Claim Denials and Appeal Procedures
medical billing
by Carrie Dunham-Leach on
Recently, it was brought to my attention that some in the medical billing field refer to denials as either a hard or soft denial. I stubbornly insisted that denials are denials and need to be worked. Upon researching, soft denials are those that can still be fought or appealed while a hard denial is the end of the line, there is nowhere to go, and the claim will not be paid. How to Avoid Claim De …
Employment Contract Negotiations & Private Partnerships in Dermatology – What You Should Know
contract negotiations
by Bobbak (Bobby) Mansouri, MD, FAAD on
If you are navigating the confusing landscape of contract negotiations or considering partnership in a private practice after years of employment, then take note! Ron Lebow, Senior Counsel in the Health Law practice group at Greenspoon Marder LLP, led a fantastic workshop at the 2019 ODAC conference. He covered common concerns when negotiating employment agreements with dermatology practices, as w …
National Drug Codes -NDC’s
National Drug Code’s
by Carrie Dunham-Leach on
As if getting paid for your services wasn’t hard enough, how does a provider receive reimbursement for the drugs administered in the office? NDC’s are the National Drug Code’s given by the FDA to identify each drug manufactured for humans. Any drug that is considered an over the counter drug, or OTC, is given this code that is broken down into 3 numerical groupings. The first, being the …
Medical Billing & Coding Training in Residency – JDD Podcast Highlights
Billing and Coding Podcast
by Angelo Landriscina, MD on
Each month, the JDD Podcast features an in-depth interview with one of the investigators from the current issue. July’s podcast, hosted by Dr. Adam Friedman, features Dr. Beth McLellan, an assistant professor of Dermatology from the Albert Einstein College of Medicine and an expert in supportive oncodermatology – the treatment and prevention of cutaneous side effects associated with oncologic …
Staying Up-To-Date with Dermatology Billing and Coding
Billing and Coding
by Harold R Gibson on
Dermatology practices often deal with denials and even audits because the complexities of billing and coding lend themselves to a lot of billing and coding errors. Billing and coding for dermatology requires detailed reporting, detailed information on procedures completed and following multiple procedure rules. Throughout the past several years, multiple changes have been made to dermatology codes …