A Guide to Medical Billing Services for Podiatrists

There are several medical specializations and for each specialization, there are certain rules and regulations to follow regarding their medical billing. Medical billing services efficiency turns into the financial health of a practice.

Not every medical field has the same diagnostic and surgical procedures. Similarly, each has its own medical billing and coding guidelines. And, podiatry is no different. When the claims undergo acceptance more often than not, it goes to the credit of medical billing companies. However, if there are more rejections reported, it is time to revamp your billing strategy.

Today, we will look at the special circumstances around which the billing partner works for podiatrists.

First Thing’s First, What is Podiatry?

Podiatry is the branch of medicine concerned with the diagnosis, treatment, and study of diseases and disorders of the foot and lower extremities. Treatments are related to regular healthcare issues – neurological, metabolic, and other underlying issues along with injuries, wounds, and infections.

Rules Regarding Billing for Podiatrists

The Centers for Medicare and Medicaid Services (CMS) defines rules and procedures for each discipline of medicine. There are clear instructions on what should be covered under an insurance plan for podiatrists. New medical billing outsourcing companies can take notes from their official website.

Insurance Don’t Pay for Non-Medically Necessary Services

Under CMS rules, insurance companies will only pay for medically necessary foot care services.

A regular foot care service falls into the following categories.

• Additional
• Mandatory
• Supplemental
• Optional supplemental

What Exclusions Are Involved in Podiatry Medical Billing?

There are certain cases in which fighting with insurance companies for reimbursement doesn’t help at all. Please don’t send claims for the following cases because they won’t be paid:

• Initial care service
• Existence of metabolic, neurologic, or other peripheral vascular diseases
• Mycotic nails
• When a patient is already receiving primary healthcare
• Dislocation of ankle joint
• Subluxation of structures within feet
• When a patient wears orthotic shoes
• When a diabetic patient wears special shoes

Medical Billing Services for Small Practices

In case you are a medical practice of 15 or fewer physicians, it is best to search for the ‘medical billing near me‘ phrase to find the nearest billing companies. If you are a practice in Ontario, California, P3Care would be happy to have you as a client. Since the field of podiatry takes care of our feet and ankles, we use our feet and ankles along with our mental capacity to good effect to get them paid.

On the contrary, if you are a bigger practice or let’s say a hospital, P3 leaves no stone unturned to get you paid. Accounts receivable are best managed if you don’t let them pile up. Because, once they do, it is difficult to get them reimbursed. Therefore, P3 never leaves today’s work on tomorrow ensuring accounts receivable remain at an all-time low.

Conclusion

To increase the acceptance rate of medical claims, medical billing services have to be precise. An incorrect name of the podiatrist who diagnosed the disease is not acceptable. Moreover, the severity of the condition should be reported apart from the diagnostic procedure.

New medical billers and coders often get lost in the maze of instructions and guidelines. Therefore, this guide includes the basics of medical billing for podiatry to help them as well. Indeed, the creation of claims requires a great level of accuracy because insurance companies can easily deny paying for services.

With little care, necessary paperwork, and the right CPT and ICD-10 code, we expedite the claim submission process for our clients. We, at P3 Healthcare Solutions, Ontario, CA, devise medical billing methods for both general and specialty-specific clinicians.