Dermatology
Dermatology Medical Billing and Coding Solutions
Improve claim accuracy, reduce denials, and accelerate reimbursements with our dermatology medical billing and coding solutions trained on dermatology procedures, complex cosmetic treatments, and evolving payer rules.
What Is Dermatology Billing and Coding?
Dermatology billing and coding converts skin-related patient visits and treatments (ranging from biopsies and lesion removals to cosmetic procedures) into accurate, payable claims.
Coders select CPT codes (based on procedure type, size, and location), assign precise ICD-10-CM codes, apply modifiers, and verify bundling and documentation.
Billers then confirm eligibility, secure prior authorizations, capture all charges, and submit the claims.
Pre-Authorization and Payer Rules
Certain procedures, such as biologic treatments and laser therapies, require prior authorization.
Impact: Delayed reimbursements
Heavy Modifier Usage
Multiple procedures often occur in a single visit, requiring careful use of modifiers like 25, 59, and 51.
Impact: Claim denials and audits
ICD-10 Coding Specificity
Accurate diagnosis coding demands detailed documentation of lesion size, location, and type with proper specificity.
Impact: Denials due to coding errors
Our Expertise in Dermatology Billing & Coding
Amy: AI Medical Coder for Dermatology
- Codes dermatology visits with precise CPT, ICD-10, and modifier combinations
- Applies specific rules for lesion size, type, and treatment methods
- Flags missing lesion details, laterality, and procedural complexity
- Audits charts for common errors in dermatology workflows
- Provides line-by-line rationale for every code to ensure accuracy and transparency
Mark: AI Medical Biller for Dermatology
- Verifies eligibility across Medicare, Medicaid, and commercial payers
- Validates dermatology-specific codes and modifiers before claims submission
- Submits claims and handles charge entry directly in your billing software
- Reads ERAs and scans paper EOBs post payments
- Continuously learns from pediatric denial patterns to prevent future rejections
Adam: AI Denial Manager for Dermatology
- Checks claim status instantly across different payers using online portals, chatbots, and aggregators
- Makes AI-driven calls to payers, expertly handling IVRs and live agents to resolve denials for dermatology claims
- Customizes call scripts and branching logic to capture dermatology-specific scenarios
- Manages both outbound and incoming calls, including complex cases related to skin cancer screenings and aesthetic treatments
- Delivers call recordings, detailed summaries, and clear recommendations for resolving outstanding dermatology claims
Future-proof your Healthcare RCM with AI Workforce
Schedule a Call with Us to Discuss Your Needs
Email: info@combinehealth.ai
