Specialized Podiatry Billing Services
Expert medical billing solutions designed specifically for podiatry practices. Our specialized team understands the unique coding, documentation, and compliance requirements for foot and ankle care.
Comprehensive Billing Solutions for Podiatry Practices
Specialized Podiatry Coding
Expert handling of podiatry-specific CPT and ICD-10 codes including nail procedures, foot surgeries, wound care, and diabetic foot treatments.
Medical Necessity Documentation
Implementation of robust documentation protocols that support medical necessity for podiatric care and meet Medicare LCD requirements.
DME Billing Management
Comprehensive billing for durable medical equipment including custom orthotics, braces, and therapeutic footwear with proper documentation and modifiers.
Routine Foot Care Billing
Specialized handling of routine foot care services with appropriate diagnosis coding and documentation to support medical necessity exceptions.
Podiatry Billing Challenges We Solve
Routine vs. Medical Care Distinction
Podiatry involves complex distinction between routine (non-covered) and medically necessary foot care. Our specialists understand the documentation requirements and systemic condition exceptions for Medicare and private payers.
LCD Compliance
We navigate the detailed Local Coverage Determinations that govern podiatric services, implementing documentation templates and coding workflows that ensure compliance with regional Medicare requirements.
Surgical Procedure Coding
Podiatry practices perform numerous surgical procedures with specific coding rules. Our team ensures proper bundling, modifier usage, and comprehensive documentation to maximize legitimate reimbursement.
DME Documentation Requirements
We manage the extensive documentation needed for diabetic shoes, custom orthotics, and other DME, implementing systems to ensure all required elements are captured before billing.
Benefits of Specialized Podiatry Billing
Increased Collections by 18-25%
Our specialized team ensures accurate coding and billing for all podiatric services, resulting in fewer denials and increased reimbursement rates.
Medicare Compliance Protection
Stay protected with our strict adherence to podiatry-specific LCD requirements and documentation guidelines, safeguarding your practice from audits and recoupments.
Focus on Patient Care
By handling your billing operations, we free up your podiatry staff to focus on what matters most - providing exceptional foot and ankle care to your patients.
Comprehensive Analytics & Reporting
Access detailed financial reports through our secure portal, giving you full visibility into your practice's performance metrics, procedure profitability, and payer mix.
Our Podiatry Billing Process
Practice Assessment
We analyze your current billing workflows, documentation systems, procedure mix, and revenue cycle to identify opportunities for improvement.
Documentation Enhancement
Our team evaluates and optimizes your documentation procedures to ensure they meet medical necessity requirements for podiatric services and support proper coding.
Specialized Coding & Submission
Expert coders handle procedure documentation, proper CPT/ICD-10 assignment with appropriate modifiers, and submit clean claims within 24-48 hours of service.
DME & Routine Care Management
We implement specialized workflows for DME, therapeutic footwear, and routine foot care exceptions to ensure proper documentation and coding.
Ongoing Performance Monitoring
Regular analysis of key metrics, denial patterns, and revenue trends with actionable recommendations for continuous improvement in your podiatry practice.
Frequently Asked Questions
How do you handle billing for routine foot care vs. medically necessary services?
We implement comprehensive documentation protocols that capture systemic conditions (diabetes, peripheral vascular disease, etc.) that qualify patients for coverage of routine foot care. Our team ensures proper use of Q modifiers, Class findings documentation, and supporting diagnosis codes to maximize appropriate coverage while maintaining compliance.
Can you help with therapeutic footwear and orthotics billing?
Yes, we specialize in DME billing for podiatry. We implement workflows to ensure all required documentation is complete before billing, including diabetic certifications, prescriptions, and detailed orders. Our team tracks frequency limitations, ensures proper coding and modifiers, and manages the unique billing requirements for custom vs. prefabricated devices.
How does your service handle local coverage determinations (LCDs) for podiatry services?
We maintain a comprehensive database of podiatry-specific LCDs for each Medicare jurisdiction and implement documentation templates tailored to these requirements. Our team regularly monitors LCD updates, provides education on changes, and ensures your coding and documentation align with current local coverage policies.
What reporting will I receive about my practice's performance?
You'll receive monthly comprehensive reports including key metrics such as collection rates, days in A/R, procedure volumes, denial analysis, and provider productivity comparisons. We also provide specific reports on DME billing performance, nail procedure reimbursement, and surgical case profitability - all accessible through our secure online portal.
Ready to Optimize Your Podiatry Billing?
Schedule a free consultation with our podiatry billing specialists and discover how we can help increase your collections while reducing administrative burden.
Podiatry Billing Resources
Complete Podiatry Billing Guide
Learn about the unique challenges and best practices for podiatric billing.
Diabetic Foot Care Billing Excellence
Strategies to optimize documentation and coding for diabetic foot care services.
Therapeutic Footwear Billing Guidelines
Navigate the complexities of billing for diabetic shoes, inserts, and custom orthotics.