Dermatology Revenue Cycle Management Services
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ls it challenging to keep up with aging AR?
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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
- 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.
- 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.
- 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.
- 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.
- 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:|
|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||Description||CPT CODES||Description||CPT CODES||Description|
|11100||Biopsy of the skin, subcutaneous tissue and/or mucous membrane (including simple closure); single lesion||15278||Application 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-Q4111||Skin substitute, per square centimeter|
|11101||Biopsy of the skin, subcutaneous tissue and/or mucous mem- brane, each separate/additional biopsy||15780–15782||Dermabrasion; total face; segmental, face; regional, other than face||Q4112-Q4113||Allograft, injectable, per 1cc|
|11200||Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions||15783||Dermabrasion; superficial, any site (e.g., tattoo removal)||Q4121||TheraSkin, per sq cm|
|11201||Removal of skin tags, each additional 10 lesions (CPT 11201 must be billed in conjunction with CPT code 11200)||15786–15787||Abrasion||15274||Application 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 – 11922||Tattooing, intradermal introduction of insoluble opaque pig- ments to correct color defects, including micropigmentation||15788–15793||Chemical peel||15275||Application 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;||17360||Chemical exfoliation for acne||15276||Application 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;||96567–96571||Photodynamic therapy by external application of light to destroy pre-malignant and/or malignant lesions of the skin and mucosa by activation of photosensitive drugs||15277||Application 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
|13100–13153||Layer closure;||96900||Actinotherapy; ultraviolet light||15272||Application 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—complex||96910, 96912, 96913||Photochemotherapy||15273||Application 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|
|15002||Surgical 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 children||96920–96922||Laser treatment for inflammatory skin diseases||A4649, A4550||Miscellaneous supplies (including surgical supplies) and surgical trays|
|15003||Surgical 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)||99070||Materials charge||15271||Application 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-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|
- 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
- Kaufmann, Mark. “Turning the Tables on Physician Burnout.” Practical Dermatology, September 2019. https://practicaldermatology.com/articles/2019-sept/turning-the-tables-on-physician-burnout
- Adams, Mark. “Ultimate Guide to Dermatology EMR Software.” EMR Finder, 20 August 2021. https://www.emrfinder.com/guide/dermatology-emr-software/