Dermatology Billing Services – Expert RCM Solutions Tailored for Skin Care Practices
Specialized Dermatology Billing, Powered by Our Proven Medical Billing Expertise
Dermatology billing isn’t just about processing claims — it’s about navigating the intricate, specialty-specific coding, payer rules, and compliance requirements unique to skin care and cosmetic procedures. MedsIT Nexus is a trusted dermatology billing company, recognized for its deep expertise in managing the full spectrum of dermatology services, from medical dermatology to surgical and aesthetic treatments. Our outsourced RCM solutions are purpose-built to help dermatology practices of all sizes achieve accurate coding, clean claims, and payer-specific compliance. With proven proficiency in multi-payer regulations, we empower your practice to boost cash flow, minimize denials, and keep your revenue cycle running smoothly.
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Billing complications slow down operational efficiency. Get rid of the hassle with our qualified billing experts and boost your revenue
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Maximize your Dermatology Practice's Revenue with Our Expert Billing Services
Streamline complex dermatology billing with our expert RCM solutions. Cut denials, ensure faster reimbursements, and stay 100% compliant. Boost your practice revenue with billing rates as low as 2.69%.
- Bill all encounters within 48 hours
- Post ERA/EOB payments within 24 hours
- Appeal denials within 72 hours
- Prevent backlog in high-volume cosmetic months
Trusted by 500+ Medical Practices
$2.1M+
Additional Revenue
97%
Client Retention
24/7
Support Available
Book your free Medical Billing Consultation
HIPAA-Compliant • No obligation • Limited slots available
HIPAA Compliant 4.9/5 Rating 24hr Response
Dermatology Billing Services Inpatient vs. Outpatient Settings
At MedsIT Nexus, we deliver unified dermatology billing solutions that untangle the complexities of DRG-based hospital claims & CPT-driven outpatient encounters. Whether your dermatologists are consulting in hospitals for complex skin conditions or providing care in outpatient clinics, our RCM specialists ensure every claim is coded accurately, optimized for compliance, & reimbursed quickly
| Attribute | Inpatient Dermatology | Outpatient Dermatology | Problem Statement + Our Solution |
|---|---|---|---|
| Claim Type | UB-04 (facility) + CMS-1500 (physician) | CMS-1500 or split (HOPD) | Dual-claim systems can create coordination challenges. MedsIT Nexus centralizes institutional and professional claims under a synchronized dermatology RCM workflow, ensuring accuracy and faster reimbursements. |
| Common Services Rendered | Severe drug reactions, autoimmune skin disorders, inpatient biopsies, surgical excisions | Office-based skin biopsies, cryotherapy, photodynamic therapy, laser treatments, cosmetic dermatology | Complex dermatology CPT/ICD coding and modifiers often trigger audit risks. Our certified coders match dermatology-specific procedures with correct codes, modifiers, and payer medical necessity rules. |
| Supervision Requirement | Shared/split with hospitalists/APPs | Direct or general supervision depending on service type | Documentation inconsistencies for shared visits delay payments. We ensure supervision & documentation meet CMS and commercial payer standards every time. |
| Reimbursement Model | DRG + Fee-for-Service | Fee-for-Service / Capitation / Value-based | Reimbursement models vary drastically across settings. We optimize billing based on each payer’s contract — whether DRG, FFS, or value-based arrangements. |
| Medical Necessity Documentation | Critical for DRG payment and inpatient audits | Required for outpatient procedures and diagnostics | Missing or insufficient justification can trigger audits. We align clinical notes with billing to meet payer medical necessity requirements and strengthen appeal defensibility. |
| Pre-authorization Requirement | Rare for urgent inpatient consults | Common for high-cost cosmetic or laser procedures | Denials from missing pre-auth waste revenue. We manage prior authorization workflows proactively for outpatient dermatology services. |
| Coding Complexity | High — linking DRG, CPT, and ICD codes | Moderate to High bundling rules, modifiers, specificity | Dermatology coding errors lead to delayed or denied claims. Our AAPC-certified coders specialize in dermatology coding to ensure precise CPT/ICD mapping and payer compliance. |
Your Dermatology billing partner across Inpatient & Outpatient Continuums
Whether your dermatologists are managing complex skin conditions in a hospital ward or performing high-demand cosmetic treatments in a private clinic, MedsIT Nexus ensures every claim is coded accurately, supported by medical necessity, and submitted without delays. Our end-to-end RCM solutions combine specialty-driven coding expertise, payer-specific compliance, and proactive denial prevention to keep your revenue cycle healthy and predictable.
