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PODIATRY BILLING SERVICES

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PODIATRY BILLING Services

Podiatry billing services, like any other medical billing services, depends heavily on accurate medical coding. Before submitting bills, it is important to ensure specific ICD-10, CPT and HCPCS codes have been used properly to report diagnosis and treatment provided. Careful application and review of all the codes and modifiers for any podiatry procedure helps to prevent claim denials and guarantee complete reimbursement.

MediCodeBill has over 2 decades of experience in providing end-to-end podiatry billing services to healthcare providers based in the US. Our podiatry billing system is based on the best strategies that entails detailed eligibility verification and obtaining authorizations followed by proper documentation and coding. Our comprehensive billing services includes dealing with podiatry claims rejections, podiatry billing disputes and other podiatry billing issues. Our team of podiatry billers have wide experience in billing for a range of podiatry services and are always up to date with the changing rules and regulations in podiatry specialty.

Services

As a reputed podiatry billing service provider, we offer a range of services to ease the process of podiatry billing and enable full reimbursements. Our services include -

Insurance Verification

It is critical for podiatry practices to verify insurance details for proper reimbursement. When you podiatry billing services to us, we take care of all nitty gritty such as type of plan and coverage details and understanding the payable benefits, co-pays, deductibles, plan exclusions, patient policy status, effective date, etc.

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Accurate Medical Coding

Our certified medical coders have complete knowledge of the regulations for local coverage determination (LDC) and leverage this knowledge to assign exact foot care CPT codes. Our coders are guided by an expert, ICD-10 PCS certified team to ensure accurate procedure codes are always applied. We back this process with thorough code auditing that makes sure every code assigned is thoroughly scrubbed.

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Accounts Receivable Management

Evaluating A/R on a timely basis plays an important role in managing the revenue cycle of a podiatry practice. Our A/R experts have wide experience in optimizing A/R management, with knowledge of payer-specific guidelines, analyzing reimbursement trends of payers on a regular basis, establishing contact with payers to resolve problems faster, following a strict collections policy for patient accounts, etc.

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Denial Management

We handle claims denial with a well-defined process. Our claims denial experts read the explanation of benefits (EOB) and remark codes carefully to understand the reasons for denial. Based on the readings, they build their reason for appeal. While appealing, we follow a definite procedure by choosing the correct podiatry form, submitting it on time, and following up with carriers after submission.

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Our Podiatry Billing Process

Podiatry billing and coding is complex as claims requirements need to be very specific because of restrictions on the conditions that can be treated. To maximize reimbursement, we bank on a definite process. Our podiatry billing services consists of steps like -

  • Proper Insurance Verification: This is the first step of our podiatry billing process in which we verify the eligibility of a patient and their active coverage with the insurance company. We leverage insurance verification prior to the treatment to reduce denial rates and enhance cash flow.
  • Documenting Procedure: Before the procedure starts, we document the doctor’s observations and comments in order to plan and coordinate the patient's medical care, communicate with associated healthcare professionals, and most importantly support charges for services and ensure reimbursement.
  • Applying the Right Codes: This is the stage when all applicable codes to document podiatry procedures in medical claims are added to the bills. Be it a treatment for infections, pressure ulcers, active wound, injuries, or debridement, we take extra care to include the right CPT, HCPCS, and ICD-10 codes.
  • Choosing the Right Modifier: When adding certain procedure codes to podiatry bills, it is also important to add the most appropriate modifiers to differentiate between the codes. We make it a point to add the most precise modifiers so that there is no ambiguity in interpretation.
  • Quality Check and Submission: Once the coding and billing for a service is ready, we pass the bills through our quality department to identify errors. In case of errors, it is sent back for review. If cleared, the bill is submitted for claims electronically.
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