Podiatry billing services depend on precise medical services, like anyone else’s. For efficient billing and reimbursement, accurate medical coding is essential. Before sending bills, confirming that the appropriate CPT codes, ICD-10, and HCPCS codes have been used to describe the diagnosis and treatment is necessary.
For any podiatry process, one can avoid denied claims and guarantee full payment by carefully applying and checking all the codes and modifiers.
Entrusting your revenue cycle to a knowledgeable and highly qualified podiatry billing business is critical. The medical codes for podiatry make it more complicated than other specialties.
Understanding podiatry billing
Podiatry diagnoses and treats foot conditions like wounds, deformities, and infections. Podiatric medicine diagnoses, treats, and reconstructs foot, ankle, and lower extremity conditions. Foot treatments such as medicine, surgery, mechanics, and physical therapy are also included in this specialty.
Additionally, since Medicare covers this group, podiatrist practices tend to treat elderly patients, which necessitates additional billing and coding efforts. Modifier usage must be exact, and coding for inclusive operations must be understood.
Optimizing podiatry billing services with RCM Matter
RCM Matter has extensive experience in delivering podiatry medical billing services. To receive the fastest and largest reimbursement possible, our expert team of podiatry billing service providers will complete precise podiatry billing and coding.
Don’t hesitate to get in touch with us to learn how our team can maximize your podiatry reimbursement. We offer comprehensive podiatry billing services and custom billing options. Our services cover the following essential areas:
Services for Verifying Insurance Eligibility
In this procedure, we will check whether patients’ insurance policies cover podiatry treatments and if the patient’s plan has any referral or pre-authorization restrictions.
When everything is in order, we calculate the patient’s co-payment and the deductible. Our services for checking insurance eligibility and improving cash flow are all included in our podiatry billing.
Services for demographics and charge entry
Charge entry establishes how much money will be paid to the healthcare organization and is the primary step in the billing process. A patient’s account is updated with charges from their FaceSheet. Since they must enter extremely accurate data into the system, having a professional crew working on the demographics of patient entry is crucial.
You can get patient demographic and podiatry charge input services from our team of podiatry billing specialists at a high-quality and error-free price.
Billing and Analysis for Podiatry
Our podiatrist medical billing staff examines several documents in a patient’s file, including the doctor’s transcription, results of diagnostic tests, X-ray reports, and other documents, to verify the services rendered and assign the proper podiatry codes.
Continual claim denials, underpayments, and workflow disruption might result from incorrect code input. Such difficulties may lead to needless claim-related burdens and challenging medical billing situations.
Services for AR Follow-Up
It might be challenging and time-consuming to follow up on every aspect of accounts receivable. To minimize the number of AR days, we follow unpaid podiatry claims.
Additionally, our Podiatry accounts receivable management team ensures that rejected and underpaid claims are appealed as soon as possible to ensure they are processed and paid out on schedule.
Collection and Denial Analysis for Podiatry Services
Companies must keep track of claim denials because they might cause considerable losses. Our Podiatry Health collection services team ascertains the reason for rejection, corrects the mistakes, and resubmits the refused claims within the allotted period for filing.
The gaps are filled as quickly as possible if the claim is denied due to a lack of appropriate information.
Our Podiatry Health billing specialists and analysts can help you keep track of denials and examine the reasons behind denials to enhance the procedure and decrease the frequency of denials.
Posting of Payment
Payment posting is the primary port of call for payer problems. The relevant Podiatry Health RCM team will handle prior approval, non-covered services, and medical necessity denials.
To ensure that all relevant information regarding the payment has been recorded in the system, we review the ERAs and scanned EOBs. The data is then correctly updated in patient accounts.
Services for Provider Credentialing
An essential step in the revenue cycle is provider credentialing, which is how a doctor or provider establishes a relationship with payers. The method enables patients to pay for podiatry health care consumed using their insurance cards while also allowing the provider to be compensated for the medical services rendered.
By setting up ERA, our billing team for podiatry health processes payments more quickly, increases referrals, addresses revenue leakage, lowers denials, and recognizes provider trends.
What Makes Us the Best Podiatry Billing Service?
- Our crew makes sure that 20% fewer front-end denials occur.
- Improve the effectiveness of the RCM system while reducing manual entry problems.
- Ensure that the fees and collections are accurate.
- Negotiations are conducted outside the network.
- To increase cash flow, post payments, and make refund adjustments.
- A full-service account manager.
- Delivering top-notch, error-free billing and collection services for podiatry.
- Offer easily scalable services that can be altered as necessary.
Podiatry billing procedures
Billing and coding for podiatry is tricky because there are limits on what conditions can be treated. This means that claims need to be very detailed. We rely on a specific procedure to maximize reimbursement.
The steps in our podiatry billing services are as follows:
Effective insurance verification
This is the initial stage of our podiatry billing process, where we confirm a patient’s eligibility and active coverage with the insurance provider. We use insurance verification before the treatment to decrease the number of denials and improve cash flow.
The Process of Documentation
We record the doctor’s observations and remarks before the procedure to plan and coordinate the patient’s medical treatment. Additionally, it’s necessary to keep in touch with the related medical specialists to assure reimbursement and, most significantly, to support service fees.
Utilizing the proper codes
All necessary codes for describing podiatrist operations in medical claims have been included in the bills. We take additional care to include the appropriate CPT, HCPCS, and ICD-10 codes for any treatments for infections, pressure ulcers, open wounds, injuries, or debridement.
Choosing the correct modifier
It’s crucial to provide the most suitable modifiers to distinguish between the codes when adding specific procedure codes to podiatry bills. To avoid any ambiguity in interpretation, we always add the most precise modifiers.
Quality Control and Submission
When the billing and coding for a service are complete, we run the bills by our quality department to look for mistakes. Errors are reported so that they can be fixed. The bill is electronically submitted for claims if cleared.