One in five medically necessary breast reductions gets denied, and the number doing the denying is the Schnur scale. Here’s how each payer sets the bar.

Running plastic surgery billing in-house isn’t one hire — it’s a full revenue-cycle system. Here’s the whole machine, end to end.

In-house or outsourced plastic surgery billing — the real trade isn’t cost. It’s who owns your AR, your follow-up, and your denials.

On January 1, 2026, Medicare cut skin substitute pay ~90% to a flat $127.14/cm². What survives for plastic surgery and dermatology — and what doesn’t.

The Core Problem: One Code, Many Techniques The technique changes depending on the patient. The CPT code doesn’t. For top surgery — augmentation, reduction, mastectomy with nipple reconstruction — reimbursement is tied to the standard diagnosis for that procedure type. A reduction for macromasty and a reduction for masculinization carry the same code, same reimbursement, […]

In plastic surgery billing, accounts receivable, often referred to as AR, rarely deteriorates overnight. More often, AR slowly drifts. Denials increase, aging stretches out, cash flow tightens, and leadership assumes it is a payer issue. AR is a slow burn… once you notice a fire is it often too late or at least you’ve lost […]

Denials in Medical Billing: Causes, Codes, and How to Fix Them Every denied medical claim costs time, money, and resources.  Denials in medical billing can disrupt cash flow, increase administrative work, and leave patients frustrated when services aren’t covered as expected. Recent studies show that nearly 12% of medical claims are initially denied, and hospitals […]

How Do I Bill with Confidence? Mastering Documentation and Insurance Verification Let’s face it—medical billing is a game of paperwork roulette. Miss one detail, and you’re stuck dealing with denials, delays, or worse, an audit. But here’s the good news: with the right strategies, you can dodge common billing pitfalls and keep your revenue flowing […]

6 Tips To Maximize Revenue in a Dermatology Clinic Running a dermatology clinic takes a lot. You’ve got to worry about your staff, patients, payments – there’s a quite a few moving gears! While patient care is always the priority, boosting your clinic’s revenue is key to staying competitive and growing. The good news is, […]

Tips on Maximizing Revenue in a Plastic Surgery Clinic Running a successful plastic surgery clinic requires more than just medical expertise – it also demands savvy business practices. To make sure your clinic is thriving financially, you need strategies that boost revenue without dropping the quality of care… Here are some effective tips to help […]