Schedule your free dermatology billing consultation
Dermatology RCM Billing Services
From same-day skin biopsies to staged Mohs surgeries, dermatology billing is a unique blend of procedural coding complexity, cosmetic vs. medical coverage rules, and payer-specific documentation demands. At MedsIT Nexus, we don’t just understand these nuances — we’ve built a 6-Step Dermatology RCM Framework to master them. Our team handles high-volume visits, multi-lesion procedures, and treatments requiring pre-authorization, such as biologics and phototherapy. With every CPT coded accurately, every remit reconciled, and every denial addressed strategically, we keep your revenue cycle as healthy as your patients’ skin.
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Fast-track pre-approvals for Mohs, excisions, biologics, phototherapy
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Verify referrals & coverage for cosmetic vs. medically necessary services
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Prevent delays from incomplete or late authorizations
Keep Your Schedule & Cash Flow On Track
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Certified coders for biopsies, excisions, Mohs, and laser treatments
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Correct use of modifiers (-59, -51, -25) for multi-procedure visits
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Link pathology results for medical necessity
Get Every CPT Right — The First Time
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Match claims to payer rules for skin procedures & treatments
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Prevent rejections from bundling or cosmetic coverage gaps
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Reduce billing lags between diagnosis and procedures
Submit Once, Get Paid Fast
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Post partial & split payments accurately for all dermatology services
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Match payments to procedures, pathology, and E/M codes
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Identify underpayments before they impact revenue
Every Service Paid in Full — Every Time
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Target cosmetic coverage disputes & bundling denials
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Prioritize high-value appeals like Mohs & biologics
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Provide payer-ready supporting documentation
Protect Your Dermatology Revenue
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Aggressive follow-ups on unpaid or underpaid claims
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Track A/R by payer, service type, and aging bucket
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Monitor trends to fix recurring revenue leaks
Ready to See the Difference? Book Your Free Strategy Call
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![Pre-Procedure Authorization & Eligibility Check]()
Pre-Procedure Authorization & Eligibility Check
Before a single scalpel cut or laser pulse, we secure all pre-authorizations for biologics, phototherapy sessions, laser treatments, and surgical excisions. Our medical insurance verification process ensures patients are financially cleared in real-time, reducing last-minute cancellations, avoiding non-covered surprises, and keeping your dermatology schedule — and revenue — on track.
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![Accurate Dermatology Coding & Charge Capture]()
Accurate Dermatology Coding & Charge Capture
From E/M visits to multiple lesion removals in one session, our certified dermatology coders apply specialty-specific rules to capture every payable service. Leveraging our medical coding services expertise, we ensure precise CPT/ICD-10/HCPCS assignment, correct modifiers for bilateral or multiple-site work, and seamless linkage of pathology reports to meet medical necessity — maximizing revenue while maintaining compliance.
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![Clean Claim Submission & Payer Compliance]()
Clean Claim Submission & Payer Compliance
We align every claim with payer-specific edits for dermatology, ensuring first-pass acceptance. Leveraging our end-to-end medical billing services expertise, we manage cosmetic service exclusions, same-day E/M + procedure combinations, and prevent bundling errors — accelerating reimbursements and protecting revenue.
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![Split Payment Posting & Reconciliation]()
Split Payment Posting & Reconciliation
Dermatology visits often generate multiple remits — especially when procedures and pathology are billed separately. Through our dedicated A/R billing services, we reconcile each payment, ensure proper allocation, and prevent revenue leakage, so no dollar is left behind.
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![Denials Management & Appeals Strategy]()
Denials Management & Appeals Strategy
We tackle the most common dermatology denials — from cosmetic vs. medical necessity disputes to missing pathology documentation. Leveraging our specialized denial and appeal management services, we overturn rejections quickly using payer-specific appeal templates, robust documentation, and evidence-backed coding to recover lost revenue and protect your cash flow.
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![A/R Recovery & Financial Performance Monitoring]()
A/R Recovery & Financial Performance Monitoring
Unresolved balances and aging claims can silently drain your dermatology practice revenue. Through our specialized A/R billing services, we aggressively pursue overdue accounts, resolve payer delays, and implement proactive follow-up cycles. Real-time financial dashboards give you complete visibility into cash flow trends, collection rates, and outstanding liabilities — so you can act before revenue slips away.
