Outsourced vs. In-House Dermatology Billing
Outsourced or in-house billing for your dermatology practice? The real cost, where revenue leaks, and five questions to answer before you switch.
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We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.
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 […]
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 […]
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 […]
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 […]
THE ANSWER: How many patients who come to you for a “septoplasty” have zero desire for a positive aesthetic outcome? Like they care 0% about how they look after surgery and are seeing you solely because their deviated septum has robbed them of their ability to breathe? None. They might say they don’t care, but […]
Rumored to be in existence, thought not to be…rare as the Tasmanian Tiger…the mythical Medicare Authorization does indeed exist. Worse yet, you need to know how to handle it, even though it technically is not a requirement for professional service providers (AKA Docs). So…what are we talking about here? As of 2020 Medicare started requiring […]
“The day you can fire me is one of the happiest days in our relationship” – Famous last words from John Gwin, CEO of The Auctus Group But seriously…why should you care? You’re a cosmetic / aesthetic surgeon. You’re making 2-3K+ per hour. Why would you ever lose money to deal with insurance? …Because you […]
THE ANSWER: Almost all payers, including Medicare/Medicaid DO cover/WILL cover REMOVAL of implants placed for any reason w/ Bakers III+ and/or Rupture. PAY ATTENTION HERE: they cover ONLY removal of implant/extracapsular material, perhaps capsulectomy/capsulotomy, and NOT revision/replacement UNLESS there’s a personal history of breast cancer or mastectomy for prophylaxis. So…tell that patient we can […]
Raise your hand if you want to go to school for 15 years and then stand for 8 hours turning a stomach into a breast and get paid $500 per hour for your expertise? Are you familiar with microvascular anastomosis? Yeah, you gotta do that stuff too. Do you skeletonize vessels in your free time? […]
SO THIS IS WEIRD…A BIT ABOUT US So, I have a Google Alert setup for our company, and in the past few weeks I’ve gotten some alerts that these random sites are writing about us… Looks to me like they are semi-bogus sites trying to push folks to buy these “market research” reports, which I’m […]
