of the Social Security Act, CMS passed several temporary emergency declaration blanket waivers which were intended to provide healthcare providers with extra flexibilities required to respond to the COVID-19 pandemic. While the waivers of regulatory requirements have provided flexibility in how nursing homes may operate, they have also removed the minimum standards for quality that help ensure residents’ health and safety are protected. 

Declaration of Blanket Waivers

Recently, CMS conducted some surveys that revealed significant concerns with resident care that are unrelated to infection control (e.g., abuse, weight loss, depression, pressure ulcers, etc.). Waiver of certain regulatory requirements may have contributed to these outcomes and raised the risk of other issues. For example, by waiving requirements for training, nurse aides and paid feeding assistants may not have received the necessary training to help identify and prevent weight loss. Similarly, CMS waived requirements for physicians and practitioners to perform in-person assessments, which may have prevented these individuals from performing an accurate assessment of the resident’s clinical needs, contributing to depression or pressure ulcers. As a result, CMS has terminated certain waivers.

Terminated Waivers

CMS is ending the specific emergency declaration blanket waivers for SNFs/NFs, inpatient hospices, ICF/IIDs, and ESRD facilities. The termination of these blanket waivers will have no effect on other blanket waivers that remain in places such as those for hospitals and CAHs. Providers are expected to take immediate steps so that they may return to compliance with the reinstated requirements according to the mentioned timeframes. 

To know more about the emergency declaration blanket waivers for certain providers in SNFs. click here: https://bit.ly/3xJKyyU Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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