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

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

Priority: Critical
Audit Code: PED-901

Well-Child Visit Claims Denied

Preventive vs sick visit coding confusion

Priority: Critical
Audit Code: PED-902

Immunization Claims Rejected

Missing VFC documentation or wrong CPT codes

Priority: High
Audit Code: PED-903

Developmental Screening Claims Denied

Missing standardized tool documentation

Priority: High
Audit Code: PED-904

Asthma Treatment Claims Delayed

Nebulizer and medication code bundling errors

Priority: Critical
Audit Code: PUL-905

Same-Day Sick and Well Visit Claims Bundled

When modifier 25 should've been applied

Priority: Medium
Audit Code: PED-906

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

20% underpayment

Missing counseling component

Vaccine Administration Codes

$8K-$20K/month

Not billing 96110/96127 separately

Developmental Screening

High-dollar loss

Missing modifier 25 documentation

Same-Day Sick and Well

18% denial rate

Not capturing visits over 40 minutes

Prolonged Service Time

Critical miss

Not using 99490 for chronic conditions

Care Coordination Billing

Systematic loss

Incorrect state-supplied vaccine coding

VFC Vaccine Documentation

Compliance risk

Missing 96127 screening opportunities

Behavioral Health Integration

Untapped revenue
"You didn't train for years to fight with insurance companies. But right now, coding errors cost more than a pediatrician's salary."
Cumulative Revenue Variance
$260,000+
Per Annum Potential

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 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

Surgical Procedures

Destruction Procedures

Cosmetic Procedures

Medical Management

Real Results

4-Provider Dermatology Practice

Florida Case Study

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
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

Step 1 (Week 1)
Free 90-Day Revenue Diagnostic

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.

Step 2 (Weeks 2-3)
Seamless Transition

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.

Step 3 (Days 30-90)
Revenue Acceleration

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.

Step 4 (Ongoing)
Continuous Optimization

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.

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

Clean Claims Rate
96–98%
Denials Below 5%
60 Days
Revenue increases 22–27%
90 Days
Get paid Fastere
30 Days

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:

Option 2

Talk to a Specialist

15-minute consultation. Zero pressure.

We’ll discuss:

Or call us directly:

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