Pre-Procedure Authorization & Eligibility Check
Accurate Dermatology Coding & Charge Capture
Clean Claim Submission & Payer Compliance
Split Payment Posting & Reconciliation
Denials Management & Appeals Strategy
A/R Recovery & Financial Performance Monitoring
Maximize Your Revenue with MedsIT Nexus Experts in Every Dermatology Sub-Specialty Billing
At MedsIT Nexus, we know that each dermatology sub-specialty comes with its own unique billing challenges—from complex surgical procedures & intricate pathology claims to cosmetic services and teledermatology regulations. Our specialized medical billing team is expertly trained to handle the nuances of medical, surgical, cosmetic, pediatric, dermatopathology, immunodermatology, and teledermatology billing with precision. Whether you're billing for elective cosmetic treatments or complex inpatient dermatologic surgeries, we ensure accurate coding, strict payer compliance, & optimized reimbursements every step of the way. Trust MedsIT Nexus to streamline your dermatology billing across all specialties so you can focus on what you do best: delivering exceptional patient care.
Medical Dermatology
Covers diagnosis and treatment of skin diseases using standard E/M codes and procedures, focusing on chronic care and medical necessity for accurate billing.
Surgical Dermatology
Includes excisions, biopsies, & Mohs surgery with precise procedural coding & documentation to support complex surgical reimbursements.
Cosmetic Dermatology
Handles elective treatments like Botox and laser therapy; requires patient-pay billing & distinct coding from medically necessary procedures.
Pediatric Dermatology
Focuses on skin conditions in children, with age-specific coding and payer rules unique to the pediatric population.
Dermatopathology
Involves billing for microscopic skin biopsy analysis, requiring coordination with pathology labs for accurate claim submissions.
Teledermatology
Uses telehealth codes and follows payer-specific telemedicine rules, including unique documentation & patient consent processes.
Immunodermatology
Manages autoimmune skin diseases requiring complex testing, detailed documentation, and justification for advanced therapy billing.
Tailored Dermatology Billing Customized for Your Practice Model
Your dermatology practice isn’t like every other, so why settle for a one-size-fits-all billing solution? Whether you run a private, independent clinic or operate under a hospital affiliation, the way you code, bill, and manage reimbursements changes everything. At MedsIT Nexus, we align your dermatology billing processes with the real-world complexities of your practice structure so you get paid faster, more accurately, & without the compliance headaches.
| Attribute | Private Dermatology Practice | Hospital-Affiliated Dermatology Practice | Challenges & MedsIT Nexus Solution |
|---|---|---|---|
| Claim Form Eligibility | Only CMS-1500 (Professional claims) | CMS-1500 + UB-04 (Professional + Facility claims) | We optimize CMS-1500 accuracy for private dermatologists and manage dual-claim strategies for hospital-integrated providers. |
| Practice Autonomy | Fully independent billing operations | Billing is influenced by hospital systems | Boost dermatology revenue with compliant, accurate billing tailored to your clinic or hospital setting |
| Reimbursement Potential | Based on physician services only | Access to both institutional and physician reimbursements | We identify missed revenue streams and ensure complete claim optimization for both models. |
| RCM Integration | Requires external RCM solutions | Often connected to hospital RCM systems | Our adaptable RCM platform supports either setup with smooth billing, reporting, and collections. |
| Credentialing Complexity | Manage own enrollments | Dual credentialing (hospital + provider) | We handle complete credentialing for both independent dermatologists and hospital-based providers. |
| Billing Oversight | Owner/physician-led | Shared with hospital billing teams | Real-time dashboards give you transparency and actionable insights regardless of oversight. |
| Regulatory Compliance | Independently managed | Governed by CMS + hospital rules | We track regulatory updates proactively, minimizing denials and audit risks for both practice types. |
| Revenue Leakage Risk | Moderate if managed | Higher if dual-claim pathways are misaligned | We prevent leakage with structured claim routing, coordinated billing, and payer alignment. |
Ready to streamline your dermatology billing no matter your practice setup?
Let MedsIT Nexus maximize your reimbursements While you focus on patient care.
Maximize Your Dermatology Practice Revenue with Expert NPP Billing Solutions
In the ever-evolving world of dermatology, every percentage point in reimbursement matters. Your practice structure, facility type, and provider employment model can significantly impact how Medicare and other payers apply unique medical billing and reimbursement rules for non-physician providers (NPPs) delivering care under your supervision. MedsIT Nexus specializes in Mid-Level Provider billing services tailored to dermatology. From cosmetic procedures billed alongside medically necessary treatments to complex documentation for services like Incident-to Billing and Split/Shared Billing, our team ensures full compliance while maximizing your reimbursements. We handle intricate coding scenarios, navigate payer-specific guidelines, and safeguard against denials—so you capture every dollar your dermatology practice earns.
