Our Services
Podiatry Billing Services
Customized billing solutions for podiatry practices are essential to ensure accurate reimbursements, fewer denials, and streamlined cash flow.
Podiatry Billing
Podiatry billing is unique because it involves specialized coding, frequent Medicare and Medicaid requirements, and strict documentation rules for medical necessity. At Practice Claim, our Podiatry Billing Services are designed to handle everything from routine foot care and diabetic management to complex surgical procedures. Our certified billers and coders understand podiatric terminology, procedure coding, and payer guidelines, ensuring that claims are clean, accurate, and fully compliant.
We stay updated with changes in CPT codes, payer rules, and Medicare guidelines, helping podiatrists reduce administrative burdens and improve collections. With our expertise, you can focus on patient care while we manage the entire revenue cycle.
Components of Podiatry Billing
1. Patient Data Verification & Pre-Authorization
We verify patient demographics, insurance eligibility, and benefit coverage before services are rendered. For high-cost podiatric procedures, we secure pre-authorizations to prevent claim denials and patient payment issues.
2. Specialized Coding with Accuracy
Podiatry billing requires accurate use of CPT and HCPCS codes for foot and ankle treatments. Our team specializes in coding for:
- Debridement and wound care (CPT 11042–11047)
- Nail avulsions and matrixectomy (CPT 11730–11750)
- Diabetic foot care (CPT G0245, G0246, G0247)
- Surgical procedures such as bunionectomy and hammertoe correction
- Orthotics and durable medical equipment (DME) billing
We also apply modifiers correctly to differentiate medically necessary services from non-covered or routine foot care.
3. Efficient Claims Submission & Tracking
Our billing team uses electronic submission systems integrated with payer rules. Every claim is tracked from submission to reimbursement, ensuring quick issue resolution and fewer rejections.
4. Patient Billing & Payment Posting
We generate clear and transparent patient statements and post insurance payments accurately. Patients receive easy-to-understand bills, reducing confusion and improving payment turnaround.
5. Denial Analysis & Appeals Management
We analyze denied claims, identify errors, and submit timely appeals with supporting documentation. Our proactive denial management helps recover lost revenue.
Challenges in Podiatry Billing
Broad Scope of Services
Podiatry practices cover preventive care, chronic disease management, minor procedures, and urgent visits. Managing diverse codes is complex.
Preventive vs. Problem-Oriented Visits
Billing preventive visits alongside problem-oriented services requires careful modifier use (e.g., 25 modifier). Errors can lead to denials.
Frequent Insurance Rule Variations
Because podiatry practices deal with a wide mix of payers, staying compliant with each carrier’s rules is a constant challenge.
Advantages of Outsourcing Podiatry Billing
Outsourcing your Podiatry Practice billing to our specialized service can provide numerous benefits, including:
Expert Handling of Complex Procedures
Our coders are very well versed with detailed procedures as well as the codes to be billed and hence any billing errors are almost eliminated.
Faster Reimbursement
Our claim submission is integrated and we also effectively handle denials, thus enhancing timely cash receipts.
Reduced Administrative Burden
Our extensive billing services save your in-house team time to attend to the patients only by providing minimal interference work and pressures.
Cost Efficiency
The decision to outsource can be beneficial because outsourcing is cheaper than having an independent billing department for small practices.
Data Analytics and Reporting
We offer comprehensive billing reports and analysis that can show you your business revenue status and areas of compliance concern.
Our Podiatry Billing Services
At Practice Claim, our Podiatry Practice Billing Services cover every aspect of your revenue cycle:
Routine Foot Care
Nail trimming, callus removal, diabetic care
Surgical Procedures
Bunionectomy, hammertoe correction, wound care
DME and Orthotics Billing
Orthopedic shoes, foot braces, inserts
Preventive & Chronic Care
Diabetic foot management, wound monitoring
Compliance & Documentation
Medicare rules for medical necessity
Revenue Cycle Support
Claim submission, AR follow-up, denial appeals
Benefits of Outsourcing Podiatry Billing to Practice Claim
Certified Coders
Our certified team is always updated on the latest in podiatry coding.
Compliance Assurance
We strictly follow the best practices in the industry and ensure our processes are in compliance with the most recent standards.
Advanced Revenue Cycle Management
We take full charge of billing from submission of claims, through Claims Management to posting of payments to enhance revenue.
Customized Solutions
Our services suit the needs of the individual practice, a group practice or a multispecialty center.
Proven Track Record
Podiatry billing services have been successfully provided by us to practices all over the country, backed by similar improvements in collections and denials.
Frequently Asked Questions (FAQs) on Podiatry Billing Services
Podiatry billing has unique rules around routine foot care, Medicare coverage limits, and specialized procedures. Proper coding and documentation are critical to ensure claims are accepted.
Routine foot care is not typically covered unless the patient has qualifying conditions like diabetes or peripheral neuropathy. Our team ensures documentation meets medical necessity requirements before submitting claims.
Common codes include 11042–11047 for wound care, 11719–11721 for nail trimming, 11730–11750 for nail avulsions, and G0245–G0247 for diabetic foot care.
Outsourcing ensures faster payments, fewer denials, accurate coding, and compliance with payer rules. It reduces the administrative workload for in-house staff and improves overall cash flow.
Yes. We manage DME and orthotics billing, including Medicare requirements for orthopedic shoes and inserts.
We analyze the cause of denials, correct errors, and resubmit claims. Our appeals process helps recover lost revenue and prevents future denials.
Yes. We provide customized billing solutions for solo podiatrists, group practices, and multi-specialty clinics.
Yes. We follow HIPAA compliance protocols and secure systems to protect patient health information and practice financial data.