Mohs cases are complex. Your billing should not be losing money on them.
Mohs stage counts that do not match the op note, filler waste that no one is tracking, and the blurry line between cosmetic and medical billing. A free 15-minute conversation will show you where your own numbers sit.
15 minutes. Custom financial scorecard for your practice.
At a glance
Is This Right for You?
This is for dermatology practice owners who:
Want ongoing financial oversight? Our Fractional CFO service for dermatology practices may be a better fit.
What We Analyze
Where Dermatology Practices Lose Revenue
We trace every dollar from claim submission to bank deposit in your dermatology practice.
Surgical & Procedural Coding
- •Mohs surgery coding accuracy (stages, blocks, repairs)
- •Biopsy coding and pathology charge capture
- •Destruction code selection and documentation review
- •E/M coding with procedure modifier accuracy
Cosmetic vs Medical Billing Separation
- •Medical necessity documentation for crossover procedures
- •Cosmetic consultation conversion tracking
- •Proper billing for medically necessary cosmetic procedures
Payer Performance Analysis
- •Reimbursement rates by payer and procedure
- •Denial trends for high-complexity procedures
- •Prior authorization compliance for biologics and specialty drugs
Self-Pay & Cosmetic Collections
- •Point-of-service collection rates for cosmetic procedures
- •Payment plan effectiveness for large cosmetic cases
- •Aged cosmetic receivables recovery
Results
What Dermatology Practices Recover
| Finding | Typical Outcome |
|---|---|
| Cosmetic margin improvement | $183,000 annually from cosmetic margin analysis, pricing corrections, and filler waste reduction |
| Mohs revenue recovered | $89,000 from coding corrections |
| Mid-level restructuring | Both providers profitable within 4 months through schedule optimization |
Case Study
Real results from a practice like yours
3-physician dermatology practice with cosmetic suite, single location. The practice was generating $4.2M in total revenue but the owner could not explain why net income had been flat for three years while revenue grew 18%.
What we found:
- •Cosmetic services were generating 35% of revenue but only 19% of profit due to untracked filler waste averaging 12% per vial and underpriced laser treatments
- •Mohs cases were being under-coded. 23% of multi-stage cases billed as single-stage, leaving an estimated $89K per year on the table
- •Two mid-level providers were generating $280K each in revenue but costing $310K each when supervision time, benefits, and overhead were properly allocated
- •The membership program had 340 members but a 72% utilization rate meant the practice was giving away $61K in unused services annually
The results
$183,000 annually from cosmetic margin analysis, pricing corrections, and filler waste reduction
Cosmetic margin improvement
$89,000 from coding corrections
Mohs revenue recovered
Both providers profitable within 4 months through schedule optimization
Mid-level restructuring
“We were growing revenue and shrinking profit. Sorso showed us exactly where the margin was leaking — it was the cosmetic side, which we assumed was our cash cow.”
— Practice Owner, Southwest
Common Questions About Revenue Cycle Analysis for Dermatology Practices
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