How Dermhilda works
Nobody has time at the close of business to read a day of practice data across six domains — let alone at every site. That is the job Dermhilda does overnight. Every morning she hands your managers the few things that actually need attention, with the reasoning attached.
Here's how that actually works.
Dermhilda · Today · 7:00 AM
Morning. Five things.
Modifier-25 denials are trending up — the same edit across three providers; a quick coding huddle stops it.
Five Mohs follow-ups aren't on the calendar — all from last week, all still bookable.
No statement run since the 9th — a full cycle of balances is sitting idle.
Cosmetic demand is outrunning the schedule — consults are booking three weeks out.
One provider's charges lag two days — notes close on time, charges trail behind.
The night shift
Nothing changes about your day. After your locations close, the data ModMed already produces — yesterday's schedule, charges, denials, follow-ups, collections — moves overnight into Dermhilda. She reads all of it, runs it against your own history, and works out what's off, what's slipping, and what's worth doing something about before you come in the next morning.
By 7 a.m. local time, the list is waiting. You didn't enter anything, build anything, or pull a report. You just open your morning.
The morning briefing
She doesn't hand you a dashboard or ask you to digest a stack of reports. She hands you a short, prioritized list — the most important first, each item with the context she's already worked out and a clear next step. Five is the discipline: enough to matter, few enough to actually do. On a quiet day she'll tell you it's a quiet day rather than pad the list to five.
Morning · Five things
1. Dr. R's no-show rate jumped 11% last week — and almost all of it was Wednesday afternoon, which lines up with the schedule change you made two weeks ago. I'd either revert the Wednesday block or add a confirmation cadence just for that day. Want me to pull the booking pattern?
That's one item. The other four are waiting underneath it, and the reasoning travels with each one — so when you walk into the owner's office, you already know why.
How she works across a group
Dermhilda works two directions at once. At each location, she does exactly what she does for any practice manager — reads that site's ModMed data overnight and hands its manager a short, prioritized list before they walk in. Above that, she rolls every practice into one consistent portfolio view for the people running the platform: the same measures, applied the same way, across every location.
That consistency is the part groups can't get any other way. When every practice is read by the same eye against the same standard, "how is the Westside office doing" stops being a research project and becomes a glance.
The standard rollup
The reason "how is the Westside office doing" can become a glance is that Dermhilda measures every practice against the same set out of the box — no two locations grading themselves on their own terms. Across every site, she's reading:
Visits, new patients, and charges, with the same-store trend against prior periods.
Denial rates, days in AR, collections against charges, and the work that's been done but not yet billed.
Schedule utilization and production per provider, comparable across sites.
New-patient wait times, no-shows, and cancellations.
Medical versus cosmetic, Mohs, and pathology volume, so you can see where the margin is moving.
The practice drifting from the portfolio norm today, before it shows up in the quarter.
That's the standard rollup, identical at every location from the start. If your operating model lives by a metric that isn't on that list, or you want the portfolio sliced a particular way, we can build that in — but most groups find the standard set is already the morning they've been missing.
A morning across the platform
Dermhilda · Portfolio briefing
Morning. Five things across the platform.
1. Riverside's denial rate jumped to 14% last week — nearly all of it from one payer, and it tracks to a coding change after their new biller started. Worth a call before it compounds.
2. Three of your eleven practices have a full week of encounters still uncharged — Oakmont's the largest, with roughly $48K of work sitting unbilled.
3. New-patient wait at Lakeview is out to 31 days — they're turning away demand the other sites could absorb.
4. Platform cosmetic revenue is up 6% month over month — almost all of it Summit. Might be a playbook worth copying across the group.
5. The newly acquired Pine practice is lowest in the group on schedule utilization — normal for a first integration month, but worth watching.
Each item carries the same thing the practice-level briefing does: the reasoning behind it, and the next move.
What you steer by
The morning list tells you what needs attention today. It isn't what you run the business on. For that you need a small number of figures you look at once a month, with someone's name against each — and most groups either don't have that page, or rebuild it by hand every period.
So Dermhilda builds it. One page: the figures an owner actually steers by, each with a target, a status, the person accountable, and where the number came from. Underneath sit the supporting numbers that explain why one of them moved — so when a number drops you aren't starting an investigation, you're reading the answer.
And some of those numbers won't exist when we arrive. In most practices the top of the patient funnel simply isn't counted — nobody logs the inquiries, so nobody can say what share of them ever became an appointment. Finding those numbers, and working out where they should come from, is part of the work.
Most of what belongs on that page is already sitting in something you pay for: the phone system, the scheduler, payroll, the accounting file. It has just never been carried across to where a decision gets made.
Ask her anything
This is the part most tools don't do. Open any report in Dermhilda and ask her about it in plain language — she can see the page you're looking at, and she answers from your group's actual numbers. No query-building, no exports, no waiting on someone to run it.
You
Why are Dr. K's RVUs down again?
Dermhilda
They're not down — they're flat. He's just used to a different number from August. I'd pull the trailing six months before you walk in, otherwise it turns into a long conversation.
She answers with judgment, not just a figure. And she's honest about the edges of what she knows: deep on your reporting data, clear when something is outside it.
All six domains
You're the one person who's supposed to see clinical, billing, operations, compliance, marketing and finance at the same time — at every location. Now you can. Most tools only see one slice of it: the ones living inside the chart never look at the books, and the ones watching the money never look at the schedule.
All six is what Dermhilda is built to watch with you, and that breadth is the point — because some mornings the thing that matters most is in the billing, and some mornings it's in the schedule.
Clinical and billing she reads deeply today, because ModMed holds that data. The other three are the ones no EHR holds at all: what you spent on marketing, the numbers your managers keep in a spreadsheet because there was nowhere else to put them, whether the autoclave at your third location was logged this week. So we collect those too. Some of it runs today and some of it we're building now, and we'd rather tell you which is which than let you assume.
Who sees what
One ModMed instance, several locations, managers and head nurses on the ground, a corporate team above them — that's the shape of a group, and it's the shape Dermhilda is built around. Each manager sees their own practice. Corporate sees the whole portfolio. Each provider logs into a view of their own: their numbers, and only theirs.
The role separation that protects a single practice extends cleanly across the group: what's confidential stays confidential at every layer, by design rather than by configuration. A provider never sees another provider's numbers, and nothing you work through with Dermhilda surfaces to anyone it shouldn't.
What you tell her stays with you. That separation isn't a setting you have to manage — it's how she's built.
What she leaves to you
Dermhilda works on yesterday's close. That's deliberate — the morning is when you plan the day, and yesterday's full picture is the right thing to plan from. If you need to know what's happening right now — is the schedule full today, did the 2 p.m. cancel — that lives in ModMed, where you already are. She'll tell you when a number is fresh, when it's preliminary, and when it's worth waiting for the next close.
You
Are we full today?
Dermhilda
That's in ModMed — I'm looking at yesterday's close. But I can show you how this week's been filling, if that's useful.
And she advises — she doesn't reach into ModMed and change things on her own. She prioritizes, prepares, and explains; you decide and you act. That line stays exactly where it belongs: with you.
Get started
The list only gets specific once she's reading your group. Tell us your providers and your locations and you'll see your quote on the spot. If it's a fit, the next step is a short conversation.