A chart built around the photo, and billing that actually separates medical from cosmetic.
A dermatology visit is often more photo than text — a suspicious lesion, a biopsy site, a treatment response — and a chart built around typed notes forces photos into an attachment nobody reviews chronologically. Add a practice mix that spans medical dermatology (billed through insurance, biopsy and pathology tracking required) and cosmetic work (cash-pay, package pricing, no insurance involvement at all), and general EHRs tend to handle one well and the other as an afterthought. We build dermatology EHR software with photo-first charting that tracks a lesion or treatment area over time, biopsy and pathology result tracking built into the visit record, and billing that cleanly separates medical from cosmetic work instead of forcing both through the same claims-first model.
Photo-first charting
Lesion and treatment-area photos tracked chronologically against the same site over time, not buried as disconnected attachments.
Biopsy & pathology tracking
Biopsy orders, pathology results, and follow-up tracked as a connected workflow, not a manual tickler list outside the chart.
Medical + cosmetic billing, separated
Insurance-billed medical dermatology and cash-pay cosmetic work handled as genuinely separate billing paths in the same system.
- Chronological photo tracking for the same lesion or treatment area across multiple visits
- Pathology result follow-up that doesn't rely on a manual tickler system
- Package and membership billing for cosmetic services alongside standard insurance claims
- Fast charting for high-volume medical dermatology clinic days
Photo documentation or split billing not working well?
Tell us what's clunky in your current system — we'll scope a build that actually separates medical and cosmetic the way your practice does.