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Podiatry billing is challenging for a number of reasons. Numerous procedures have differing policies from insurance to insurer and are medically required in some situations but not others. An aging population leads to an increase in patients who are insured by Medicare, which adds another set of codes and guidelines into the mix as foot and ankle problems grow more common as people age.
Payers are lowering the amount they are prepared to pay, and patients may find it particularly puzzling when coverage varies from year to year. Fortunately for medical practices, outsourcing RCM services to KDL Medical Billing enables you to work with a highly effective billing partner and one of the most dependable podiatry billing businesses.
Podiatry has some of the most complex coding challenges of any medical specialty. Here are some of the most significant issues we have noted.
Payers won’t pay for regular foot care, yet there are times in podiatry when the same disease may necessitate medically required treatment for one individual while not being a major worry for another. To ensure that the necessary mention is made on the claim, outsource podiatry billing to knowledgeable specialists.
Modifiers are CPT code subcategories that describe a diagnosis or therapy in depth and frequently specify whether it is covered or not. Coders must be aware of the varying modifier rules that each insurer utilizes to determine what is covered when it comes to podiatry billing and coding because of this. To submit valid codes and be paid on time, our skilled coders provide assistance. In order to assist you in streamlining patient care, we provide podiatry services to maintain effective practice management.
In order to simplify billing and payment, payers often group related processes into a single tagged item. However, this can occasionally lead to erroneous invoicing or under- or over-coding. In order to identify improper bundles, billing businesses for podiatry services must be aware of the processes being used. They also need to know how to input data accurately and how to manage appeals when an insurer’s criteria result in non-payment.
The complexity of invoicing may increase due to the fact that podiatric operations are frequently carried out in offices, hospitals, and nursing homes. Modifiers used to identify the location of any given operation must be consistent in order to avoid the claim being rejected by the payer, who has distinct billing policies for each. The claim will be refused until all the information are right if an erroneous code somewhere in the patient’s file may suggest an improper location.
Many podiatry offices are struggling financially as a result of payers decreasing the amounts they will pay, thus it is crucial to make sure that all services are paid for. While running a practice, you must focus on giving patients excellent treatment rather than on billing. For many clinics, outsourcing medical billing and coding has turned out to be the answer.
The daily coding and claim submission tasks are handled by our podiatrist billing professionals, along with handling denials and rejections, compliance charting and coding, yearly payer adjustments and payback, and bill collection. Clients tell us that while we significantly improve their income, they don’t see our services as a cost because our procedures are so successful. Request a free trial today, and we’ll show you how we can reduce your workload and boost your earnings.
We welcome any inquiries or questions you may have about our medical billing services. Please feel free to contact us through our website or by phone, and one of our knowledgeable representatives will be happy to assist you.