Podiatry Billing Services
We Understand Podiatry Billing Challenges
Podiatry billing is a nuanced process that requires precision and expertise. From proving medical necessity to navigating coding nuances, podiatrists encounter various challenges in their billing journey. At PulseMedix, we recognize the intricacies involved, especially when dealing with the elderly population covered by Medicare. Our seasoned team is equipped with the knowledge and experience to address these challenges effectively.
Best Practices for Podiatry Billing & Coding
1. Insurance Verification
Podiatry claims often face denials due to changes in insurance coverage. Our team diligently verifies insurance and coverage details for each patient, preventing potential denials. We prioritize HIPAA compliance at every stage of the billing and coding process to safeguard patient information.
2. Prior Authorization
Obtaining prior authorization is crucial in podiatry billing. We ensure that all necessary authorizations are secured from payers before claim submission, minimizing the risk of denials.
3. Accurate Coding
Precision in medical coding is fundamental for clean claim submission. Our coders adhere to payer guidelines, ensuring accurate coding of procedure codes. We go beyond the basics, billing additional procedures separately as required.
4. Medical Necessity
Our coding team excels in using the correct CPTs and diagnosis codes, aligning with NCD and LCD guidelines. Thorough documentation supports the medical necessity of billed services, strengthening the appeal process for unpaid claims.
5. Inclusive Services
To prevent inclusive denials, we avoid billing specific CPT codes together. In cases of claim denials, we meticulously check CCI edits and appeal with relevant medical records to rectify issues.
6. Frequency of Services
Understanding the frequency of medically necessary foot care services is vital. We ensure that routine foot care services are billed appropriately, preventing denials within the 60-day window.
Benefits of PulseMedix Billing Services
1. Revenue Increase
2. Practice Management System
3. Effortless Growth
4. Cloud-Based Accessibility
5. Experienced Claim Scrubbing
6. Compliance with State Regulations
7. Streamlined Workflow Tool
8. Prior Authorization and AR Follow-Up
Why Choose PulseMedix?
Rapid Transition Period
Experience a 2-day transition period, the fastest in the industry, ensuring a seamless shift to our podiatry billing services.
Zero Training Required
Our streamlined onboarding process eliminates the need for extensive training, ensuring a smooth transition to our services.
Cost Reduction and Efficiency
Our team is dedicated to reducing costs and enhancing clinical and operational efficiency in your podiatry practice.
Certified Coders
Our coders are certified by AAPC and AHIMA, guaranteeing accurate podiatry coding services. They have received training in the most common Medical Coding Software.
Extensive Insurance Experience
We have successfully processed medical claims with major commercial insurance companies and government payers, including Medicare and Medicaid.
EHR Platform Expertise
Our team is experienced in working with 30+ EHR platforms, ensuring compatibility with your existing systems.