Dermatology is a high-value medical specialty with an increasing number of individuals seeking care for their skin. While treating patients can be the favorite part of being a dermatologist, dermatology medical billing is surely not.
Managing administrative workflow effortlessly to elevate revenue cycle management requires focus and dedicated effort. When most of your energy is spent on rendering medical care, keeping a check on errors, delays, and denials becomes difficult.
As the complexities of dermatology medical billing increase, the chances of claim denials also expand. This is the major reason behind disrupted operational management and reduction in reimbursement.
As a dermatologist in California, you can change it with the help of professional medical billing services. But first, you must acknowledge what causes denials in your dermatology practice. Without further ado, let’s begin this blog and understand why your dermatology claims are being denied.
What Makes Dermatology Medical Billing Challenging?
Dermatology billing is very different from other medical specialties. The scope of dermatology in treating skin-related ailments is reflected directly in the medical billing process.
Medical treatment and procedures for dermatology include both general medicine and surgery. As every treatment is billed with a different set of codes, room for inaccuracies during the administrative process increases and leads to denials.
As the complexities rise, it is natural for dermatologists to feel burdened. Solving the root cause of these issues is vital to stop unnecessary denials and improve the financial posture of the practice.
What Happens When a Medical Billing Specialty Gets Denials?
Claim denials are not rare, and most healthcare providers and practices face denials during the medical billing process. The real problem occurs when these denials are the leading cause behind consistent reimbursement losses.
It is essential that healthcare providers take measures to streamline their revenue cycle management and reduce denials as much as possible.
Major Reasons Behind Claims Denials in Dermatology Billing
Understanding the reasons behind denials is the first step towards making a positive change in your administrative process. Let's find out factors that cause denials in dermatology practice!
Inadequate Coverage Check
Successful completion of dermatology billing requires sufficient insurance coverage from patients. That is why checking insurance coverage before starting the treatment is important and not following this step may cause denials.
Dermatology includes both necessary treatments and cosmetic procedures; that is why checking coverage details becomes vital. In the case of cosmetic procedures, healthcare providers may have to determine patient responsibility. All in all, inadequate coverage checks will result in claim denials.
Errors & Missing Billing Data
The second reason behind denials is errors and missing details during documentation. Recording patient medical data is needed for the medical coding and claim filing process. Naturally, errors will disrupt medical coding and result in claim denials, causing revenue leakages.
Errors and missing details are a direct result of manual handling of the process. The chances of errors can be reduced to an extent if this step is backed by technological support.
Inaccurate Medical Coding
Coding for dermatology medical billing requires proper skill, knowledge, and precision. However, dermatologists don’t have the right understanding of coding and usage of modifiers. Errors related to CPT codes and modifiers reduce the clean claims rate of the practice, causing denials. Even a single revenue code in medical billing for dermatology can disrupt operational flow.
Dermatology functions in hybrid coding that includes coding for necessary medical treatments and cosmetic procedures. From coding for complex medical services like skin biopsies to mentioning modifiers 25 and 59 accurately. Medical coding for dermatology can be quite complex.
Untimely Claim Submission
The time of claim submission is as important as any other step in dermatology billing. Even if you do everything right but miss the submission deadline, the chances of claim denials increase.
Insurance companies set a time limit for medical claims, and not being able to submit within the time frame is also a reason behind denials. This is not that big of an issue, with some slight changes. Dermatologists can avoid delays and submit claims on time.
Lack of Denial Resolution
If you are witnessing frequent denials in your dermatology practice and you still don’t have a denial management framework, you need to change this!
Denial resolution is the perfect way to identify the problematic areas in your medical billing process and rectify them. Apart from that, once there are denials, it’s the denial management that rectifies the issues, refiles the claims, and recovers reimbursement.
You could simply reduce the damage caused by claim denials with an efficient denial management process.
What Can Dermatologists Do to Reduce Claim Denials?
If you want to reduce claim denials in your dermatology practice, then you can do a couple of things. Once you know what’s causing denials, you can try to reduce error-causing factors and improve your medical billing process.
However, you can hire someone else to do the job for you. You can hand over this responsibility to a third party and shift your focus solely on helping patients.
The third party you need is Dermatology Billing Services!
The Role of Dermatology Billing Services in Boosting Revenue
Dermatology billing services simplify medical billing for you and reduce error-causing aspects with effective measures.
Expert Dermatology Medical Billing Team
Any dermatologist in California can appoint medical billing services and improve their managerial process. They work with a team of qualified and skilled coders and billers who recognize billing needs.
Their expertise helps healthcare practices improve steps like insurance verification, documentation, coding, claim submission, and denial management.
Utilization of Advanced Technological Tools
Experts know very well that most errors occur due to the human aspect, and they counter it with proper technological tools. They maintain a clear database of patient information, accelerate coding, and keep a check on submission deadlines via effective tools. This way they implement overall efficiency and accuracy in your medical billing process.
Adherence to Regulatory Standards
Dermatology medical billing services add value to your practice by being up to date with frequently changing rules and guidelines and following the same. They also ensure HIPAA compliance to protect sensitive patient information from misuse.
Affordable & Convenient Approach
Outsourcing dermatology medical billing is an affordable and convenient option for healthcare providers and practices. This is because after choosing professional assistance, you can save time and spend it treating patients. It is more affordable than managing an in-house billing staff and more rewarding in terms of ease of handling administrative hassle.
Dermatologist in California Needs Eminence RCM
Dermatology medical billing requires expert administrative assistance. Outsourcing medical billing services reduces common errors, limits claim denials and helps achieve adequate revenue.
With Eminence RCM, your dermatology medical billing is in expert hands to help you meet your revenue goals. Whether you want to boost your profitability or simply delegate the billing task, our comprehensive services are meant for you.
We have been helping dermatologists in California achieve administrative success for years. Now, you can benefit from our effective billing solutions and take your practice to a better financial level. Insurance verification, documentation, medical coding, claim filing, claim submission, denial management, and HIPAA compliance—you name it, and we have ideal services for you.
Our team is well-equipped with advanced technological tools and new coding and compliance rules and can handle your dermatology billing effortlessly.
All you have to do is choose Eminence RCM, and we will take care of medical billing for you.
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