Billing and AR follow-up for dermatology practices
Dermatology claims mix office visits, procedures and sometimes cosmetic services. Each needs different handling to be paid correctly.
Where dermatology claims commonly go wrong
Common problem areas in dermatology billing:
- A visit and a procedure on the same day, such as a biopsy or lesion treatment, which usually needs modifier 25 and clear documentation to avoid denials.
- Medical versus cosmetic services, since cosmetic services are usually not covered and the patient pays.
- Biopsy, destruction and excision claims that depend on lesion type, size and location being recorded accurately.
- Prior authorization for some prescription treatments and biologics.
- Pathology and lab claims that follow different rules from visit claims.
How we help
- We follow up on denied same-day procedure claims and send the documents payers ask for.
- We separate medical and cosmetic balances so patient statements are clear.
- We track approval requests until the payer answers and record the authorization details.
- We report which payers and services cause repeat denials.
We start with a baseline audit of your unpaid claims by age, payer and denial reason. See how we work for the steps.
What we need to start
A list of open and denied claims, your most common procedures and the payers that delay payment. We sign a Business Associate Agreement before any patient information is shared.
Frequently asked questions
Can you help with modifier 25 denials?
Yes. We find out what the payer needs, add the required documentation and resubmit or appeal. We also report the pattern so it can be fixed at the source.
Do you handle cosmetic services?
Cosmetic services are usually paid by the patient. We can help with clear patient statements, while insurance work focuses on medical claims.
Do you guarantee collections?
No. We never promise a specific collection amount, because payers, documentation and timing affect every claim. We promise the work, the tracking and a clear weekly report.
Is our patient information safe?
A signed Business Associate Agreement, NDA and service agreement come before any patient information is shared. Our team uses company systems only, with role-based access and HIPAA training.
Arovia RCM does not guarantee collection outcomes. Please do not send patient information through the website or by email before agreements are signed.
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Tell us what you need. We will book the call.
Thirty to forty-five minutes. No preparation needed.