Boost Dermatology Revenue with Expert DME Claims Processing
In dermatology, the right medical equipment can mean better patient outcomes and better revenue opportunities. From compression garments for lymphedema to advanced wound care dressings for chronic ulcers, these dermatologist-prescribed DME items require precise claims processing to ensure timely reimbursement. As part of our Dermatology Billing Services, MedsIT Nexus integrates specialized DME Billing Services to handle every aspect of your claims—from HCPCS coding accuracy to prior authorizations—ensuring you capture full reimbursement without delays or denials. Turn every prescribed DME into a paid claim. Partner with MedsIT Nexus and watch your dermatology revenue grow.
Compliance at the Core of Every Dermatology Claim
At MedsIT Nexus, compliance isn’t a formality—it’s the foundation of our Dermatology Billing Services. In today’s dermatology landscape, accurate claims demand strict adherence to CMS billing guidelines, HIPAA rules, and payer-specific policies that change without warning.
Our advanced compliance framework includes
AI-powered audit logs & coding validation tools to minimize denials, accelerate approvals, & protect sensitive patient data.
Quarterly HIPAA & payer compliance training for your staff keeping your dermatology practice always audit ready.
Robust CDI processes to ensure every procedure is fully supported & reimbursable.
This disciplined, technology-driven, and expert-led compliance strategy not only shields your dermatology practice from costly audits—it also maximizes reimbursements and strengthens your professional credibility.
Let Us Handle Your Dermatology Billing You Focus on Patient Care
Dermatology billing demands precision — from correct CPT coding for skin biopsies, Mohs surgery, and laser treatments to navigating payer-specific rules that can impact reimbursements. Managing it all in-house drains valuable time, ties up resources, and increases the risk of costly claim denials. At MedsIT Nexus, we integrate your dermatology revenue cycle management into our proven national medical billing outsourcing framework, giving you access to certified dermatology coders, denial-prevention technology, and strategic A/R recovery, without the administrative overload. We handle every detail: accurate claims, payer follow-ups, appeals, and real-time performance reporting, so your team can focus on delivering exceptional skin care.
Why MedsIT Nexus for Dermatology Billing Services?
Accelerated Payments
Clean, compliant claims from day one
Audit-Ready Compliance
HIPAA, CMS, and payer rules fully met
Revenue Optimization
Reduce denials, improve cash flow
Flexible Support Models
For practices of all sizes
Schedule Your Free Dermatology Billing Review Discover how much more your practice could be collecting.
New York Dermatology Billing Services Backed by Nationwide Expertise
In New York, dermatology billing isn’t just about CPT codes — it’s about navigating one of the most complex payer environments in the country. From the dense insurance mix in NYC and Long Island to upstate Medicaid plans and Workers’ Compensation Board rules, your billing partner needs local insight to keep your revenue cycle running at full speed. At MedsIT Nexus, based right here in New York State, we deliver HIPAA-compliant, audit-ready dermatology billing solutions that are tailored to the Empire State’s healthcare landscape. Whether you’re a Manhattan cosmetic dermatology clinic, a Long Island multi-location practice, or a Buffalo hospital outpatient dermatology department, we adapt our process to your specialty focus, payer mix, and compliance requirements.
Our certified dermatology billing specialists manage everything from
Prior authorizations for biologics and advanced therapies
Modifier accuracy for multiple lesions, bilateral procedures, and same-day services
DME billing for dermatology equipment, such as phototherapy booths and home-use devices
LCD-10/CPT coding for Mohs surgery, excisions, cryotherapy, laser treatments, and phototherapy
Payer-specific claim formatting for New York Medicaid, Empire BCBS, Fidelis Care, MVP Health Care, and Medicare
Why New York Dermatology Practices Choose MedsIT Nexus
Local Compliance Expertise
Navigating NY State Medicaid, Workers’ Comp, & No-Fault billing rules.
Empire State Precision
Billing workflows are fine-tuned for NY payer systems.
Revenue Expansion Through DME
Capture billable equipment-based services.
Nationwide Adaptability
While rooted in New York, we process claims for dermatology practices nationwide.
Discover how a New York–based team can protect and grow your dermatology revenue.
Medical Credentialing Services & Automation for Dermatologist Physicians
In dermatology, your skill draws patients in, but your revenue starts with credentialing. Without timely payer approvals, you can’t bill for your services, leading to revenue loss and stalled growth. At MedsIT Nexus, we don’t just manage your credentialing — we automate it. Our dual approach combines hands-on expertise with our advanced Medical Credentialing Software to keep your enrollments, recredentialing, and compliance effortless.
