We code excisions, destructions, biopsies, and repairs with correct CPT selection, laterality, and size-based logic. Modifier 25 on same-day procedures, modifier 59 on distinct services, KX, and 76/77 repeats get applied by payer rule, not guesswork.
Mohs is one of the highest-revenue, highest-error areas in derm. We code each stage, tissue block, special stain, and reconstruction in the right sequence. On pathology, we split technical and professional components and apply the 88xxx series correctly.
A medical service miscoded as cosmetic loses revenue. A cosmetic service billed to insurance gets rejected. We review every encounter, check medical-necessity documentation against the diagnosis, and route cosmetic work to self-pay, so claims and statements come out clean.
Before submission, every claim runs through our derm-specific scrub engine, not just generic CCI edits. We track denial patterns by payer, code, and region across our book. When a payer starts rejecting a modifier pairing, that becomes a scrub rule for everyone on that payer.
We code excisions, destructions, biopsies, and repairs with correct CPT selection, laterality, and size-based logic. Modifier 25 on same-day procedures, modifier 59 on distinct services, KX, and 76/77 repeats get applied by payer rule, not guesswork.
A medical service miscoded as cosmetic loses revenue. A cosmetic service billed to insurance gets rejected. We review every encounter, check medical-necessity documentation against the diagnosis, and route cosmetic work to self-pay, so claims and statements come out clean.
Mohs is one of the highest-revenue, highest-error areas in derm. We code each stage, tissue block, special stain, and reconstruction in the right sequence. On pathology, we split technical and professional components and apply the 88xxx series correctly.
Before submission, every claim runs through our derm-specific scrub engine, not just generic CCI edits. We track denial patterns by payer, code, and region across our book. When a payer starts rejecting a modifier pairing, that becomes a scrub rule for everyone on that payer.
We code to current CPT, ICD-10, and CMS guidance. Scrub rules update with annual CPT changes and mid-year CMS shifts, so claims reflect the rules in effect today.
Clean coding is the first defense against an audit. We make sure documentation supports every code we submit, so when a TPE, RAC, or UPIC review lands, the claims stand up.
Every coding operation follows HIPAA-compliant data handling. Your patient data is protected at each step, from documentation review through claim submission.
When documentation does not support a code, we send a query back to the provider before submitting, not after a denial. It keeps the record accurate and your claims defensible.
So much weight has been lifted off my shoulders that I could finally open my second office... a dream now realized thanks to Clarity.
Sarah Jensen, MD
Owner, Regional Dermatology
I used to worry constantly about billing. With Clarity RCM, I never do. They’re reliable, professional, and a true partner in my practice’s success.
Robert S. Bader, M.D.
Owner, RSB Dermatology
Several dermatologists recommended Clarity, and we’ve used them for the last four years without considering another billing provider.
Patrick Keehan, DO
Owner, Keehan Dermatology
We'll review your last 90 days of billing data and show you exactly whereyou're leaving revenue behind. Takes 30 minutes. No strings attached.
Yes. Our coding team holds certifications in dermatology medical coding, and they code derm claims exclusively, not on a rotation across specialties. Their daily work spans the full range of derm encounters: E/M visits, surgical procedures, Mohs surgery, pathology, destructions, and cosmetic services. That focus is why our first-pass clean claim rate sits at 98%+ while the industry runs near 85%.
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