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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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Neurology Practices Are Losing Revenue at Year-End — Is Your Billing Team the Reason?

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Year-end is when neurology practices quietly lose serious money. Not because of low patient volume—but because complex neurology services collide with: Strict payer policies Prior authorization backlogs Documentation-heavy encounters Staff fatigue and holiday delays If your neurology revenue dips every December, your billing workflows are almost certainly the problem. Why Neurology Billing Breaks Down at Year-End Neurology billing is already complex. Year-end multiplies the risk. 1. Long treatment cycles crossing calendar years EEGs, EMGs, sleep studies, infusion therapy, and chronic neuro management often span months. Claims get: Filed late Split incorrectly Denied for “episode of care” confusion 2. Prior authorization delays High-cost neuro services face tighter year-end review: Imaging Botox for migraine Nerve conduction studies Infusions Missing or expired auths = automatic denials. 3. Medical necessity denials spike Payers demand strong clinical justification for neuro procedures....
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Location: United States
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