Prospyr resources
Practice Management
Practical guides to running an aesthetic practice, from patient workflows and financial planning to licensing and consent.
32 articles · Page 1 of 2
Practice Management
Claim Appeal Deadlines by Payer: Medicare, UHC, Aetna and Cigna
Claim appeal deadlines by payer: Medicare 120 days, Aetna and Cigna 180 days, UnitedHealthcare 12 months for both steps. Check your contract.
By Prospyr Team
Practice Management
Payer Billing Compliance Checklist for Medical Practices
A payer billing compliance checklist: enrollment, eligibility, authorization, coding, signed notes, filing limits and denial follow-up, with CMS sources.
By Prospyr Team
Practice Management
ICD vs CPT Codes in Cosmetic Consultations: Z41.1, E/M and Modifiers
ICD-10-CM codes say why the patient came in; CPT says what was done. Z41.1 for cosmetic visits, functional diagnoses, E/M and modifiers 25, 59 and GY.
By Prospyr Team
Practice Management
Claims Submission Errors: 5 Common Issues and How to Fix Them
The 5 most common claims submission errors: wrong patient details, coding and modifiers, weak documentation, prior auth, and late or duplicate claims.
By Prospyr Team
Practice Management
Z41.1 ICD-10 Code for Cosmetic Surgery: Cosmetic vs Medical Coding
Z41.1 is the ICD-10-CM code for an encounter for cosmetic surgery or procedure. When to use it, what it excludes, and how medical coding differs.
By Prospyr Team
Practice Management
Documentation Errors That Cause Claim Denials (and Fixes)
The documentation errors behind most claim denials: patient details, medical necessity, incomplete notes and unsupported codes, with fixes for each.
By Prospyr Team
Practice Management
EHR Billing Integration for Aesthetic Practices: What to Check
EHR billing integration builds the charge from the signed chart. What it should cover for self-pay checkout and insurance claims, and what to ask vendors.
By Prospyr Team
Practice Management
Insurance Claims Filing Steps for Aesthetic Practices
How to file an insurance claim in 5 steps: verify coverage, gather documentation, code accurately, submit electronically, then track and follow up.
By Prospyr Team
Practice Management
Can Estheticians Do Microneedling? Rules in All 50 States (2026)
Can estheticians do microneedling? The answer for all 50 states, with depth limits, Texas and California rules, FDA device rules and official sources.
By Prospyr Team
Practice Management
Timely Filing Limits by Payer: Medicare, Medicaid, TRICARE and More
Timely filing limits by payer: Medicare 12 months, TRICARE one year, Cigna 90 days in-network, plus where UHC, Humana and Medicaid set theirs.
By Prospyr Team
Practice Management
CPT Codes for Botox: Key Guidelines
Botox CPT codes explained: 64615 for chronic migraine, J0585 for drug units, JW/JZ waste modifiers and payer checks. Includes a free injectable coding workbook.
By Prospyr Team
Practice Management
2025 ICD-10-CM Updates for Aesthetic Practices
FY2025 ICD-10-CM added 252 codes, effective October 1, 2024: obesity classes E66.811-E66.813, L66.1x hair loss, L29.81/L29.89 pruritus and Z59.71.
By Prospyr Team
Practice Management
Texas Med Spa Laws & Licensing: Ownership and Opening Checklist
Does Texas require a med spa license? Separate TMB registration, clinical ownership, physician delegation and service-specific licenses with this opening checklist.
By Prospyr Team
Practice Management
How to Train Billing Staff for HIPAA Compliance
HIPAA requires training every workforce member on PHI policies, documenting it and keeping records six years. A billing-team training plan and checklist.
By Prospyr Team
Practice Management
Arizona Med Spa Insurance: Coverage & Compliance Checklist
Review Arizona med spa insurance by treatment, clinician and location. Use a practical coverage checklist, renewal log and official-source licensing checks.
By Prospyr Team
Practice Management
How to Submit Secondary Insurance Claims: Checklist
Bill the primary plan first, wait for its EOB or ERA, then send the secondary claim with the primary payment and adjustments. Check for crossover first.
By Prospyr Team
Practice Management
CPT 15773, 11954 and Other Billing Codes for Aesthetic Practices (2025)
CPT 15773 is fat grafting to the face, eyelids, neck, hands or feet, 25 cc or less. Plus 11954, new 98000-98016 telemedicine codes and 2025 changes.
By Prospyr Team
Practice Management
Before-and-After Photo Consent for Med Spas: HIPAA Marketing Release Checklist
Separate treatment consent from photo marketing authorization. Review channels, expiration and withdrawal handling, with an annotated practice worksheet.
By Prospyr Team
Practice Management
HIPAA-Compliant Patient Testimonials for Med Spas: Consent & Review Checklist
Plan patient testimonial permissions, honest review requests and publication checks. Use an annotated worksheet to track assets, approvals and next steps.
By Prospyr Team
Practice Management
Timely Filing Deadlines: What Happens When a Claim Is Late
A late claim is denied and usually can't be billed to the patient. Medicare late-filing denials can't be appealed; see the exceptions and proof to keep.
By Prospyr Team
Practice Management
Med Spa Email Marketing: 5 Campaigns That Bring Patients Back
Med spa email marketing that books visits: five triggered campaigns, consent and HIPAA basics, sending frequency and what to measure.
By Prospyr Team
Practice Management
5 Insurance Denial Metrics to Track (With Formulas)
How to calculate initial denial rate, clean claim rate, denials by reason code and payer, and days in A/R, using HFMA and CMS definitions.
By Prospyr Team
Practice Management
How to Calculate No-Show Rate (and What It Costs): Med Spa Calculator
Calculate your no-show rate, unfilled appointment value and contribution at risk. Model backfilled slots with clear assumptions and practical next steps.
By Prospyr Team
Practice Management
Med Spa Inventory Software: Comparison & Reconciliation Guide
Compare med spa inventory workflows, reconcile expected versus physical stock, and download a fillable worksheet for counts, variances and review ownership.
By Prospyr Team