August 8, 2022
by John Gwin

FINANCING YOUR MEDICAL PRACTICE

So you’re a plastic surgeon or dermatologist, and you’re ready to take the next big step in your career. You’ve got some experience under your belt and you’re pretty good at what you do, so the next logical step is starting your own practice. (I mean, who doesn’t want to be their own boss?) You’ve […]

July 18, 2022
by John Gwin

CAN A MED SPA BILL INSURANCE?

The short answer? Yes. “Med” is in fact short for “Medical,” and therein lies your ability to bill insurance in a med spa. You might ask, “Why would I bother to bill insurance when I could just charge cash pay only and rake it in?” Our answer: Why play checkers when you should be playing […]

July 6, 2022
by John Gwin

HOW TO BILL FOR YOUR MEDICAL ASSISTANT. YEAH. THAT’S RIGHT. YOU CAN BILL FOR 99211 WITHOUT MD FACE TIME!

Our very own @KarenCorso wrote up a nice little cheat sheet we wanted to share. Here’s the long and the short of it…you can make some money without changing your clinical workflow if you do this the right way! The top 10 Tips/Requirements for billing without an MD present… PREAMBLE: Sure, you can monetize your […]

June 5, 2022
by John Gwin

WHAT’S THE DEAL WITH LIPEDEMA BILLING?

Covering “borderline” or “grey area” procedures is a constant struggle in plastic surgery billing. Certain insurance companies do certain things. Lines are blurred. Rules are changed. The landscape is ever-changing. Even if you can get something covered, who the heck knows what you’ll be paid…certainly not what you would charge self-pay right? Enter lipedema, a […]

June 4, 2022
by John Gwin

CIGNA’S FORTHCOMING ARMY OF DENIALS AKA CIGNA MODIFIER 25 REIMBURSEMENT POLICY UPDATE

Effective 08/13/22, Cigna is pulling sooooooome shiiiiiiiiiiiit as it pertains to Modifier 25. Every claim with Mod 25 will require medical records for review. EVERY. SINGLE. CLAIM. “How the heck can they feasibly review all those records in a timely fashion,” you say? I have created a short video to outline how I expect this […]

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