Who we serve · Aesthetics practices
Medical care inside an aesthetics practice. Billed as medicine when the record says it is.
An aesthetics practice under a medical director often delivers treatments a payer covers, and bills all of them as cash because nothing was set up for insurance. We sort the medical work from the cosmetic, enroll the medical director and the practice, and bill what is payable.
The diagnosis decides, never the room.
A payer pays for a diagnosis, not a treatment menu.
One syringe can be a cosmetic sale for one patient and covered care for the next. Botulinum toxin for excessive sweating is a procedure on the sweat glands, and Medicare's billing article for it lists CPT 64650 and 64653. Whether a plan covers it, and what it wants in the chart first, is written in that plan's own policy.
Some services split in two. The medical visit pays, and the product that follows may not. Medical weight management is the clearest case: most large employers leave GLP-1 drugs for weight loss off their plans, while the visits and counseling bill against a documented diagnosis.
None of it pays without enrollment. The medical director, and any nurse practitioner or physician assistant who treats under that direction, has to be on file with each plan, linked to the practice, before the first claim.
Medical work only. Cosmetic stays cash.
A written answer first, then enrollment and billing.
- The answer
- For one service at a time, a written answer on whether your payers cover it, under which codes and diagnoses, and what the chart must show. That is the Service Line Made Billable.
- Enrollment
- The practice and the medical director, and each treating clinician, with the plans the answer points to.
- Billing
- Covered services billed to each plan's policy, followed until paid, with every denial traced and worked.
- What we leave alone
- Cosmetic treatments. We will not bill them to any plan.
| Piece of work | Fee |
|---|---|
| Service Line Made Billable, one service, one written answer | $2,500 |
| The practice's application with one plan | $350 |
| One clinician's application with one plan | $250 |
| Billing the covered work | By agreement |
What aesthetics owners ask us.
We are cash-only today. Is insurance worth adding?
For some services, yes, and for many, no. The written answer tells you which, plan by plan, before you spend on enrollment. A no in writing is worth having too.
Does our medical director need to be enrolled?
Yes, with each plan you bill, and linked to the practice. So does any clinician whose name goes on a claim.
Will you help us bill a cosmetic treatment as medical?
No. If the diagnosis and the record do not support it, the claim does not go.
Name the service you think a plan should pay for.
We tell you what it would take, in writing. The review needs no patient records.
We get back to you as quickly as possible.