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Prior auth reform is real. Just not for derm.

Every PA reform pledge in 2025-2026 carved drugs out. Right where derm lives.

May 18, 2026

Negative A/R Is the Liability Nobody Tracks

Negative A/R Is the Liability Nobody Tracks

Is your credit balance report now exposure?

Three bills, one biopsy

Three bills, one biopsy

How derm pathology quietly leaks revenue you've already earned.

From Level 3 to Level 4: A Complete Dermatology E/M Documentation Guide

From Level 3 to Level 4: A Complete Dermatology E/M Documentation Guide

Same patient: one bills 99214, one bills 99213. The note decides.


The data is public: payers overturn 3 of 4 denials they write

The data is public: payers overturn 3 of 4 denials they write

Kaiser's first public PA filing shows 74.52% of appealed denials get reversed.

Medicare Advantage rates went up. Your reimbursement didn't.

Medicare Advantage rates went up. Your reimbursement didn't.

CMS gave Medicare Advantage plans another $13B. The physician fee just keeps shrinking.

Patients Can't Pay in Full. Now What?

Patients Can't Pay in Full. Now What?

The gap between "pay now" and "set up a plan" is the difference between 7% and 77% collection rates.

Advocacy Is Clinical Care Now

Advocacy Is Clinical Care Now

The conversion factor is $36.69 in 1998 dollars. It's $33.40 today. AAD just told dermatologists what to do about it.

The data is public: payers overturn 3 of 4 denials they write

The data is public: payers overturn 3 of 4 denials they write

Kaiser's first public PA filing shows 74.52% of appealed denials get reversed.

Medicare Advantage rates went up. Your reimbursement didn't.

Medicare Advantage rates went up. Your reimbursement didn't.

CMS gave Medicare Advantage plans another $13B. The physician fee just keeps shrinking.

Patients Can't Pay in Full. Now What?

Patients Can't Pay in Full. Now What?

The gap between "pay now" and "set up a plan" is the difference between 7% and 77% collection rates.

Advocacy Is Clinical Care Now

Advocacy Is Clinical Care Now

The conversion factor is $36.69 in 1998 dollars. It's $33.40 today. AAD just told dermatologists what to do about it.

One Bad Review Costs More Than Your Best Ad

One Bad Review Costs More Than Your Best Ad

PE Is Rerouting Your Referrals

PE Is Rerouting Your Referrals

5 MACs Just Rewrote SRT Coverage

5 MACs Just Rewrote SRT Coverage

The Hallway at ADAM Said More Than the Stage

The Hallway at ADAM Said More Than the Stage

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