Dynamic's dermatology billing services are built for the way a skin practice actually bills: biopsies and excisions in the same visit, Mohs surgery with staged coding, pathology charges that must match the procedure, and biologics that need prior authorization before the first dose. We code precisely, submit daily and chase every dollar, so you can focus on patients.
Accurate biopsy and excision coding, modifier 25 and 59 checks on same-day procedures, pathology charge reconciliation, and dedicated prior-authorization tracking for biologics.
Dermatology claims look routine, and that is the trap. One visit can mix a biopsy, a destruction, an excision and an intralesional injection — each with its own coding, bundling and documentation rules, across Medicare, Medicaid and a dozen commercial payers. Small errors repeat hundreds of times a month; a team that bills dermatology all day catches them first. If you are weighing whether to keep billing in-house, our page on medical billing services for small practices walks through the comparison.
From eligibility checks for a full clinic day through payment posting, we manage every stage so nothing stalls. Claims are scrubbed before they leave and every open item is tracked until resolved.
We don't just resubmit a denied claim and move on. Every denial is logged by payer and CPT code and fixed at its upstream cause, so the same rejection — a bundled biopsy, a missing modifier 59 — stops repeating.
Aged receivables are worked systematically by payer class and aging bucket, including the low-dollar procedure claims in-house teams rarely chase. Practices with an inherited backlog usually see meaningful recovery inside the first 60 days.
Routine audits catch coding errors, missed pathology charges, and compliance gaps before a payer does. You get documented findings and a clear fix plan.
Provider enrollment and payer credentialing for physicians and APPs, handled start to finish, with regular status updates so your team isn't left chasing insurers.
Dermatology has its own coding rules — biopsy and destruction on the same lesion, Mohs stages, cosmetic versus medically necessary — and we staff billers who know them cold.
We're built the way a dermatology practice needs a billing partner to work: claims go out clean and daily, every denial is traced to its root cause, and aged accounts are worked on a set schedule. Wondering where dermatology claims usually go wrong? Read our guide to medical billing for dermatology.
Designed to raise accuracy, speed, and compliance without disrupting your front desk or providers.
We review your claim setup, denial patterns and AR aging, then show you where revenue is lost — before you sign anything, starting with a free medical billing audit.
We connect to your existing EHR and practice management system and map your payer contracts. No platform migration, no disruption to your team's workflow.
Claims go out daily with multi-level scrubbing and real-time payer validation, so errors get caught at submission instead of after a denial.
Denied claims are tracked by root cause, AR is worked by aging bucket, and monthly reviews flag problems early.
Most billing issues practices call us about follow the same handful of patterns.
| Billing Challenge | Impact | How Dynamic Addresses It |
|---|---|---|
| Biopsy and destruction billed on the same lesion | One service gets bundled away or both are denied | Lesion-level coding checks and modifier 59 applied only where documentation supports it |
| Mohs surgery staged incorrectly | Missing stages or wrong units cut payment on high-value claims | Stage-by-stage Mohs coding (17311/17313) with pathology and repair charges reconciled |
| Cosmetic vs medically necessary denials | Payers reclassify procedures as cosmetic and deny the claim | Medical-necessity documentation checks and diagnosis pairing before submission |
| Pathology charges never matched | The procedure is paid but the pathology reading is lost | Charge-capture review reconciling procedure codes (11102/11104) with pathology billing |
| Biologics started without prior auth | A single dose can cost thousands — and the claim is denied | Prior-authorization tracking for biologics, with auth numbers attached to every claim |
| Excision sizes and margins miscoded | Under-coded excisions (11400–11446) leave revenue behind | Margin-inclusive measurement checks so excision size is coded to the full documented lesion |
A few of the dermatology practices that switched to Dynamic for their billing.
"Our Mohs claims finally pay what they should. Dynamic caught staging errors our old biller had repeated for years and fixed them at the source."
"Biologics used to mean denials and phone calls for weeks. Now authorizations are tracked before the first dose, and claims go out clean."
"Balances we had written off as not worth chasing came back. With our procedure volume, that follow-up is the difference between a tight month and a good one."
Answers to what dermatologists usually ask before switching billing partners.