01
Lesion counting, sizing, and method (destruction vs. excision) must match the operative detail.
02
Pathology billing and global vs. professional components vary by lab arrangement.
03
Modifier 25 and same-day procedure + E/M rules are constant audit and denial targets.
04
Cosmetic exclusions require clear patient-pay handling so medical claims stay clean.
Procedure coding review for common derm CPT sets and diagnosis specificity.
Same-day E/M + procedure claim construction that follows documentation.
Denial management for medical necessity and bundling on lesion procedures.
Charge capture discipline so biopsies and destructions do not drop off superbills.
Engagement path
From specialty audit to steady paid claims
01
Specialty audit
Review recent claims, denials, and CPT patterns for your panel.
02
Edit set tuned
Scrubbing and denial playbooks aligned to your specialty reality.
03
Daily ownership
Submission, follow-up, and appeals with a named next step every time.
04
Clear reporting
Production, collections, and aging in plain language — monthly.
01
Do you bill Mohs and complex repairs?
Yes, with attention to staged procedures, repair coding, and documentation requirements. Scope is confirmed against your service mix.
02
How do you separate cosmetic services?
Cosmetic services should not hit insurance claims. We help keep charge paths separate so medical billing integrity stays intact.
03
Can you work with our dermatopathology workflow?
We map who bills technical vs. professional components and align claim flow to that agreement.