Medical Billing Companies & Consultants in Mineola, NY

Dermatology Billing Solutions, Inc., often called DermBSI, is a firm based in Mineola, New York. It handles outsourced revenue cycle work only for medical specialties related to skin care. Its clients include general dermatology offices, Mohs surgeons, plastic surgeons and dermatopathology groups. The company presents itself as an off-site extension of a practice's own billing department. Physicians can hand off claims, collections and payer follow-up without hiring more in-house staff or giving up office space.

Background and team

Two people with long careers in the specialty own the business. One spent many years managing a dermatology office, and the other is an experienced dermatology biller. Together they have more than three decades of experience in the field. All staff work in the United States, and employees have stayed with the company for about five years on average. Several team members hold dermatology coding certifications. Others previously worked in dermatology offices as billers, receptionists or practice administrators. DermBSI says it supports more than 100 providers and that most of this growth came from referrals by existing clients.

How the engagement works

Each client practice gets its own account manager and a follow-up team experienced with dermatopathology, plastic surgery and dermatology claims. Many of the account managers are certified coders. Insurance payments are entered into the practice's existing software every day, so ledgers stay current. The assigned biller sends clients daily financial reports, a monthly review and custom statements. Clients also meet their billing manager every quarter to work through any concerns. DermBSI takes over patient billing statements and answers patient billing calls, which removes that work from the front office.

Services

The service menu covers the full billing cycle plus several advisory functions:

• Electronic claim submission, with accuracy checks and confirmation that payers received each claim
• Daily posting of insurance payments
• Review of unpaid claims and explanation-of-benefits documents, with corrections, resubmissions and denial appeals
• Ongoing accounts receivable management and recovery of aged receivables
• Fee schedule evaluation and analysis of payer mix and insurance participation
• Credentialing for newly added clinicians and re-credentialing for current ones
• Patient statements and handling of patient billing calls
• Financial reporting and practice consulting
• Front office training on eligibility checks, prior approvals, referrals, plan participation and modifier usage

What sets it apart

DermBSI's main difference is its narrow focus. Instead of serving many fields, it concentrates on dermatology and a few closely related disciplines. The company states that 97 percent of the claims it submits are paid on the first attempt. It also says electronically filed claims usually settle in about two weeks, compared with the 60 to 90 days it cites as typical. According to the firm, new clients tend to see collections rise within the first few months, along with fewer denials and shorter A/R cycles. Its staff training is tailored to the specific billing problems the team finds at each practice, which ties front-office habits directly to claim outcomes.