{"id":29,"date":"2012-10-22T22:12:09","date_gmt":"2012-10-22T22:12:09","guid":{"rendered":"http:\/\/test.cbspecialist.com\/?page_id=29"},"modified":"2018-07-19T21:50:03","modified_gmt":"2018-07-19T21:50:03","slug":"dermatology-billing","status":"publish","type":"page","link":"https:\/\/compliancebillingspecialist.com\/?page_id=29","title":{"rendered":"Dermatology Billing"},"content":{"rendered":"

Medical Billing for Dermatology professionals<\/strong><\/em> is vastly complex and requires a highly trained staff to help ensure accurate and timely reimbursement.<\/p>\n

According to a survey by the Health Insurance Association of America of private insurers’ health care fraud investigations, overall health care fraud activity broke down as follows:<\/span><\/strong><\/p>\n

1. 43% – Fraudulent diagnosis (like stating the lesion is a skin cancer and billing an excision of a malignant lesion when the pathology report shows a benign lesion)<\/p>\n

2. 34% – Billing for services not rendered (this includes misrepresenting the provider of care)<\/p>\n

3. 21% – Routine waiver of patient deductibles and co-payments<\/p>\n

4. 2% – Other<\/p>\n

For Medicare, the most common forms of fraud include:<\/span><\/strong><\/p>\n

1. Billing for services not furnished as billed (this includes medical record documentation that does not support the service(s) being billed and up-coding)<\/p>\n

2. Misrepresenting the diagnosis to justify payment (using a diagnosis that is not covered with a diagnosis that is covered)<\/p>\n

3. Soliciting, offering, or receiving a kickback (this applies most in pathology related charges)<\/p>\n

4. Misrepresenting the provider of care (such as in incident to scenarios or billing under the name of one physician for services provided by another physician who is not yet credentialed)<\/p>\n

5. Misrepresenting the place of service<\/p>\n

6. Unbundling or “exploding” charges (misuse or abuse of the modifier 59)<\/p>\n

CBS<\/strong> will manage all aspects of your dermatology practice\u2019s billing<\/em><\/strong> to help ensure you receive proper compensation for services rendered.<\/p>\n","protected":false},"excerpt":{"rendered":"

Medical Billing for Dermatology professionals is vastly complex and requires a highly trained staff to help ensure accurate and timely reimbursement. According to a survey by the Health Insurance Association of America of private insurers’ health care fraud investigations, overall health care fraud activity broke down as follows: 1. 43% – Fraudulent diagnosis (like stating […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-29","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=\/wp\/v2\/pages\/29","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=29"}],"version-history":[{"count":6,"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=\/wp\/v2\/pages\/29\/revisions"}],"predecessor-version":[{"id":405,"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=\/wp\/v2\/pages\/29\/revisions\/405"}],"wp:attachment":[{"href":"https:\/\/compliancebillingspecialist.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}