Specialty RCM Medical & Cosmetic Dermatology Austin, TX (5 Dermatologists)
Liberty Dermatology: Separating Medical vs Cosmetic Billing & Cutting Days in A/R to 20 Days
Automating patient credit card on file agreements for cosmetic services and optimizing medical lesion excision claims.
Published February 2026 5 min read
20 Days
Days in A/R
Industry-leading aging performance
100%
Cosmetic Pre-Pay
Zero uncollected cosmetic debt
98.9%
Medical Clean Rate
First-pass medical claim success
The Challenge
- Confusion at patient check-in between insured medical skin exams and self-pay cosmetic treatments.
- Lesion excision size documentation missing in clinical progress notes.
- Delayed patient balance payments for non-covered cosmetic services.
The Solution & Strategy
- Mandated pre-service payment collection for all self-pay cosmetic laser and aesthetic treatments.
- Created EHR templates requiring dermatologists to document exact lesion excision sizes in centimeters.
- Automated card-on-file billing agreements for patient medical deductibles.
Quantifiable Key Results
Days in A/R
20 Days
Down from 43 daysCosmetic Bad Debt
0%
100% pre-service collectionMedical Clean Rate
98.9%
Up from 84.2%"Separating cosmetic self-pay from insured medical billing cleared up patient confusion and brought our Days in A/R down to 20 days."
Dr. Jessica Vance, MDFounder of Liberty Dermatology
Actionable Takeaways for Practice Leaders
1
Collect 100% pre-service payment for self-pay cosmetic procedures prior to appointment delivery2
Require exact lesion excision measurement in centimeters in EHR progress notes to support surgical codingReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:Liberty Dermatology & Laser Center
Specialty:Medical & Cosmetic Dermatology
Location & Scale:Austin, TX (5 Dermatologists)
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