Dermatology Medical Billing That Captures Every Lesion You Treat
ClainetRCM delivers end-to-end revenue cycle management built for dermatology practices, Mohs surgeons, and dermatopathology. Stop losing revenue to lesion documentation gaps and modifier denials.
Certified coders verify lesion size, margins, and destruction counts against the operative note and confirm modifier 25 is supported before submission
Why Dermatology Billing Demands a Specialist
Dermatology billing rewards precision. Excision codes are driven by lesion size plus margins, destruction codes are counted per lesion, and separate office visits billed with procedures are among the most audited claims in medicine.
Lesion Size and Margin Documentation
Excision codes are selected from the lesion diameter plus the narrowest margins, measured before removal. Missing measurements force downcoding and give away revenue you earned.
Modifier 25 Scrutiny
A separately identifiable office visit billed with a same-day procedure is heavily audited. We confirm the documentation truly supports a distinct service before appending the modifier.
Mohs Stage and Block Units
Mohs surgery is billed by stage and by tissue block, and the surgeon must be both operator and pathologist. Unit errors here are large-dollar and frequently recouped.
Repair, Flap, and Graft Selection
Simple, intermediate, and complex repairs carry very different values, and some are bundled into the excision. Correct selection protects legitimate additional payment.
Complete Dermatology RCM Solutions
From charge capture to final payment posting, ClainetRCM manages every step of your dermatology revenue cycle so you can focus on patient outcomes.
Dermatology Medical Billing
Complete billing management built specifically for dermatologists, Mohs surgeons, and dermatology practices.
- Charge entry and claim scrubbing
- Electronic and paper claim submission
- ERA/EOB posting and reconciliation
- Denial management and appeals
- Patient statement and balance collections
Dermatology Medical Coding
Certified coders with deep dermatology coding expertise capture every procedure at the correct, compliant level.
- Biopsy, shave, and excision coding by size and margins
- Destruction coding with accurate per-lesion counts
- Mohs micrographic surgery stage and block units
- Repair, flap, and graft code selection
- Modifier 25 and 59 review with compliance audits
Healthcare Credentialing
Fast payer enrollment and re-credentialing so you never miss a payment because of a lapsed credential.
- Insurance enrollment and re-credentialing
- CAQH profile management
- Medicare and Medicaid enrollment
- Payer contracting and fee schedule review
- Ongoing status tracking and follow-up
Virtual Medical Assistant
Dedicated remote assistants to absorb your front-desk workload so your staff stays focused on patients.
- Prior authorizations and referrals
- Appointment scheduling and reminders
- Insurance eligibility verification
- Patient follow-up calls
- EHR data entry and documentation support
Accounts Receivable Management
Dedicated AR follow-up to recover outstanding claims and pull down aging balances across every payer.
- Aging AR review and prioritization
- Payer follow-up and escalation
- Patient balance collections
- Write-off and adjustment analysis
- Monthly AR performance reporting
Revenue Cycle Audit
A thorough audit of your dermatology billing to surface revenue leakage and compliance risk before it escalates.
- Billing workflow assessment
- Coding accuracy and payer policy audit
- Denial pattern analysis
- Payer contract review
- Custom revenue improvement roadmap
Dermatology Billing Challenges We Solve Every Day
Dermatology practices face billing obstacles that generic billing companies consistently get wrong. We know them all, and we fix them.
Missing Lesion Measurements
Without documented size and margins, excisions default to the lowest code. We catch missing measurements at coding and query the provider before the note is closed out.
Modifier 25 Denials
Office visits billed with procedures are denied or recouped when the note does not show a separate service. We review the documentation instead of appending the modifier by default.
Destruction Count Errors
Lesion destruction is counted per lesion with specific tiers. Miscounts either underpay you or create audit exposure. Our coders count from the note.
Mohs Unit Miscounts
Stages and blocks billed incorrectly are high-dollar errors that payers actively audit. We reconcile units against the Mohs log on every case.
Cosmetic Versus Medical Determination
Procedures that look cosmetic are denied without documentation of the functional or medical indication. We make sure the record establishes it up front.
Pathology Coordination Gaps
In-house dermatopathology billing frequently duplicates or conflicts with clinical claims. We reconcile both sides so neither is lost or double billed.
