Worked Example
How a Mohs-Heavy Dermatology Practice Can Eliminate Patient Quote Disputes with DermEstimator
This is an illustrative workflow example showing how DermEstimator works in a typical Mohs-heavy practice. It is not based on a specific named customer.
< 60 seconds
per estimate, including complex multi-stage Mohs cases
0
formal NSA disputes since implementation
Mohs-heavy
Independent practice scenario, multi-provider
Before DermEstimator
- The practice had 6 providers including 2 Mohs surgeons. Front desk staff were using a combination of a printed fee schedule, a calculator app, and asking the billing department — often with a patient standing at the window.
- Mohs cases were especially problematic: front desk had no reliable way to estimate multi-stage procedures because they didn't know how the MPPR applied — or didn't apply — to add-on codes like 17312 and 17314.
- Patients were regularly getting bills higher than their verbal quote, leading to complaints, disputes, and one formal No Surprises Act dispute filed against the practice.
After DermEstimator
- Front desk staff can run any estimate — including complex multi-procedure Mohs cases — in under 60 seconds, with no billing department involvement.
- MPPR is applied automatically. Add-on codes 17312 and 17314 correctly display at 100% — no manual lookups, no guesswork.
- Good Faith Estimate documents are generated with one click, with all required No Surprises Act language locked in and ready to hand the patient.
- Zero formal NSA disputes since implementation.
I built this workflow from scratch after 7 years working every role in a dermatology practice — medical assistant, clinical coordinator, biller, office manager. The scenario above reflects exactly what I watched happen at the front desk every week: Mohs patients getting verbal quotes that didn’t match their final bill.
— Juhi, Founder & Practice Administrator · 7 years in dermatology · founder@dermestimator.com
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