Dermatology - Medical - StafGo Health

Medical Billing And Revenue Cycle Management Solutions For Dermatology Facilities

Dermatology practices must have comprehensive knowledge of key terms like margins, shaving, and destruction to effectively bill and appeal dermatology claims. If not billed properly, then these missing details can be costly errors for the practice. To succeed, the practice requires accurate coding for specialized procedures in this competitive world of healthcare.

Comprehensive Dermatology Billing Focused On Accurate CPT Code Management

To get proper reimbursement, it is essential to use accurate codes. Dermatology billing involves a variety of CPT codes that undertake procedures for diagnosis, surgery, and cosmetics. Some common examples of CPT codes include 11102–11107 for skin biopsies, 11300–11313 for shaving epidermal or dermal lesions, 11400–11471 for excision of benign or malignant skin lesions, and 17000–17004 for destruction of premalignant lesions (e.g., actinic keratosis). Mohs micrographic surgery, a common dermatologic oncology procedure, is billed under 17311–17315, while cryotherapy for warts or other lesions falls under 17110–17111. At StafGo Health, our dermatology billing team is great at the latest coding updates and payer-specific rules to ensure every service is documented, coded, and reimbursed correctly

Why Outsource Medical Billing And RCM To Stafgo Health For Your Dermatology Practice?

When you outsource your dermatology billing to StafGo Health, you can benefit from a dedicated and experienced team that has a keen understanding of medical billing and RCM solutions specific to your practice's needs. It will help you to minimize billing errors and improve your revenue stream. StafGo Health can design tailored medical billing and RCM solutions specific to your practice's needs, enhancing your revenue and reducing your administrative loads. We have designed our services to improve your financial performance, enhance revenue collection, minimize operational costs, and ensure compliance so that you can focus on the best patient care.

Common RCM Challenges Faced by Dermatology Practices

There are numerous billing and RCM challenges that dermatology practices encounter due to complications in procedures, ever-changing payer requirements, and a highly complex clinical environment.

Complex CPT and ICD-10 Coding - Dermatology comprises various complex procedures like biopsies, cryotherapy, lesion removals, and Mohs surgery, and these procedures require precise and accurate coding. Use of wrong CPT codes can cause claim denials and lower payments.
Coverage Limitations for Cosmetic Services - Some dermatology procedures are not covered by insurance companies, like Botox, fillers, etc. Failure to segregate these procedures from medically necessary treatments can cause billing confusion.
Frequent Claim Denials - There are certain claims that are frequently denied, like missing modifiers, incorrect units, and incomplete documents.
Inconsistent Patient Collections - Dermatology practices face problems in collecting patient balances effectively due to increasing out-of-pocket costs and elective treatments. Poor patient collections greatly influence revenue and patient satisfaction.
Time-Consuming Prior Authorizations - Some treatments in dermatology require pre-approvals from insurance, and late authorization can cause denied claims and delayed patient care, which lead to revenue loss.
Audit Vulnerability - Lack of audit readiness disturbs revenue stability, and incomplete SOAP notes, missing reports, and unclear diagnoses can result in penalties.

Solving Your Dermatology Practice’s Challenges with StafGo Health

Dermatology-Focused Coding & Billing - At StafGo Health, our certified coders are trained specifically in dermatology to ensure that all submitted claims are payer-compliant. They have expertise in using appropriate codes such as 11102–11107 (biopsies), 17000–17004 (lesion destruction), 11400–11646 (excision of skin lesions), and 17311–17315 (Mohs surgery) whenever required.
Cosmetic & Elective Procedure Billing - We ensure that your practice can easily separate non-covered cosmetic services like Botox, filler, etc, from medical services, which result in transparent and open pricing and proper patient consent.
Eligibility, Authorizations & Payer Navigation - Our team of experts obtains prior authorization and checks insurance coverage for expensive procedures, reducing claim denials and patient care delays.
Faster Reimbursements & Fewer Denials - With the help of faster claim tracking, proactive claim resubmission, and faster denial management, our specialists will enable your practice to get paid faster.
Audit-Ready Documentation Support - With StafGo Health, your practice will remain compliant and audit-ready whenever required. We help to ensure that your documents meet payer and regulatory standards
Patient-Centric Billing & Collections - At StafGo Health, we provide statements that are easy to understand, digital payment options, and real-time follow-ups to help patients remain informed and your practice remain financially stable.