Dermatology


Dermatology Revenue Cycle Management Services

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Tomorrow’s Dermatology Practice Software TODAY

What is Dermatology Software?

All dermatology software electronically stores patient medical information, but today’s advanced software takes into account the unique needs of dermatologists so they can spend more time with patients. Still, it’s important to keep in mind that no matter how modern or feature-filled an electronic medical record (EMR) is, unless it easily integrates with all other software used in the dermatology practice—everything from appointment scheduling to billing software—it’s not a good choice.

Tomorrow’s Software Today

Dermatology patients expect fast, simple, multi-channel communication with all their providers, and many want the option of a virtual visit when appropriate.

To fulfill their expectations, dermatology practices need to provide secure text and chat for appointment making, automated appointment reminders, electronic registration, mobile check-in, telehealth connected to the practice’s EMR, and automated e-billing and statements.

Of course, if providers don’t believe the software benefits them and improves the patient experience, its enhanced features matter very little. In a 2020 survey conducted by the National Society for Cuaneous Medicine, the majority of dermatologists expressed a negative about their EMR. They said EMRs decrease face-to-face time with patients and negatively impact their clinical efficiency.

5 Ways a Modern EMR Benefits Dermatologists

  1. Simplify coding. EMRs that are difficult to learn, counterintuitive to use, and require multiple steps for simple tasks quickly lead to physician burnout. With dermatologists performing multiple procedures each day, coding and billing for this specialty are some of the most complex in healthcare. Dermatology practices need software that improves efficiency by quickly leading providers through the process to enter, for example, a biopsy type or surgical preparation category.
  2. Facilitate lab work. Dermatologists rely heavily on lab and image tests to determine pathology and diagnose skin conditions. EHRs with a strong focus on lab integration automate that process, reducing physician time spent on administration and accelerating test-result delivery.
  3. Streamline image recording. Creating and recording images is critical to dermatologists, as is follow-up and post-op image comparison. EMRs tailored to dermatologists include advanced image recording recording features and help simplify image comparison.
  4. Improve practice management. Features like note-taking templates, digital graphing, simplified charting, and patient-progress dashboards all help dermatologsts create customized workflows that help them spend more time with patients and less on administrative tasks.
  5. Improve revenue cycle management (RCM). You may think you need more staff or expertise to solve your A/R issues—the truth is today’s technology can identify and fix lost revene from patient balances and unpaid claims; benchmark your reimbursement rates; and help you understand how to increase patient satisfaction, increase revenue on appointments, and reduce no-shows.

What Is the Biggest Mistake Dermatologists Make When Choosing Practice Management Software?

No matter how feature-rich a system is, unless it fully integrates with all other office software used in your dermatology clinic, it will not be able to give you the granular data you need for RCM. Put simply, the dermatology software you select should you’re your providers:

  • Provide in-office and remote patient care
  • Quickly create superbills
  • Easily track revenue to avoid leaks
  • Create customized notetaking templates
  • Create dashboards to track patient progress
  • Easily gather data from a variety of imaging devices

Lastly, the EMR should be able to quickly integrate with all of your patient-facing systems, including patient portals and personal electronic medical records.

