AI claim scrubber for dermatology billing
Syntra reviews Mohs and reconstruction documentation so medically necessary closures are coded before the claim is submitted. Syntra is an AI claim and chart scrubber that reviews dermatology documentation against the claim before submission, so billing teams prevent denials instead of working them.
Example capture
14060 · Adjacent tissue transfer, nose
Flap reconstruction documented as medically necessary closure not achievable with linear repair. Supports separate reporting of CPT 14060, as adjacent tissue transfer is not included in the Mohs surgical package.
What causes dermatology claim denials?
Most dermatology denials trace back to the chart: a service documented but not coded, a code the note does not support, or a modifier that is missing. These are the patterns Syntra checks on every dermatology encounter before submission:
- Adjacent tissue transfer or complex repairs bundled into Mohs when the note supports separate reporting
- Lesion destruction and biopsy counts that do not match the documented lesions
- E/M with modifier -25 denied because the separately identifiable service was not documented
Which dermatology modifiers and edits does Syntra check?
Syntra applies NCCI (CCI) edits, MUEs, and payer rules, then confirms each modifier is supported by the documentation rather than added to get past an edit. Common dermatology modifiers it validates:
- -25 on E/M with same-day procedures
- -59 / -XS for separate lesions or sites
- -79 for unrelated procedures in a global period
Mohs, repair, and pathology rules depend on lesion size, site, and margin documentation that only exists in the note.
Those checks follow public payer rules, including CMS National Correct Coding Initiative (NCCI) edits and Medicare Coverage Database (LCDs and articles). Syntra applies the rule to the note, which a claim-only edit cannot see.
How is this different from dermatology billing software or a clearinghouse scrubber?
Billing software, practice-management systems, and clearinghouses scrub the claim after it is built: required fields, code pairs, and payer edits. They usually cannot see the clinical note. Syntra reasons on the note and the claim together, the way an experienced dermatology coder would, which is how it finds undercoding and compliance risk that claim-level rules pass through. It sits on top of your existing revenue cycle management (RCM) stack rather than replacing it.
Read more on how Syntra differs from EHR scrub rules and clearinghouse claim scrubbers.
Dermatology claim scrubbing by EHR
Dermatology claim scrubber FAQs
- What is the best claim scrubber for dermatology practices?
- The best dermatology claim scrubber reads the chart, not only the claim. Syntra is an AI claim and chart scrubber that compares dermatology documentation to the codes, modifiers, and payer rules before submission, so missed revenue and denial risk are caught while the encounter can still be corrected.
- How does Syntra reduce dermatology claim denials?
- Syntra checks every encounter for the denial drivers common in dermatology, including NCCI bundling, missing or incorrect modifiers, medical necessity, and global-period conflicts. It flags issues before the claim leaves the practice, which raises the clean claim rate instead of working denials after the fact.
- Does Syntra replace my dermatology billing software or EHR?
- No. Syntra sits on top of your existing EHR, practice-management system, and clearinghouse. It adds chart-level pre-bill review to the revenue cycle (RCM) stack you already run.
- Which EHRs does Syntra support for dermatology?
- Syntra integrates with Epic, Cerner, NextGen, Nextech, SIS, iMedicWare, athenahealth, eClinicalWorks, Optivate, and ModMed. If your dermatology practice uses another EHR, a dedicated engineer builds a custom integration.
- How do dermatology practices get started?
- Every practice starts with a complimentary retroactive audit of recent dermatology charts and claims. Syntra then moves to controlled pre-bill review and, over about 90 days, autonomous submission on eligible encounters with humans in the loop.
See other specialties, EHR integrations, or how pre-bill review works.
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