Are you tired of managing podiatry billing and daily administrative tasks? Then look no more. Our team of coders specializes in ICD-9/10, CPT, and HCPCS coding guidelines according to CMS and AMA, and is certified by the AAPC. We do prior authorizations, eligibility verification, and reduce days in AR as per MGMA standards. We are experts in reducing instances of underpayment and denials.
Podiatry billing requires accuracy, consistency, and a deep understanding of complex procedure rules. Our team handles the details of pre-authorization, surgical coding, modifier usage, and denial management while you focus on patient care.
As a committed podiatry billing company, we focus on giving podiatrists a smoother, lighter workload. Clinics often tell us they prefer this approach over what they experience with other podiatry billing companies, because it feels practical, attentive, and genuinely built for them. With our podiatry billing services, your practice finally gets the consistency it needs from a dependable podiatry billing company partner.
Our podiatry billing services handle it all. Before a podiatry claim ever reaches the payer, our system verifies CPT, ICD-10, and modifier accuracy for office visits, debridements, nail procedures, and DME items. That means fewer rejections and smoother cash flow.
Denials are not the end of the claim; they’re the beginning of insight. Our podiatry billing and coding services track each denial reason, correct the issue, and resubmit quickly, closing the loop before it affects your bottom line.
Each podiatry service tells a clinical story, and our coders make sure that story is told correctly. From CPT 11719 to complex reconstructive codes, accuracy protects your revenue and your compliance record.
We handle the billing details that come with durable medical equipment and orthotics, where most podiatry offices lose time and money. Our process keeps documentation tight and reimbursements timely.
You shouldn’t have to guess how your billing is performing. Our reports break down revenue trends, collection rates, and claim outcomes so you can see what’s improving and what still needs attention.
\We help you reduce the denial rate under 3% and achieve up to a 97% First-Time Pass Rate with Doctor Management Services.
Our Stats
Podiatry billing involves very specific coding rules and frequency limitations for routine foot care, debridement, nail services, and orthotics. A specialized podiatry billing service understands which procedures are payable under which conditions and how to link the correct ICD-10 codes for medical necessity.
Absolutely, our team bills HCPCS codes for orthotics, diabetic shoes, and braces, verifies payer coverage before submission, and keeps proof-of-delivery documentation in compliance with Medicare guidelines.
We apply proper modifier sequencing (59, 25, 76, 78) and ensure CPT combinations meet NCCI edit rules. This avoids bundling errors and guarantees full reimbursement for each distinct podiatry service performed.
Yes. We manage both professional and facility components for bunionectomy, hammertoe correction, wound closure, and reconstructive procedures. Each claim is coded precisely with global-period tracking to prevent rejections for postoperative overlaps.
Those are reviewed carefully for depth, location, and extent. Our billing team confirms documentation supports the selected CPT (97597–97606) and diagnosis pairing, ensuring compliance with payer medical-necessity policies.
Our HIPAA compliant podiatry billing follows LCD and NCD guidelines for every region, verify patient eligibility through the MAC portal, and maintain audit-ready documentation for high-risk codes like routine foot care and nail debridement.
We will provide you with full access to reports showing AR days, payment turnaround, and denial reasons. Nothing happens behind the scenes; every payment, write-off, and adjustment is visible to your team at any time.
Yes, our outsourced podiatry billing services ensure that each wound-care CPT (97597–97606) is supported with correct modifiers for separate sites or depths. Documentation and photographic evidence are reviewed when needed to strengthen claim approval.
Absolutely, our podiatry medical billing services include both. We apply the correct combination of CPT and HCPCS codes with appropriate modifiers (59, 25, KX, RT/LT). That keeps DME and in-office procedures compliant and prevents payer bundling or duplicate edits.
As a professional podiatry billing company, our audit process reviews each CPT code against regional LCD/NCD guidelines and documentation requirements. For high-risk procedures like routine foot care, we maintain supporting evidence such as chart notes, qualifying conditions, and proof of medical necessity.
