Podiatry billing is one of the most denial-prone specialties in outpatient medicine. Between LCD compliance for diabetic foot care, modifier stacking on surgical procedures, and payer-specific documentation requirements, a single error can cost your practice thousands. Our podiatry billing specialists handle it all, so your team handles patients, not paperwork.
Podiatry sits at a unique intersection of surgical care, wound management, and chronic disease, and payers know it. Medicare scrutinizes routine foot care under LCD policies. Commercial insurers require precise modifier use on procedures like hammertoe correction (CPT 28285) or nail avulsion (CPT 11730). DME and orthotics billing adds another layer of compliance entirely.
When your billing team isn’t fluent in these specifics, denials pile up. Appeals fall behind. Your AR days climb. And revenue you’ve already earned sits uncollected.
Most outsourced billing companies offer “podiatry billing” the same way they offer billing for every other specialty. They take your superbills, submit your claims, and chase denials reactively. Med Claims operates differently.
Our specialists are trained in podiatry’s payer landscape, from Medicare’s LCD guidelines on debridement and diabetic foot care to prior authorization workflows for elective surgical procedures. We audit your coding proactively, catch errors before submission, and build documentation habits that reduce your denial rate at the source.
We review claims for coding accuracy, modifier compliance, and documentation completeness before they reach the payer. Most denial prevention happens before submission, not after, and that’s where we focus.
We audit for under-coded procedures, apply correct modifiers (25, 29, KX, and others), and flag underpayments for appeals. You collect what your work is actually worth.
Unpaid claims don’t age out on our watch. Our AR team tracks every outstanding claim, escalates aging accounts, and pursues appeals with the documentation to back them up.
Podiatry billing compliance isn’t static. We stay current on LCD updates, CMS rule changes, and payer policy shifts. And, we update your billing protocols accordingly, before they become a problem.
You get clear financial reports showing claim status, denial trends, collection rates, and AR aging, not just raw numbers, but the insights to act on them.
When billing is handled, your administrative staff stops fielding claim status calls, chasing documentation, and reworking denials. That time goes back to your patients.
We start by reviewing your current claims, denial patterns, and coding practices. You’ll see exactly where revenue is leaking and what it would take to stop it, at no cost and no obligation.
Once you’re ready to move forward, we gather your practice information, configure your EHR integration, and verify your payer credentialing. Transition is handled with no disruption to your billing cycle.
Our team prepares every claim, submits on schedule, monitors payer responses, and pursues every unpaid or underpaid claim until it’s resolved.
You receive regular financial reports with clear performance metrics. We review coding trends, flag recurring denial patterns, and continuously refine your billing strategy.
We cover the complete range of podiatric procedures and care settings, including:
If you perform it, we know how to bill it correctly.
No platform switch required. Med Claims integrates with the EHR and practice management systems your team already uses.
Most practices see measurable improvement in their denial rate within the first 60 to 90 days. The biggest gains typically come from collecting modifier errors and documentation gaps that have been recurring undetected. Your free billing audit will identify the highest-impact issues before we begin.
Yes. We manage the full prior authorization workflow for elective and semi-elective podiatric procedures, including documentation prep, submission, status tracking, and appeal if a PA is initially denied.
Transitions are managed to ensure continuity. We overlap with your existing process during onboarding, so there are no gaps in claim submission or AR follow-up while we get your systems configured.
Denial management and appeals are central to what we do, not an add-on. Every denial is reviewed for root cause, corrected, and resubmitted with supporting documentation. Patterns are tracked and reported, so recurring issues get fixed upstream.
Most practices don’t know their true denial rate, their real AR days, or how much revenue is sitting uncollected in aging claims. Our free billing audit gives you a clear picture of your current revenue cycle health and a specific plan for improving it.
No commitment. No pressure. Just clarity.