Optimize Dermatology Billing with Expert Solutions
Dermatology billing can be intricate and complicated as it has evolved in the ever-changing healthcare landscape. It encompasses clear and accurate documentation of the services rendered including skin lesions, biopsy, excision, and lesion destruction. In addition to the constantly changing patterns of insurance and reimbursement policies, the realm of dermatology has also changed rapidly. It requires a seamless billing process, efficient revenue cycle management strategies and effective denial prevention tactics to avoid being undercompensated or dealing with audits & fines for the dermatology services.
We, at RCM Workshop, work with medical billing and coding professionals who are competent in understanding the unique attributes of dermatology billing. Our billers and coders are equipped with ICD-10, CPT, HCPCS coding based on CMS and AMA guidelines. Our dedicated and passionate team understands global surgical packages for Dermatology including preoperative visits, interoperative services, postoperative care, supplies, wound care, and postoperative complications. We provide unparalleled solutions designed as per the requirements of your practice to assist you to overcome reimbursement challenges and improve profit margins.
Unbeatable Service, Quality & Price
ACCURACY
0
%
TURNAROUND TIME
<
0
Hours
COLLECTION
0
%
PRICE
Starting from $
1100
/Month
Challenges
Challenges in Dermatology Billing Services
Different Coding Systems: Dermatology practices encounter an intricate coding system involving multiple procedure-specific codes, modifiers and diagnosis codes. Lack of understanding of each coding system, insufficient knowledge of when to apply them and outdated codes can lead to claim denials and delayed payments.
High Volume of Claims: A busy Dermatology billing practice has a mountain of claims to prepare and submit to the insurance company due to the high volume of patients who seek various treatments ranging from acne care to other cosmetic procedures. Handling this high volume while ensuring each claim has been processed accurately can be overwhelming, resulting in potential delays in the billing process.
Enhanced Denial Rates for Procedures: Many cosmetic dermatology services such as Botox, facelift, lip augmentation, abdominoplasty, hair transplant, laser treatments and chemical peels are often excluded from insurance coverage. Without accurate insurance verification and benefits checks, claims can be denied, resulting in disputes and delayed payments.
OUR PROCESS
Our Dermatology Billing Services Workflow
RCM Workshop corresponds with experienced and dedicated billers who handle every aspect of Dermatology billing with precision to ensure accurate and timely reimbursements for the services rendered. Our billing experts use industry best standards for revenue cycle management to reduce claim rejection rates and enhance claim acceptance rate, resulting in better turnaround time and higher revenues for your practice. We provide customized RCM solutions tailored as per the needs of your practice. Our process workflow and strategies help you to mitigate operational challenges and expedite the overall billing process.
Our Dermatology billing team are equipped with different coding systems for various dermatology components and the latest billing guidelines to ensure your practice receives timely reimbursements for the services rendered. We deliver quality service for each aspect of your billing starting from eligibility benefits verification to patient collection. By leveraging our expertise in payer-specific requirements, we ensure every claim has been processed whilst adhering to the latest guidelines and regulations of dermatology billing. We employ a systematic denial resolution approach that increases the chances of overturning unfavorable decisions and secure payments for dermatology services.
Appointment Scheduling & Registration
Carry out well-coordinated appointment scheduling, update insurance details and handle inbound and outbound calls from/to patients.
Eligibility & Benefits Verification
Confirm patient’s primary and secondary insurance and benefits coverage and verify patient’s coverage, co-pays, co-insurance and deductibles.
Prior Authorization
Initiate request for prior authorization with the payer, follow-up to check Auth status till closure and finally update the system with Auth approval reference number.
Medical Coding
Check the accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.
Charge Posting
Enter the charges for the services provided into the billing system including the cost of the medication and the administration fee.
Claims Edits & Submission
Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.
Payment Posting
Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.
Denial Management
Analyze and categorize denial claim according to denial codes, $ amount and payers, and resubmit claims after correction.
AR Management
Follow-up with payers to gather status for unpaid claims, and their resolution.
Patient Collection
Sending patient statements and follow-up with patients for final and outstanding payment.
You can confidently rely on us to manage your entire billing process, or you have the flexibility to select specific DME billing services that suit your needs, ensuring a seamless operation without any interruptions.
BENEFITS
Outcomes guaranteed
We seek to enhance your revenue by preventing revenue leakage. Our strategic approach will not only prevent revenue loss, but it will also enhance your cash flow, resulting in higher ROI. Furthermore, we are fully compliant with HIPAA and adhere to all payer-specific regulations.
Efficient Benefits Verification
>99% clean claim submission
Efficient authorization management
<24 hours turn-around time
Efficient Coding and Code Review
Efficient processing for flawless financial records.
Efficient denial management
<5% claims denials
Proactive accounts receivable follow-up
<40 days AR & reduced aging
Better coordination & process optimization
improved patient satisfaction
WHY US?
Why partner with us
At RCM Workshop, our dermatology billing services go beyond the basics. Our comprehensive medical billing services encompass all aspects of dermatology billing, designed to elevate your financial health. By employing a strategic, data-driven approach and scalable solutions, we help you mitigate billing challenges and significantly improve your bottom line. Through rigorous compliance and proactive denial management, we aim to enhance both your revenue flow and operational efficiency. Trust our experts to manage the complexities of dermatology billing with a level of precision and care that matches the expertise you bring to your patients.