ICD-10 Dermatology Superbill Example

Appointment Date & Time:Last Seen Date:
Patient:Gender:DOB:MR#Pat Due:INS Due:
Address:Reason:
Home Phone:Cell Phone:E-Mail:
Case Name:Case No:Case Type:Case Date:
Pr Insurance:Member ID:Co-Pay Amount:Deductible:
Rendering Provider:PCP:Referring Provider:
CPT CODES
CPT CODESDescriptionCPT CODESDescriptionCPT CODESDescription
11100Biopsy of the skin, subcutaneous tissue and/or mucous membrane (including simple closure); single lesion15278Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary pro- cedure)Q4101-Q4111Skin substitute, per square centimeter
11101Biopsy of the skin, subcutaneous tissue and/or mucous mem- brane, each separate/additional biopsy15780–15782Dermabrasion; total face; segmental, face; regional, other than faceQ4112-Q4113Allograft, injectable, per 1cc
11200Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions15783Dermabrasion; superficial, any site (e.g., tattoo removal)Q4121TheraSkin, per sq cm
11201Removal of skin tags, each additional 10 lesions (CPT 11201 must be billed in conjunction with CPT code 11200)15786–15787Abrasion15274Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
11920 – 11922Tattooing, intradermal introduction of insoluble opaque pig- ments to correct color defects, including micropigmentation15788–15793Chemical peel15275Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
12001–12018;Repair—simple;17360Chemical exfoliation for acne15276Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addi- tion to code for primary procedure)
12031–12057;Repair—intermediate;96567–96571Photodynamic therapy by external application of light to destroy pre-malignant and/or malignant lesions of the skin and mucosa by activation of photosensitive drugs15277Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple dig-
its, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
13100–13153Layer closure;96900Actinotherapy; ultraviolet light15272Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)
 Repair—complex96910, 96912, 96913Photochemotherapy15273Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
15002Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tis- sues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children96920–96922Laser treatment for inflammatory skin diseasesA4649, A4550Miscellaneous supplies (including surgical supplies) and surgical trays
15003Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tis- sues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)99070Materials charge15271Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
ICD CODES
ICD-10 CODES Description ICD-10 CODES Description ICD-10 CODES Description
L02 Abscess, furuncle and carbuncle C4A Merkel cell carcinoma L21.9 Seborrheic dermatitis, unspecified, Seborrhea NOS
L70 Acne(for all acne codes) Excludes2: acne keloid (L73.0) D22 Melanocytic nevi I83.10 Stasis dermatitis Varicose veins of unspecified lower extremity with inflammation
L70.0 Acne vulgaris D23 Neoplasms of skin  I83.11 Stasis dermatitis Varicose veins of right lower extremity with inflammation
L57.0 Actinic keratosis, Keratosis NOS, Senile keratosis, Solar keratosis L71.0 Perioral Dermatitis  I83.12 Stasis dermatitis Varicose veins of left lower extremity with inflammation
L63 Alopecia areata, androgenic, scarring, non-scarring L80-L81 Pigmentation Disorders, lentigo vitiligo L85.3 Xerotic dermatitis, Asteatotic dermatitis, Dry skin dermatitis
 C44 Basal Cell Carcinoma L72.11 Pilar cyst any site B35-B36 Dermatophytosis, tinea, and tinea versicolor
L12.0 Bullous pemphigoid L30.5 Pityriasis alba L50.3 Dermographia, dermographism
B37 Candidiasis of Skin, Nail, Candidal onychia, Candidal paronychia, Lips, Vulva L42 Pityriasis rosea (a billable code) Z12.83 Encounter for screening for malignant neoplasm of skin
L20-L30 Dermatitis L29 Pruritus L72.0 Epidermal cyst, sebaceous cyst (any location)
L20.81 Atopic neurodermatitis, Diffuse neurodermatitis L40 Psoriasis L92.0 Granuloma annulare, Perforating granuloma annulare
 L20.84 Intrinsic (allergic)  L98.0 Pyogenic granuloma B00.1 Herpes simplex face, face, lip, ear
L20.89  Other atopic dermatitis L71.8 Rosacea B00.89 Other herpesviral infection, Herpesviral whitlow (finger), (trunk, limbs)
K13.0 Cheilitis, Angular Cheilitis, Cheilitis NOS L71.9 , Rosacea,Unspecified B00.9 Herpesviral infection, unspecified, Herpes simplex infection NOS
L30.8 Dermatitis, Other specified acute or chronic L91.8 Skin Tag Other hypertrophic disorders of the skin A60 Herpes simplex infections, Anogenital herpesviral
L30.9 Dermatitis, unspecified, Eczema NOS acute or chronic L91.9 Skin Tag Hypertrophic disorder of the skin, unspecified B02.9 Zoster without complications, Zoster NOS (not for the eye)
 L30.1 Dyshidrosis [pompholyx] L82.0 Seborrheic keratosis Inflamed B02.29 Other postherpetic nervous system involvement, radiculopathy, neuralgia
L98.1 Factitial dermatitis, Neurotic excoriation L82.1 Seborrheic keratosis Other, Seborrheic keratosis L01.0 Impetigo, Impetigo contagiosa, Impetigo vulgaris
 L30.4 Intertrigo D04 Sq. Cell Ca. in situ (Bowen’s Disease)  penis, vulva L60.0 Ingrowing nail (Any location)
L28.0 Lichen simplex chronicus, Circumscribed neurodermatitis C44 Squamous Cell Carcinoma  L91.0 Keloid, Hypertrophic scar, Keloid, Keloid scar
L28.1 Prurigo nodularis B36.0 Tinea versicolor L43 Lichen planus
L21.0 Seborrhea capitis, Cradle cap B07.8 Wart Viral Other, common wart, Flat wart, verruca plana L43.3 Subacute (active) Lichen planus
L21.1 Seborrheic infantile dermatitis B07.0 Wart Plantar D03 Melanoma in situ
L21.8 Seborrheic dermatitis, Other L85.3 Xerosis cutis, Dry skin dermatitis C43 Malignant melanoma of skin
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Sources:

  1. Katamanin, Olivia and Alex Glazer. “Dermatologists’ Perceptions and Use of Electronic Health Record Systems.” Skin, The Journal of Cutaneous Medicine, September 2020. https://jofskin.org/index.php/skin/article/view/905/pdf
  2. Kaufmann, Mark. “Turning the Tables on Physician Burnout.” Practical Dermatology, September 2019. https://practicaldermatology.com/articles/2019-sept/turning-the-tables-on-physician-burnout
  3. Adams, Mark. “Ultimate Guide to Dermatology EMR Software.” EMR Finder, 20 August 2021. https://www.emrfinder.com/guide/dermatology-emr-software/

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