We know your specialty, let help improve your revenue.
Dermatology is a unique specialty and we have a great system for handling the demands of the specialty. Our billing system is capable of family billing and handles the aspects of established patient billing efficiently.
Even though our focus is on medical billing and accounts receivable management, our broad experience across the entire Revenue Cycle Management process in a dermatology practice is why we can give you an advantage compared to in-house billing.
Our team at Etransmedia has the knowledge and skills necessary to successfully work denials and provide our dermatology clients with valuable feedback to assist in managing and decreasing the most frequently seen denial types, while streamlining revenue and increasing your practice’s collection rates. Get paid for all the exams and procedures you do!
What we know…
Documentation is essential to getting your lesion excision and/or biopsies paid. Lesion diameter plus the narrowest margin needed to excise the lesion is used to determine size. Each lesion excised or biopsied should have its own write up in the operative report. Anatomical location, technique/method, size (including margins), depth, closure or repair, malignant vs. benign should be included in your report.
Allergy Testing – CPT code will depend not only on the type of test but also for what the physician was testing. Units are determined by the number of allergens being tested.
Medical Necessity – Insurance carriers are auditing the medical necessity of benign lesion removal more frequently. Include documentation as to visible or non- visible, symptomatic vs. asymptomatic and future cause for concern in your notes. An ABN or waiver of liability may need to be signed should the services be deemed cosmetic by the carrier.
On October 1, 2016 the Centers for Medicare and Medicaid Services (CMS) will no longer accept unspecified codes in most cases.
Starting in October, CMS requires greater specificity for claims filed in ICD-10-CM/PCS. The 12-month grace period originally introduced in 2015 said they would not deny claims for lack of ICD-10 specificity. That all changes on October 1, 2016. Payors will most likely follow suit if they haven't already.
First Pass Clean Claim Rate
Boost in Revenue*
Reduction in Cost*
We’re always on top of all the latest coding and billing updates for Dermatology practices. Additionally, to make sure all claims are reimbursed on the first claim submission, our system is able to pre-edit claims prior to the initial submission for possible billing/coding errors. Our detailed end of month reports keep our clients up-to-date on what is happening in their practice so any issues can be addressed quickly. Having an experienced medical billing team, with visibility into performance, is vital to your practice’s financial health.
Although the new industry standards can be confusing and difficult to navigate, our dedicated team here at Etransmedia can assist in guiding you and helping to make your practice grow successfully.
*Please Note: Results are not guaranteed, implicitly or explicitly, and will vary based on several factors such as individual practice demographics, specialty, payer mix, operations, and management among others
Service and Technology Packages
Our customizable revenue cycle management service and technology solution packages allow you to outsource based on the specific needs of your practice
Silver RCM Service
This package has the core service and technology needed for revenue management allowing you maintain the responsibility of patient billing.
Gold RCM Service
This package includes the core RCM services with added denials, A/R management services, and full service patient billing
Ancillary RCM Services & Technology
Available to enhance any package