iiiDermatology
Cosmetic, medical, and Mohs,
with one operational stack underneath.
Dermatology runs three businesses inside one practice: cosmetic, medical, and surgical. Each has its own economics, its own scheduling cadence, and its own administrative load. Cara sits inside the workflows that quietly decide whether all three businesses run cleanly: biologic prior auth, cosmetic CRM, Mohs scheduling, and teledermatology intake.
Sub-practices
Where our work tends to sit.
General Dermatology
Medical dermatology with a heavy biologic and procedural load. AI inside prior auth, pre-visit intake, and chart-to-billing review.
Mohs & Dermatologic Surgery
Mohs surgery and surgical derm with complex same-day scheduling and pathology coordination. Slot management, pre-op communication, and pathology follow-up.
Cosmetic Dermatology
Aesthetic and cosmetic-only dermatology. CRM that supports treatment plans, package billing, before-and-after capture, and the reactivation cadence cosmetic patients expect.
Pediatric Dermatology
Pediatric derm with parent-facing workflows. Intake, scheduling, and communication tuned to parents booking on behalf of patients.
Multi-Location Derm Groups
5 to 50 location derm groups standardizing operations across sites. Central RCM, cross-site analytics, and a consistent patient experience.
PE-Backed Derm Platforms
Private-equity-backed derm rollups under hold-period EBITDA pressure. Tuck-in integration playbooks, standardized onboarding, and diligence-ready data infrastructure.
Patterns
Where Cara sits in the work.
A representative flow — not a template. Every engagement shapes its own pattern around the partner’s actual constraints.
Example engagements
Patterns we keep seeing.
Biologic prior authorization
Agents that pull chart context for Dupixent, Skyrizi, Cosentyx, and the rest of the biologic shelf, draft the authorization request to the payer's exact criteria, and follow the workflow to adjudication. Saves 8 to 14 hours per provider per week in the highest-volume practices.
Cosmetic CRM and reactivation
Treatment-plan management, package billing, before-and-after photo capture, and reactivation outreach tuned to cosmetic patient behavior. Sits next to (not inside) the medical EHR so cosmetic operations stay clean.
Mohs slot orchestration and pathology follow-up
Same-day Mohs scheduling with embedded pathology turnaround, plus post-op communication and the closure-stage follow-up patients actually need.
Teledermatology intake and triage
Photo-based intake with structured history capture, triage routing to medical versus cosmetic visit types, and pre-visit chart preparation. The dermatologist sees a chart that is already half done.
Common questions
What partners ask before
they get on the call.
- Which dermatology EHRs does Cara work with?
- ModMed (EMA), Nextech, AdvancedMD, eClinicalWorks, and Epic in larger systems. Cara integrates against the EHR's API and writes back to the chart so your clinical record stays the source of truth.
- How does this work for a PE-backed multi-site derm group?
- PE-backed derm platforms under a 3 to 5 year hold are the sweet spot for Embedded Services. Tuck-in integration playbooks, standardized intake across the platform, and centralized RCM are common patterns that improve EBITDA inside the hold window.
- Does the biologic prior auth handle Medicare and Medicaid plans?
- Yes, including the carve-outs and supplemental criteria specific to each state Medicaid program. The agent uses the payer's published criteria; when criteria are ambiguous, the request escalates to the practice's PA coordinator for review.
- Can we keep our cosmetic CRM separate from the medical EHR?
- Yes. Cosmetic operations typically run alongside the medical EHR rather than inside it. Cara can deploy a cosmetic surface (CRM, treatment plans, package billing) that talks to your medical EHR for shared patient records without merging the data models.
“A derm practice is three businesses. The administrative stack has to respect that, or one of those businesses will quietly slip while you are focused on the other two.”