Maximize Your Revenue: Podiatry-Specific Medical Billing
Podiatry Medical Billing Services
Maximize Reimbursements for Foot & Ankle Care with 95% Clean Claim Rates
Podiatry Coding Experts – Precise billing for 11000-28000 series codes (11055, 11750, 28296)
Timely Filing – 98% of claims submitted within 48 hours (Medicare DME: 100% compliance)
EHR Integration – Works with Podiatry-specific systems (Podiatic, EMRs for Podiatrists)
DME Billing – Specialized handling for orthotics, braces, and surgical supplies
HIPAA-Compliant
Pay as you go
No fixed contract
DME
medical billing services
- Smooth Transition Between EHR/EMR Systems
- Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
- Claims Submission Within 24 Hours
- Prompt follow-up with payers.
- Free provider credentialing, CAQH maintenance & revalidation
- Comprehensive Revenue Cycle Management (RCM) Services
- Appeals & Adjustments.
- Coding and Chart Review
- Referral Coordination with Other Doctor Offices
- Reimbursement Strategies for Optimized Billing
Why 68% of Private Practices lose 15-30% of their revenue to these preventable issues
Biggest Podiatry Medical Billing Services Challenges
Routine Foot Care vs. Medical Necessity
️ 38% of claims denied due to improper documentation of Q7-Q9 modifiers and medical justification for routine care (CPT 11055-11057).
Our Solution:
AAPPM-compliant templates ensure proper ICD-10 linking (e.g., E11.51 + 11056)
DME Claim Rejections
Orthotics (L3000-L3649) and diabetic shoes (A5500) have 42% higher denial rates due to missing CMNs or face-to-face documentation.
Our Solution:
DME-specific checklists capture all required elements pre-submission
Surgical Coding Errors
Bundling issues with bunionectomies (28296-28298) and hammertoe procedures (28285) cost practices $28k+ annually.
Our Solution:
CPT Assistant-guided coding with -59 modifier expertise
Medicare LCD Compliance
62% of nail avulsions (11750) denied for missing diagnosis links to LCD requirements (e.g., L60.0 + 703.8).
Our Solution:
Real-time LCD policy validation during coding
Patient Collection Gaps
$18k+ annual losses from uncollected copays/deductibles for custom orthotics and elective procedures.
Our Solution:
Upfront cost estimation + payment plan automation
Credentialing Delays
90+ day waits for new podiatrists to get paneled with BCBS, Medicare, and workers' comp.
Our Solution:
Expedited credentialing (avg. 23 days) with payer-specific advocates
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Podiatry Billing Services
We Offer
DME Medical Billing Services
Process
Benefits of Outsourcing
Podiatry Billing & Coding
Specialized Podiatry Coders
AAPPM-trained experts in nail procedures (11719-11721), biomechanics (29405), and surgical bundling rules.
30% fewer coding errorsDME Revenue Recovery
Maximize orthotics reimbursement with complete documentation (K codes, CMNs, and face-to-face requirements).
92% DME approval rateMedicare LCD Mastery
Automated checks for Local Coverage Determinations on nail avulsions, debridement, and wound care.
100% LCD compliancePatient Collections Boost
Custom payment plans and upfront cost estimates for elective procedures and custom orthotics.
40% faster collectionsCredentialing Acceleration
Expedited enrollment with Medicare, Medicaid, and private payers for new associates.
Avg. 23-day turnaroundReal-Time Analytics
Specialty-specific dashboards track A/R days, top denial reasons, and procedure mix.
25% revenue increasePodiatry Billing & Coding
FAQs
How do you handle Q-modifiers for routine foot care?
We ensure proper linkage of Q7-Q9 modifiers with supporting ICD-10 codes (e.g., Q8 + E11.51) and document medical necessity in the claim notes. Our system has a 98% acceptance rate for routine care claims.
What's your success rate with DME claims for orthotics?
Our 92% approval rate for L3000-L3649 codes comes from: 1) Complete CMN documentation 2) Face-to-face encounter verification 3) Proper K-code pairing. We include all required clinical notes upfront.
How do you prevent bundling denials for bunionectomies?
For 28296-28298, we: 1) Apply -59 modifiers when justified 2) Include operative notes 3) Follow AAOS bundling guidelines. This reduces bundling denials by 83%.
Do you support nail avulsion billing (11750)?
Yes. We validate: 1) LCD-required diagnoses (L60.0) 2) Number of nails 3) Separate E/M documentation. Our pre-audit system catches 95% of potential denials.
How do you improve collections for diabetic shoes?
For A5500-A5513: 1) Verify CMN before dispensing 2) Collect copays upfront 3) Submit with all required documentation (foot exam notes, diabetes diagnosis). This reduces AR days by 40%.
What EHRs do you integrate with for podiatry?
We work with Podiatic, Modernizing Medicine, and all major EHRs. Our team is trained in podiatry-specific templates for biomechanical exams, nail procedures, and surgical documentation.
How do you handle workers' comp claims?
We: 1) Verify authorization numbers 2) Use jurisdiction-specific forms 3) Include all required documentation (MW6, DWC-1). Our WC approval rate is 89% vs. industry 62%.
What's your process for new provider credentialing?
We complete CAQH, Medicare, and private payer enrollments in 23 days avg. Includes: 1) License verification 2) NPI registration 3) Payer-specific requirements tracking.
How do you ensure compliance with Medicare LCDs?
Our system cross-references all LCDs for podiatry in real-time, flagging: 1) Missing diagnoses 2) Frequency limitations 3) Documentation requirements before submission.
What's included in your free audit?
We analyze 90 days of claims to identify: 1) Undercoded procedures 2) Missing modifiers 3) Denial patterns. Average practices find $12k+ in recoverable revenue.
Podiatry Billing
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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