- Dermatology Medical Billing Services
Stop Losing Revenue to Modifier Errors, Bundled Procedures & Undercoded Visits
Dermatology billing is one of the most complex specialties. Multiple procedures in one visit, modifiers, and one wrong code cost you thousands. NEO MD delivers dermatology-certified billing with clean claims from day one.
96–98%
First-Pass Acceptance
22%
Avg Revenue Increase
90
Days to Results
- Practice Revenue Health Audit
Is Your Pediatric Practice
Bleeding Revenue? (Most Are.)
If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $130K–$300K+ annually:
Visible Revenue Bleed
Immediate Impact
Well-Child Visit Claims Denied
Preventive vs sick visit coding confusion
Immunization Claims Rejected
Missing VFC documentation or wrong CPT codes
Developmental Screening Claims Denied
Missing standardized tool documentation
Asthma Treatment Claims Delayed
Nebulizer and medication code bundling errors
Same-Day Sick and Well Visit Claims Bundled
When modifier 25 should've been applied
Prolonged Service Code Missing
Not capturing extended visit time (99354-99355)
Invisible Losses
According to AAP and MGMA pediatric benchmarking data, practices lose 18%–25% of revenue due to:
Wrong age-based code selection
Preventive Visit Age Bands
Missing counseling component
Vaccine Administration Codes
Not billing 96110/96127 separately
Developmental Screening
Missing modifier 25 documentation
Same-Day Sick and Well
Not capturing visits over 40 minutes
Prolonged Service Time
Not using 99490 for chronic conditions
Care Coordination Billing
Incorrect state-supplied vaccine coding
VFC Vaccine Documentation
Missing 96127 screening opportunities
Behavioral Health Integration
"You didn't train for years to fight with insurance companies. But right now, coding errors cost more than a pediatrician's salary."
$260,000+
- Industry Problem
Why General Medical Billing Companies Fail Dermatology Practices
Dermatology billing requires specialty expertise that general billers don’t have.
Lesion counting chaos
Can't accurately count and code multiple destructions
Mohs surgery blindspot
Don't understand stage and block documentation
Benign vs malignant confusion
Can't select the correct excision codes
Size measurement miss
Don't calculate excised diameter plus margins
Biologic coding errors
Undercode high-cost injectable drugs
Medical necessity gaps
Can't document cosmetic vs medical distinction
Pathology component mistakes
Don't bill TC when practice owns equipment
Modifier 59 blindspot
Don't apply to distinct anatomic sites
Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.
- The NEO MD Difference
The Neo MD Dermatology Advantage
Specialty-Exclusive Billing Built for Derm Complexity
Dermatology-Certified Coding Teams
Deep expertise in:
- Excisions (benign vs malignant, size-based coding)
- Destructions (single vs multiple lesions, add-on codes)
- Biopsies (shave, punch, incisional)
- Mohs surgery (stages, repairs, complex closures)
- Skin lesion removals (shave removal vs excision)
- Pathology correlation
→ 96-98% first-pass acceptance rate vs 78-82% industry average
Modifier Mastery
We apply the right modifier every time:
- Modifier 25: E/M with procedure (separately identifiable)
- Modifier 59: Distinct procedural service (unbundling when appropriate)
- Modifier 51: Multiple procedures (proper sequencing)
- Modifier 78: Return to OR during global period
- Modifier 79: Unrelated procedure during global period
RT/LT: Right vs left side procedures
→ Modifier denials drop below 3% in 60 days
Medical vs Cosmetic Separation
We ensure:
- Cosmetic procedures are never billed to insurance
- Medical necessity clearly documented
- Proper consent and ABN usage
- Clean separation in billing systems
→ Zero audit risk from cosmetic/medical confusion
Maximum Reimbursement Coding
We capture:
- Correct lesion size and site documentation
- All add-on codes for multiple lesions
- Complex closure repairs, when performed
- Pathology correlation codes
- Appropriate E/M levels for biologics, isotretinoin management
→ Average revenue increase: 22–27% in 90 days
Complete Prior Authorization
We handle authorizations for:
- Biologics (Humira, Dupixent, Stelara, Skyrizi, Tremfya)
- Isotretinoin (Accutane) with iPledge coordination
- Advanced imaging (when required)
- Excision of large lesions
- Mohs surgery (payer-dependent)
→ Average turnaround: 2–4 days
Real-Time Revenue Visibility
- Daily claim submission tracking
- Weekly denial analysis
- Monthly financial performance reports
- Quarterly compliance audits
→ You always know where your money is
Dermatology Services We Master
If you perform it, we bill it correctly—the first time.
Diagnostic Procedures
- Skin biopsies (shave, punch, incisional, excisional)
- Nail biopsies
- Fungal cultures and KOH prep
- Patch testing
- Skin scraping and microscopy
Surgical Procedures
- Excisions (benign and malignant, all sizes)
- Mohs micrographic surgery (all stages)
- Complex repairs and reconstruction
- Flaps and grafts
- Nail removal (partial/complete)
- Cyst removal
Destruction Procedures
- Cryotherapy (single and multiple lesions)
- Electrodesiccation
- Laser destruction
- Chemical destruction
- Photodynamic therapy (PDT)
Cosmetic Procedures
- Botox injections
- Dermal fillers
- Chemical peels
- Laser treatments (hair removal, resurfacing)
- Microneedling
- Sclerotherapy
Medical Management
- E/M visits (all complexity levels)
- Acne management
- Psoriasis treatment
- Eczema management
- Biologics administration and monitoring
- Isotretinoin (Accutane) management with iPledge
Real Results
4-Provider Dermatology Practice
Florida Case Study
- Before NEO MD
Denial rate on cath lab procedures
19%
Average payment cycle
56 days
Annual Loss
$220k
Staff hours weekly fighting denials
30+
Prior auth delays
Constant
- After NEO MD
Denial Rate
3.6%
Payment cycle
24 days
Monthly revenue recovered
$34,000
Staff time freed weekly
27 hours
Prior auth delays
Eliminated
“We thought our billing was fine until NEO MD showed us how much we were losing on excision coding alone. The revenue increase was immediate and sustained.”
