Dermatology Billing Services Built for a 14 Percent Denial Rate

Dermatology billing denials run near 14 percent. The healthcare average sits closer to 5 percent. If your practice is chasing stuck claims, you feel that gap every month. Small errors that general billing absorbs get punished here. A biopsy coded without the right modifier comes back denied. Log one lesion as cosmetic when it was medical, and it denies. Bill Mohs stages out of order, and the claim stalls. Dermatology owners and administrators know that pattern well.

HRG is a U.S.-based medical billing and credentialing company with over 26 years of experience. We work the whole revenue cycle inside your existing systems. You keep your EHR. You keep your workflow. The denials are what change.

Full Services for Dermatology Practices

HRG runs the full revenue cycle inside your existing EHR. No new systems. No offshore handoffs.

Full-Service Insurance Billing and Credentialing

We manage your claims from creation through payment. Clean claims go out inside your EHR and clearinghouse. We track every claim to resolution. Credentialing runs in the same engagement, so new providers start billing sooner.

Patient Billing Management

A patient statement should be clear enough to pay on the first read. We handle patient billing so your front desk stops fielding confused calls. Balances move instead of aging quietly.

Proactive Accounts Receivable Management

Aged A/R is revenue you already earned. We work your A/R by age and by payer. The billers doing the work run weekly and monthly reviews. Problems surface early, not at quarter close.

Effective Denial Management and Resolution

We work denials within 24 to 48 hours. Our team tracks the pattern and fixes the cause upstream. Most dermatology practices see denials drop 15 to 30 percent. See how we approach denial management across the cycle.

The Benefits of Partnering with HRG for Dermatology Billing

Maximized Revenue Capture

Revenue leaks in dermatology hide in small places. A missed modifier. One downcoded excision. We review your documentation against payer rules and flag what would cost you. Coding stays with your coders. We consult where it helps.

Reduced Administrative Burden

Coding rules change often in dermatology. Your staff should not carry that weight alone. We absorb the billing follow-up that burns out front-desk teams. Your people get their hours back.

Faster Payments

Cash flow depends on claims going out fast and clean. We target clean-claim submission within 48 hours of service. Payments arrive sooner. A/R days fall by 15 to 25.

Actionable Financial Reporting

You should see your numbers in real time. We give you real-time tracking inside your own EHR and payer portals. There is no separate dashboard. Nothing waits in a monthly PDF.

EHR-Native Workflow

We work inside eClinicalWorks, NextGen, and ModMed. ModMed fits dermatology especially well. HRG is EHR-agnostic, so we meet you in the system you already run. There is nothing new to learn.

Transparent Processes and Customized Support

You get direct access to the people doing your billing. Not a management layer. HRG is 100 percent U.S.-based, with over 26 years behind the work. Support flexes to how your practice runs.

Why Dermatology Billing Breaks Where General Billing Doesn't

Dermatology claims deny at 14 percent against a 5 percent industry standard. The reason is not sloppy work. Dermatology carries coding traps that general billing never meets.

The Medical Versus Cosmetic Problem

The same procedure can be medical or cosmetic. A payer covers one and denies the other. Your documentation has to prove medical necessity every time. When it does not, the claim comes back. We review your documentation against payer rules before claims go out.

The Modifier 25 and Modifier 59 Problem

Modifier 25 lets you bill a visit alongside a same-day procedure. Use it wrong, and the payer denies both lines. Modifier 59 separates distinct procedures that would otherwise bundle. These two modifiers drive a large share of dermatology denials. We flag the documentation gaps that trigger them.

Biopsy and Same-Day E/M

A skin biopsy often happens during an evaluation visit. Billing both takes a clean modifier 25 and a clear note. Miss that linkage, and the payer denies the visit. Biopsy coding also turns on method and lesion count. We help your coders apply the rules payers actually enforce.

Mohs Surgery and Complex Reconstruction

Mohs surgery bills in stages, and the order matters. Each stage carries its own code and its own documentation. Reconstruction after excision adds another coding layer. Payers scrutinize Mohs against appropriate use criteria. One weak note can stall the whole claim. We keep the documentation aligned with what payers expect.

In-Office Procedures and Lesion Coding

Destructions and excisions code by size, site, and lesion type. A benign lesion and a malignant one bill differently. Measurements taken before excision protect the claim. We review that detail against payer rules so it holds up.

Prior Authorization Gaps

High-cost dermatology drugs often need prior authorization. A missing auth turns into a denied claim fast. Prior authorization stays with your practice and clinical team. We advise on the workflow that keeps auths from slipping.

HRG holds a 98 percent first-pass claim acceptance track record, confirmed by our CFO. That number holds across over 26 years and a 100 percent U.S.-based team. The billers doing your work run your weekly and monthly A/R reviews. You can see more client results across specialties.

Credentialing Support Built Into the Same Engagement

Unbilled providers cost you every day they wait. Credentialing delays block revenue you have already staffed for.

Comprehensive Credentialing Management

We manage initial credentialing and recredentialing applications. Primary source verification runs through our team. CAQH, now DataSpring, profiles stay current on a 30-day cycle. Final approval always rests with the payer or hospital. HRG holds a 100 percent approval record on the hospital privilege applications it has managed.

Strategic Payer Contracting

Your rates are negotiable more often than most practices assume. We negotiate directly with payers on your behalf. Our team reviews fee schedules and prepares payer-facing justification. Payers make the final call. We pursue the better outcome and appeal when it makes sense. See our full approach to medical credentialing and contracting.

The Full Scope of Our Revenue Cycle Management Services

Every stage of your revenue cycle gets the same attention. We look for revenue leaks, not just claims to process.

One team owns the whole cycle, so nothing falls between handoffs. Explore our broader revenue cycle management work when you want the full picture.

Dermatology Billing Questions We Hear Most

If your question is not here, a short call answers it faster.