Nexsys provides outsourced medical billing and revenue cycle management for independent dermatology practices, from charge capture through payment collection and follow-up.
Why is dermatology billing harder than general medical billing?
Dermatology revenue depends on coding a mix of visits and procedures correctly, often on the same claim.
- Same-day visits and procedures. A visit on the same day as a biopsy, lesion destruction or excision usually needs a modifier to be paid separately. Payers review these combinations closely, and misuse is a common reason for denials and audits.
- Many procedure types. Biopsies, benign and malignant lesion removal, repairs, and Mohs surgery each have their own coding rules, and the correct code depends on the technique, the size, and the documented site.
- Global periods. Many minor procedures include follow-up care for a set period, so visits inside that window are bundled instead of paid separately.
- Medical versus cosmetic. Cosmetic services are not covered by insurance, so they have to be kept separate from medically necessary care, and the documentation has to show which is which.
- New services and technology. Practices keep adding procedures, drugs and devices, and each addition brings new coding and prior authorization requirements to keep up with.
How does Nexsys manage dermatology billing day to day?
An experienced account representative manages the team that serves your clinic. The work includes:
- Claims submitted within 48 hours of receipt
- Coding review, including modifier application, so services are paid according to contract
- Denial management, and thorough payment collection and follow-up
- Monthly detailed reports and a web-based client dashboard with a complete view of the practice
- A transparent, visible billing process
How do I find out what we are losing?
Call Nexsys Billing & Practice Management at (800) 529-3962 ext. 203 to talk through your dermatology practice's billing, or request a Free Billing Audit.
FAQ
What does Nexsys do for dermatology practices?
Nexsys provides outsourced medical billing and revenue cycle management for independent dermatology practices. That covers charge capture, coding review including modifier application, claim submission, denial management, payment posting, and monthly reporting that shows where revenue is being lost.
How is dermatology billing different from general medical billing?
Dermatology mixes office visits with many same-day procedures, such as biopsies, lesion destruction, excisions, and Mohs surgery. A visit on the same day as a procedure usually needs a modifier to be paid separately, minor procedures often carry global periods that bundle later visits, and payers review these combinations closely. Medical and cosmetic services also have to be kept apart, because insurance does not cover cosmetic work.
What reporting and visibility do dermatology practices get from Nexsys?
Dermatology clients receive monthly detailed reports and a web-based client dashboard with a complete view of the practice. The billing process is transparent and visible to the practice.
