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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.

September 11, 2025

Plastic & Reconstructive Surgery Billing Services

Plastic & Reconstructive Surgery Billing Services Billing for plastic and reconstructive surgery isn’t straightforward.  Unlike other specialties, surgeons here deal with both cosmetic procedures and reconstructive cases.  Insurance carriers demand strong proof of medical necessity, pre-authorizations are frequent, and coding mistakes can lead to costly denials.  Practices that don’t specialize in this type of medical […]

August 29, 2025

Stop Billing Like a 1099 in 1999: The Right Way to Set Up Insurance Contracts (EIN, GNPI, INPI & More)

Stop Billing Like a 1099 in 1999: The Right Way to Set Up Insurance Contracts (EIN, GNPI, INPI & More) Let’s talk about a tale as old as time. A well-meaning provider launches a practice, gets credentialed under their Social Security Number (SSN) and individual NPI (INPI)… or, equally messy, their SSN with their group […]

August 28, 2025

Dermatology Coding Guidelines (2025 Edition)

Dermatology Coding Guidelines (2025 Edition) Accurate dermatology coding is the foundation of clean claims, faster payments, and fewer denials.  With new 2025 updates, understanding the right CPT and ICD-10 codes matters more than ever.  This guide explains the latest dermatology coding guidelines, common pitfalls, and practical tips for better medical billing. 2025 Dermatology Coding Updates […]

August 21, 2025

Dermatology Billing Company: How to Choose the Right Partner for Your Practice

Dermatology Billing Company: How to Choose the Right Partner for Your Practice Running a dermatology practice isn’t just about seeing patients, it’s also about getting paid for the work you do.  And that’s where choosing the right dermatology billing company makes all the difference.  Dermatology billing is notoriously complex.  Between lesion counts, biopsy codes, modifier […]

August 15, 2025

Plastic Surgery Billing: A Complete 2025 Guide

Plastic Surgery Billing: A Complete 2025 Guide Plastic surgery billing can get complicated fast.  Between figuring out whether a procedure is cosmetic or reconstructive, staying on top of 2025 CPT code updates, and making sure every claim is backed by proper documentation, there’s a lot that can go wrong.  And in this field, mistakes mean […]

August 6, 2025

Adeel Shehzad – Billing Team Lead

Adeel Shehzad – Billing Team Lead Ever met someone who can decode billing like a boss, speak three languages, rescue teammates from deadline doom and stargaze like a NASA intern?  Well, say hello to Adeel Shehzad, our Billing Team Lead and the secret sauce behind more than a few Auctus wins. Dinner Dates and Dream […]

August 6, 2025

Alec Anterola – Director of Authorizations

Alec Anterola – Director of Authorizations If You Could Dine With Anyone? Alec isn’t about clout-chasing dinners with celebrities. Nope. Her dream dinner guest? Herself… five years ago. Why? So she could whisper all the wisdom, wins, and maybe a few warnings into her younger self’s ear. (And probably order dessert first because, growth.) Dream […]

August 6, 2025

What is Patient Liability: A Complete Guide For Patients, Providers, and Planners

What is Patient Liability: A Complete Guide For Patients, Providers, and Planners If you’ve ever looked at a medical bill and wondered why you still owe money, even after your insurance or Medicaid paid their part, you’re dealing with patient liability. This is a term that comes up a lot in healthcare, but it’s not […]

July 24, 2025

Dermatology Medical Billing and Coding: A Complete Guide

Dermatology Medical Billing and Coding: A Complete Guide Dermatology medical billing and coding can feel like a headache, especially with all the codes, modifiers, and insurance rules involved.  If you’re a dermatologist, practice manager, or biller, getting this process right is key to getting paid on time and avoiding claim rejections. At The Auctus Group, […]

July 18, 2025

Modifier 25 vs 59: What’s the Difference

Modifier 25 vs 59: What’s the Difference If you’ve ever been unsure about when to use Modifier 25 or Modifier 59 in your medical billing, you’re not alone.  These two CPT modifiers are often misunderstood, but getting them right is critical.  Using the wrong one can lead to denied claims, lost revenue, or even audit […]

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