Medical Billing · Nationwide
A mix of medical and cosmetic work where lesion counts, destruction codes, and Mohs staging make accurate coding decisive.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to dermatology practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical dermatology CPT range we work: 17000–17999, 11000–11646, 99202–99215.
Lesion destruction and excision codes depend on size and count that documentation must support
Cosmetic vs. medically necessary determinations drive non-covered (CARC 96) denials
Mohs surgery staging and pathology coding is intricate and audit-prone
Modifier 25 and 59 usage on same-day biopsy plus E/M is heavily scrutinized
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Use these any time — no login required.
How do you code lesion destruction and excisions accurately?
We code to the documented size, count, and method, and confirm the diagnosis supports medical necessity so destruction and excision claims are not downcoded or denied.
How do you handle cosmetic vs. medical determinations?
We flag likely cosmetic services for a benefit check and ABN up front, so genuinely non-covered work is handled correctly instead of denied after the fact.