Out-of-Network PPO Patients & The No Surprises Act: The Only Guide You Need Out-of-Network PPO Patients & The No Surprises Act Insurance billing is about as fun as dental work without anesthesia. Out-of-network (OON) PPO benefits? Even murkier. Luckily, federal law—the No Surprises Act (NSA)—finally tilts the scale in your favor (sometimes). This guide lays […]

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 […]

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 […]

“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 […]

The spa experience elicits a sense of peace and tranquility, creating a perfect outlet for a number of healing practices.

A medical spa, as the name suggests, offers more than a standard spa. Run by physicians, medical spas provide dermatological services that are normally accessible through a plastic surgeon’s office. These can range from injection treatments, such as Botox, to laser hair and/or acne removal.

It’s important to weigh the benefits and challenges of launching your own medical spa. Establishing a name for yourself in this field means developing a sound business plan. We’ve put together tips to help you create a firm foundation for your new endeavor.

So…you’ve decided to bill out-of-network (OON) have you? Or maybe you have an ASC/OBS and you want to optimize it? Or maybe you have an amazing biller who is recommending you assess the opportunity? Quick question: How the hell do you know which cases to take? Short Answer: Let us know when you find one. […]

How do I know if I am in network with my patient’s insurance plan? Simple question with a not so simple answer…