FULL SERVICES FOR DERMATOLOGY PRACTICES
Full-Service Insurance Billing and Credentialing
HRG manages claims from creation through submission and follow-up until payment lands. The team also handles dermatology credentialing and contracting. Payer requirements and reimbursement rates stay aligned from day one. That alignment cuts payment delays before they start.Patient Billing Management
Patient billing gets the same attention. HRG sends clear statements and answers balance inquiry calls. This matters most on procedures with high deductibles. Cosmetic exclusions surprise patients, and plain statements reduce disputes.
Proactive Accounts Receivable Management
HRG monitors unpaid claims and outstanding balances by age and payer. Consistent follow-up keeps cash moving instead of aging out. Aged A/R typically drops 15 to 25 days.
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Effective Denial Management and Resolution
Denied claims are recoverable more often than practices assume. HRG identifies denial patterns, resubmits promptly, and appeals inside payer deadlines. The team tracks denials by payer, CPT code, and modifier. That analysis finds root causes instead of only fixing symptoms. Denial rates typically fall 15 to 30 percent.
The Benefits of Partnering with HRG for Dermatology Billing
Maximized Revenue Capture
HRG audits dermatology coding accuracy across routine visits and complex surgical cases. Accurate claims capture revenue that gets written off elsewhere. Collection rates improve when modifier and documentation errors stop repeating.
Reduced Administrative Burden
In-house billing pulls staff away from patient care. Dermatology coding changes constantly, and your team absorbs every update. HRG takes that churn off their plate. Staff refocus on operations, patient interactions, and care quality.
Faster Payments
Clean claims go out on time, every cycle. Consistent follow-up shortens the gap between service and payment. Predictable cash flow makes practice planning possible again.
Actionable Financial Reporting
Reports show clean claim rates, denial rates by payer and procedure, and A/R days. Each number comes with a recommendation attached. HRG reviews performance with you on a regular schedule.
EHR-Native Workflow
HRG works inside eClinicalWorks, ModMed Dermatology, or your existing platform. There is no separate dashboard and no new software to learn. You keep full visibility into your own billing data.
Transparent Processes and Customized Support
At HRG, transparency is key. We work directly within your chosen practice management software, ensuring full visibility into your billing operations. Whether you use eClinicalWorks, ModMed Dermatology, or other EHR systems, we adapt to your platform, making it easy for you to access your data anytime.
In addition, we schedule regular performance reviews, offering recommendations and strategic insights to improve your practice's financial health. Our collaborative approach means you maintain control while benefiting from our expertise.
Why Dermatology Billing Breaks Where General Billing Doesn't
Dermatology claims deny at 14 percent against a 5 percent industry standard. The specialty spans routine skin checks, surgical procedures, and gray-zone treatments. Each one needs precise coding and the right modifier. General billing teams miss where those requirements diverge.
The Medical Versus Cosmetic Problem
Botox for hyperhidrosis, laser therapy, and certain excisions serve both medical and cosmetic purposes. Payers deny these automatically unless documentation proves medical necessity. HRG builds payer-specific documentation protocols before claims go out.
The Modifier 25 and Modifier 59 Problem
Modifier 25 applies when a separate E/M service happens alongside a procedure. Without clear documentation, payers bundle the E/M charge and deny it. Modifier 59 marks a distinct procedural service and gets misapplied often. Misapplication triggers audits. HRG audits modifier patterns across your claims before submission.
Mohs Surgery and Complex Reconstruction
Mohs surgery bills stage by stage, with a specific CPT code per layer. Payers scrutinize these claims closely. HRG documents every stage inside your EHR. Pathology billing that accompanies Mohs gets the same treatment.
Prior Authorization Gaps
High-cost dermatology medications often require pre-approval before treatment begins. A missing authorization delays care and payment together. HRG verifies coverage and flags authorization gaps before claims go out. Your staff still owns the authorization request itself.
Credentialing Support Built Into the Same Engagemen
Comprehensive Credentialing Management
HRG manages the full credentialing and re-credentialing cycle. Primary source verification confirms credentials, education, licenses, and work history. The team maintains your CAQH profile with regular attestation updates. Most payers pull directly from CAQH, so current profiles speed approval.
Strategic Payer Contracting
HRG manages payer enrollment, including Medicare and Medicaid. On renewal, the team negotiates terms that reflect your actual value. Proactive follow-up compresses enrollment that would otherwise run months. EFT and ERA setup gets automated to cut manual errors.
The Full Scope of Our Revenue Cycle Management Services
Medical billing submits and processes claims. Revenue cycle management covers the full financial life of a patient encounter. HRG manages every stage.
- Patient registration and eligibility verification. Coverage and patient data get confirmed before service.
- Coding audit and charge capture review. HRG verifies CPT, ICD-10, and HCPCS accuracy before submission.
- Claims submission. Clean claims go out with scrubbing applied first.
- Payment posting. Payments and adjustments record accurately in your system.
- Denial management. Denials get identified, analyzed, and appealed systematically.
- Patient billing. Clear statements go out and inquiries get answered.
- Accounts receivable follow-up. Outstanding balances get persistent, strategic pursuit.
- Financial reporting. Performance analytics arrive with recommendations attached.
- Compliance monitoring. Regulatory and payer policy adherence stays current.
Every stage gets reviewed for revenue leaks, not just processed.
FOCUS ON CARE, NOT BILLING