Slow Reimbursements
High visit volume with long AR days chokes cash flow. We submit clean claims within 48 hours and escalate with payers until balances clear.
Undercoded Office Visits
Dermatology practices routinely undercode established patient visits. Our audits consistently find documentation supporting a higher, fully compliant level.
Get Started in 5 Simple Steps
Onboarding with ClainetRCM is fast and seamless. Most dermatology practices go live within one week with no disruption to daily operations.
Free Consultation
We analyze your current billing setup and identify dermatology revenue gaps at zero cost.
Custom Onboarding
We integrate with your EHR and PM system and configure dermatology billing workflows.
Team Assignment
A dedicated billing team with real dermatology experience is assigned immediately.
Claims Submission
Clean, policy-compliant claims submitted within 48 hours with real-time tracking.
Revenue Growth
Watch collections climb with transparent monthly performance reporting.
What We Commit To on Every Dermatology Claim
These are the standards we control and hold ourselves to, written into every engagement.
From charge capture to claim submission, on every working day
Business days to onboard your dermatology practice end to end
Between full accounts receivable reviews, every single cycle
Starting rate on monthly collections. No setup fee, no contract
Dermatology Billing for Every Practice Size
Whether you are a solo dermatologist or a multi-location group with in-house pathology, ClainetRCM delivers billing that scales.
Solo Dermatologists
Independent dermatologists who need precise procedural coding without the cost of in-house billing staff.
Dermatology Groups and Mohs Practices
Multi-provider dermatology groups and Mohs surgery practices working to cut denial rates and protect high-dollar surgical revenue.
Hospitals and Health Systems
Hospital-based dermatology departments requiring enterprise reporting and compliance oversight across providers.
Frequently Asked Questions
Excision codes are driven by the lesion diameter plus the narrowest margins, measured before removal, and by whether the lesion is benign or malignant. Our coders pull those measurements from the operative note. When they are missing we query the provider rather than defaulting to the lowest code, because defaulting quietly gives away revenue you already earned.
We only append modifier 25 when the documentation shows an evaluation and management service that is separately identifiable from the procedure performed that day. Blanket use is one of the most common triggers for dermatology audits and recoupment. Where the note does not support it, we tell you rather than billing it and hoping it clears.
Yes. We bill Mohs by stage and by tissue block, reconciling units against the surgical log on every case, and we confirm the surgeon acted as both operator and pathologist as the codes require. Mohs unit errors are high-dollar and actively audited, so we treat the reconciliation as mandatory rather than optional.
Yes. When you have in-house pathology we reconcile the clinical claim and the pathology claim so specimens are neither double billed nor dropped. We also confirm the professional and technical components are billed to match how your lab is actually structured.
ClainetRCM integrates with the platforms dermatology practices already use, including Modernizing Medicine EMA, Nextech, EZDERM, Epic, Athenahealth, and eClinicalWorks. We adapt to your existing technology rather than forcing a migration, so onboarding does not disrupt your clinical workflow.
Pricing starts at 2.29% of monthly collections, so we are only paid when your practice is paid. There are no setup fees, no long-term contracts, and no hidden charges. Book a free consultation for a quote based on your volume and payer mix.
Ready to Grow Your Dermatology Revenue?
Talk to a dermatology billing specialist about your modifier 25 denials, your Mohs units, and your AR aging.
Request Your Free Audit TodayLet's Grow Your Dermatology Practice
No obligation. Our dermatology billing specialists will review your current setup and identify exactly where you are losing revenue.
Why Consult With ClainetRCM?
In a single free session, our dermatology RCM experts will uncover hidden billing gaps and give you a clear roadmap to increase collections starting immediately.
Free Revenue Audit
We review your billing performance and identify gaps at zero cost to you.
Dedicated Dermatology Billing Expert
You will speak directly with a specialist who understands dermatology billing deeply.
100% Confidential
All information shared is protected by HIPAA and never shared with third parties.
Fast Onboarding
Practices go live within 7 to 14 business days of signing on.
No Long-Term Contracts
Pricing starts at 2.29% of collections. No setup fee, no lock-in.