Dr. Patricia R.
Dermatologist, Florida
NEO MD vs Industry: Benchmark Comparison
| Metric | Industry Avg | NEO MD Dermatology |
|---|---|---|
| Clean Claim Rate | 78–84% | 96–98% |
| Denial Rate | 18–24% | 3–6% |
| Days to Payment | 42–58 days | 21–28 days |
| Collection Rate | 92–95% | 97–99% |
| Modifier Error Rate | 22–30% | <3% |
Free Download
NEO MD vs Industry: Benchmark Comparison
Stop guessing. Start billing correctly.
Excision size measurement guide (how to measure correctly)
Modifier 25, 59, 51 usage rules for derm
Multiple lesion destruction coding map
Benign vs malignant code selection flowchart
Mohs surgery stage documentation checklist
Common bundling errors and how to avoid them
Used by 250+ dermatology practices. Worth $1,400. Yours free.
Our Process: Revenue Acceleration in 90 Days
We conduct a comprehensive review of excision and destruction coding accuracy, modifier usage patterns, medical necessity documentation gaps, denial trends by procedure type, and Mohs surgery reimbursement accuracy. You receive a detailed report that clearly identifies where revenue is leaking and outlines the exact recovery potential for each service area.
We conduct a comprehensive review of excision and destruction coding accuracy, modifier usage patterns, medical necessity documentation gaps, denial trends by procedure type, and Mohs surgery reimbursement accuracy. You receive a detailed report that clearly identifies where revenue is leaking and outlines the exact recovery potential for each service area.
Practices experience immediate improvement in claim acceptance as excision and destruction coding accuracy increases to 97%+. Previously denied claims are reworked and recovered, modifier-related errors are eliminated, and measurable cash flow improvement becomes visible within the first 30 days. On average, practices achieve a 22–27% revenue increase by day 90.
We provide weekly performance dashboards, monthly strategy calls, quarterly compliance audits, and annual coding updates with ongoing training to ensure sustained accuracy and compliance. This structured, proactive approach drives continuous optimization, resulting in revenue that continues to grow year over year.
Critical Compliance Issues We Handle
Dermatology practices face heavy scrutiny. We protect you by managing:
Medical necessity documentation
for excisions, biopsies, and destructions
Cosmetic vs medical separation
prevents audit nightmares
Modifier compliance
especially 25, 59, 51
Lesion size documentation
supports code selection
Mohs surgery stage documentation
CMS requirements
Pathology correlation
links biopsy to subsequent treatment
ABN usage
for non-covered services
Global period compliance
for surgical procedures
We keep you compliant, paid, and audit-ready.
Frequently Asked Questions
10–14 days with zero claim disruption. We coordinate everything with your current billing company.
Yes—it's one of our specialties. We understand stage documentation, repair coding, and complex closure requirements.
We separate cosmetic and medical billing completely. Cosmetic procedures are never billed to insurance, eliminating audit risk.
Yes. We handle all biologics, including Humira, Dupixent, Stelara, Skyrizi, Tremfya, and more.
No. We integrate with all major EHR systems, including Modernizing Medicine (EMA), Nextech, Kareo, and more.
6–8% of collections (industry standard), but our clients average 22–27% revenue increase, netting 14–21% more than today.
90-day performance guarantee. If we don't reduce denials and increase collections, we work for free until we do.
- Financial Attrition Warning
Stop Losing $15K–$35K Every Month
Every month you delay is another month of compounded clinical leakage.
Excisions denied for size documentation errors
Mohs surgery underpaid due to stage coding mistakes
Multiple destructions bundled when they shouldn't be
Modifier 25 denials costing you $3K–$8K monthly
Staff overwhelmed by claim rework
Partner with Neo MD
Operational Performance Protocol
Staff focuses
on patients, not insurance companies
Two Ways to Get Started
Option 1
Free Revenue Analysis
No obligation. No sales pitch. Just data.
We’ll show you:
- How much revenue are you losing to coding errors
- Which procedures are undercoded or denied
- Where your modifier mistakes are
- Exact recovery potential
Option 2
Talk to a Specialist
15-minute consultation. Zero pressure.
We’ll discuss:
- Your current billing challenges
- Specific pain points (excisions, Mohs, modifiers, denials)
- How we've helped similar practices
- Whether Neo MD is the right fit
Or call us directly:
- (929) 502-3636
Monday-Friday, 8 am-5 pm EST
The Cost of Waiting
If you’re collecting $1.8M annually and losing 20% to billing inefficiencies…
$360,0000
Annual revenue loss
$1.8 Billion
5-year total loss
$30,000
Monthly cost of delay
That’s another provider, a new location, laser equipment, or a significant practice expansion.
The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”
NEO MD Inc. | Dermatology Medical Billing Specialists
No obligation. No sales pitch. Just data.
Trusted by 140+ dermatology practices across all 50 states