Maximize cashflow of your podiatry practice with Prime Doc Billing’s expert revenue cycle management services. Our RCM services include each step, from patient registration and charge capture to reimbursement and reporting.
Our podiatry billing specialists manage medical billing, claims processing, denial management, payment posting, and accounts receivable follow-up to optimize financial performance, increase revenue collection, reduce claim denials, accelerate reimbursements, and improve cash flow for podiatry providers.
Our Specialties
All the stages of the revenue cycle are included in our podiatry revenue cycle management services, like:
Prime Doc Billing manages the entire revenue cycle of a podiatric practice. The process includes eligibility checks for diabetic and Medicare podiatry care and denial resolution based on podiatry Local Coverage Determinations (LCDs). Our team handles clean claim submission by applying podiatry-specific rules with precision.
From ulcer debridement frequency rules to bunion surgery global periods, we understand the podiatric RCM process entirely. Our experts handle all the steps of your podiatric revenue cycle management with accuracy.
We understand the unique rules for podiatry medical coding, including specialties like callus trimming, lesion debridement, nail avulsion, and other minor procedures. Our certified coders are specialized in foot and ankle coding and documentation. We ensure every document is properly coded with correct codes like CPT, ICD-10, and HCPCS codes and related modifiers, such as TA-T9 (toe modifiers) and Q7/Q8/Q9 for class findings.
Our main goal is to reduce claim denials and ensure compliance specific to podiatry.
Our experts handle claim submission with precision. We scrub the claims to identify podiatry billing errors before submission. Claim scrubbing verifies coding accuracy, documentation completeness, compliance, and podiatry payer-specific rules before submission.
Prime Doc Billing’s team ensures a thorough check and follow-up after submission. We track the claims daily to check if there’s an error. Our team also identifies underpayments and delays early to resolve rejections beforehand.
When an error is identified, we promptly correct and submit the claim. Our proactive approach helps the claims get maximum reimbursements.
Podiatric claims often get rejected due to strict Medicare and payer-specific policies. Prime Doc Billing focuses on preventing rejections with accurate coding and claim submissions. When a claim is denied, our team identifies the cause, such as LCD conflicts, missing modifiers, or diagnosis mismatches.
Our podiatric experts prepare and submit appeals promptly to eliminate revenue leakage. We ensure that our podiatric-related denials are resolved quickly and successfully.
Prime Doc Billing’s podiatric experts work directly inside podiatry EHR systems and PMS platforms. EHR integration ensures a seamless flow of wound and ulcer documentation, class findings, surgical op notes, diabetic foot exam notes, and dispensing notes.
Our EHR integration protects your practice from podiatry denials related to documentation.
Our team manages podiatry-specific patient billings and payment collections. These collections include DME billing, self-pay orthotic balances, and co-pays for routine office visits, and deductibles in nail and callus care. Our services also include making a payment plan for chronic care patients. Our experts maintain transparent communication with billing statements and payment explanations, since most of the podiatry patients are elderly, diabetic, or mobility-limited.
Prime Doc Billing’s virtual assistants are trained in the front-office podiatry workflows. Our team helps the practices deal with insurance verification for diabetic and Medicare foot care. We also explain podiatry benefits to patients and handle referrals from PCPs and endocrinologists.
Our front-office virtual team prepares charts for diabetic exam documentation. We work as an extension of your podiatry team without any additional costs.
Prime Doc Billing provides revenue cycle management services for all the medically necessary podiatry procedures, including:
By choosing to outsource RCM services, healthcare providers get access to experienced billing professionals and scalable solutions to enhance revenue cycle efficiency of the practice. Podiatry practices often face revenue cycle challenges due to complex medical billing requirements, frequent coding updates, payer-specific policies, and documentation demands for foot and ankle procedures.
Outsourcing podiatry revenue cycle management helps practices overcome these challenges by providing access to experienced billing specialists who understand podiatry-specific billing workflows. Outsourced RCM specialists streamline administrative processes, reduce claim errors, and optimize revenue collection, allowing podiatry providers to focus more on delivering quality patient care.
You should choose Prime Doc Billing for outsourcing podiatry RCM services because of our in-depth understanding of podiatry billing complexities, payer requirements, and revenue cycle workflows. Our experienced RCM team includes podiatry specialists, certified medical coders, and revenue cycle experts who are well-versed in:
Frequently Asked Questions
Podiatry medical billing is the process of coding and submitting claims related to foot and ankle care services.
Podiatry billing guidelines define how a claim must be coded and documented. It includes accurate use of CPT, ICD-10, and HCPCS codes, along with podiatry-specific modifiers.
Medicare has very particular billing guidelines for Podiatry. Medicare does not cover routine foot care unless a patient has conditions like diabetes, peripheral vascular disease, and neuropathy.
Prime Doc Billing works with all the major EHR and practice management systems commonly used in podiatry, like AdvancedMD and DrChrono.
Some of the most common podiatry billing codes are CPT 11720 (Debridement of nails), 97597 (Wound Debridement), and many more.
CPT codes used in medical billing are 11055-11057, 11720-11721, and 20550-20551.
Some common HCPCS codes used in podiatry medical billing are G0127, A5512/A5513, and L3000+.
Some ICD-10 codes that are used frequently in podiatry billing are L84, L60.x, and S90-S99.
Podiatry billing commonly uses modifiers like -25, RT/LT, and KX.
What Healthcare Providers Say About Us?
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(347) 650-2656
(347) 650-2656
info@primedocbilling.com
