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D48.5 or D49.2? The one question that decides it

D48.5 pays now and bites later. The three-question test that decides the claim.

Jul 13, 2026

What 156 Derm Owners Just Told Us About 2026

Strategy

What 156 Derm Owners Just Told Us About 2026

Our 2026 survey of 156 practice owners, and the several pressures arriving at once.

Your Most Valuable Hour Isn't in the Exam Room

Strategy

Your Most Valuable Hour Isn't in the Exam Room

Owners sweat the $250 calls while the $180,000 ones run on autopilot.

CMS Made Video Supervision Permanent. Your Excisions Still Need You On-Site.

Compliance

CMS Made Video Supervision Permanent. Your Excisions Still Need You On-Site.

The 2026 rule everyone celebrated carves out the procedures dermatology bills.


The derm AI scribe market map: 6 vendors, $0 to $750 a month

Operations

The derm AI scribe market map: 6 vendors, $0 to $750 a month

Six vendors from $0 to $750 a month, sorted by the only question that matters.

The 3 documents BCBS wants before it pays your midlevels

Compliance

The 3 documents BCBS wants before it pays your midlevels

A "missing modifier" denial on your NP and PA claims is really a credentialing gap.

The Defect That's Denying Your Flap Claims

Compliance

The Defect That's Denying Your Flap Claims

The phrase every payer wants is easy. The secondary defect is what gets missed.

People don't quit practices. They quit burnout.

People don't quit practices. They quit burnout.

Front-office turnover runs 40% a year, and the collections damage shows up last.

The derm AI scribe market map: 6 vendors, $0 to $750 a month

The derm AI scribe market map: 6 vendors, $0 to $750 a month

Six vendors from $0 to $750 a month, sorted by the only question that matters.

The 3 documents BCBS wants before it pays your midlevels

The 3 documents BCBS wants before it pays your midlevels

A "missing modifier" denial on your NP and PA claims is really a credentialing gap.

The Defect That's Denying Your Flap Claims

The Defect That's Denying Your Flap Claims

The phrase every payer wants is easy. The secondary defect is what gets missed.

People don't quit practices. They quit burnout.

People don't quit practices. They quit burnout.

Front-office turnover runs 40% a year, and the collections damage shows up last.

Prior auth reform is real. Just not for derm.

Prior auth reform is real. Just not for derm.

Negative A/R Is the Liability Nobody Tracks

Negative A/R Is the Liability Nobody Tracks

Three bills, one biopsy

Three bills, one biopsy

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

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