Our End-to-End Credentialing Solution for Dermatologists Includes
Why Dermatologists Choose MedsIT Nexus
Speed to Revenue
Faster approvals with fewer errors.
Automation Driven Accuracy
Reduce human error and back-and-forth delays.
Scalable for Solo & Group Practices
Whether you’re one dermatologist or a multi-location clinic.
Dedicated Support Team
Faster approvals with fewer errors.
Streamline Dermatology Credentialing
Book a Free Software Demo to see how our credentialing platform streamlines every step — from payer applications to renewals — while our specialists handle the rest. Or Schedule Your Credentialing Consultation to start your dermatologist enrollment today.
Why Dermatologists Trust MedsIT Nexus for Billing
Dermatology practices lose thousands each year to undercoding, payer denials, and missed cosmetic billing opportunities. We eliminate those leaks by pairing dermatology-trained coders with advanced billing systems that understand your unique mix of medical, surgical, and aesthetic services. The result? You get more approved claims, faster payments, and complete clarity over your revenue cycle — without adding admin stress to your day.
Higher First-Pass Approvals for Dermatology Claims
Dermatology billing demands precision in documenting procedures like excisions, biopsies, cryotherapy, and laser treatments. Our specialty coders ensure every claim meets payer rules for both medical and cosmetic dermatology, reducing rejections and speeding up reimbursements.
Code Right for Every Lesion — Get Paid Without Delays
Faster Payments from Procedure to Posting
From Mohs surgery to acne treatments, we follow disciplined timelines for charge entry, posting, and denial resolution. This eliminates bottlenecks and ensures your payments hit your account in days, not weeks.
From Mole Removal to Mohs — Keep Cash Flow Smooth
Technology That Spots Dermatology Coding Errors
We deploy AI code scrubbing that scans for over 1,000 cardiology-specific coding conflicts, paired with EHR integration that removes duplicate entry errors. This ensures cleaner claims and a first-pass acceptance rate (FPAR) consistently above 95%, significantly reducing costly payer correspondence.
Let Tech Catch the Mistakes Before the Payer Does
Scalable Solutions for Expanding Derm Practices
Whether you’re opening a new location, adding cosmetic services, or hiring more providers, our workflows scale without compromising claim speed or accuracy — even during seasonal surges like summer skin check season.
From One Clinic to Many — Scale Without Slowdowns
HIPAA-Strong Protection for Derm Patient Data
We safeguard sensitive dermatology patient information — from medical photos to cosmetic treatment records — with encryption, secure data transfer, and rigorous access controls. Compliance is maintained at all times to protect both your practice and your patients.
Protect Every Photo, Every Record, Every Patient
Complete Dermatology Coding Expertise
Our certified team is fluent in all aspects of dermatology coding — from benign lesion removals to complex Mohs surgeries. We ensure proper use of CPT ranges 17311–17315 (Mohs) and 11400–11446 (excisions), paired with accurate ICD-10 skin disorder codes, for complete reimbursement capture.
Turn Dermatology Expertise into Maximum Revenue
Derm-Specific Coding That Gets Paid the First Time
Derm-Specific Coding That Gets Paid the First Time
Triple-filtered claims to eliminate errors
Accurate modifiers for bilateral or multiple lesion procedures
Compliance with LCD and NCCI bundling guidelines
Proactive audits before submission
Capture every earned dollar with precision billing
Higher First-Pass Approvals for Dermatology Claims
Dermatology billing demands precision in documenting procedures like excisions, biopsies, cryotherapy, and laser treatments. Our specialty coders ensure every claim meets payer rules for both medical and cosmetic dermatology, reducing rejections and speeding up reimbursements.
Code Right for Every Lesion — Get Paid Without Delays
Call us at +1 (516) 665-1869 a free review.
93%
72%
94%
80%
Doctors lose up to
$125Billion in U.S
Because of poor billing practices
How MedsIT Nexus Helped Renowned Hospitals In the USA Cut Costs, Speed Up Reimbursements, & Build Resilient RCM
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our revenue cycle experts Identify gaps & unlock higher profitability
Our services are trusted by 2000+ providers
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain Management
"After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Physical Medicine & Rehabilitation
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain
" After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Rehabilitation
" I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
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Founded in 2015 in New York, MedsIT Nexus delivers healthcare Revenue Cycle Management services powered by AI and cloud technology streamlining billing, enhancing compliance, & improving financial outcomes for providers nationwide.
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Uniondale, NY 11556
