Should You Outsource Dermatology Billing? Pros and Cons

Dermatology billing is complex, time-consuming, and increasingly difficult to manage in-house. As billing requirements become more specialized, many practices are weighing whether to outsource to a dermatology billing company. This article explores the pros and cons of each approach to help providers make a more informed decision that supports both short- and long-term success. * […]

Why Specialized Dermatology Billing Services Lead to Better Reimbursements

Accurate billing is essential to the financial health of dermatology practices, but general billing services often fall short. This article explores how specialized dermatology billing support leads to fewer denials, faster reimbursement, and stronger revenue performance by addressing the unique coding and compliance challenges of the specialty. * * * In dermatology, accurate and efficient […]

10 Tips for Complying With Laboratory Services Documentation Requirements

The Centers for Medicare & Medicaid Services (CMS) reported that the majority of improper payments for laboratory services identified by the Comprehensive Error Rate Testing (CERT) Program were attributable to insufficient documentation. Insufficient documentation means that something was missing from the medical records (e.g., signed physician order, documentation to support intent to order, documentation to […]

Insufficient Documentation Triggering Improper Payments for Laparoscopic Hernia Repair

Insufficient documentation has long been understood as a cause of many improper payments for laparoscopic hernia repairs. This was validated a while back when a Comprehensive Error Rate Testing (CERT) contractor conducted a special study of medical billing claims for laparoscopic hernia repairs. When CERT reviews a claim, all lines submitted on the claim undergo […]

Medicare Provides Guidance on Billing for Implantable Automatic Defibrillators

At one time, Centers for Medicare & Medicaid Services (CMS) found that approximately 85% of improper payments relating to the billing of implantable automatic defibrillators were due to insufficient documentation. The figure was determined through a Comprehensive Error Rate Testing (CERT) program’s special study of Healthcare Common Procedure Coding System (HCPCS) code 33249 (Insertion or […]