Podiatry Billing Services

Tailored Podiatry Billing Solutions for Physicians

Podiatry RCM

A Podiatry Centric Approach

Podiatry is more than just a specialty for us; it's our expertise. Our team comprises certified professionals who are well-versed in the intricate world of podiatry billing, coding, and accounts receivable management. We're not just here for today, we’re here to future-proof your billing processes and adapt seamlessly to industry changes.

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Customized Solutions for Podiatrists

We recognize that every podiatry practice is unique. That's why our solutions are tailored to your specific needs, ensuring a perfect fit that maximizes your revenue potential.

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Precision Coding and Billing

Podiatry's specialized terminology demands precision. Our experienced team ensures accurate coding, reducing errors
and denials, and improving reimbursements.

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Maximizing Revenues, Minimizing Delays

With our streamlined revenue cycle workflows and efficient claims processing, we expedite reimbursements, providing you with consistent and reliable cash flow.

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Navigating Complexities with Expertise

Podiatry billing can be intricate. Our certified professionals are well-versed in the unique challenges faced by podiatrists, from diabetic foot care to surgical procedures.

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Compliance Assurance

Healthcare regulations are constantly evolving. We stay at the forefront of industry changes, ensuring your billing practices remain
HITECH and HIPAA compliant.

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Transparent Reporting

We believe in transparency. Our detailed reporting gives you a clear view of your practice's financial health, empowering
you to make informed decisions.

Our Services

Podiatry Focused RCM Solutions

We offer a complete suite of services, finely tuned to cater exclusively to the specialized requirements of podiatrists, ensuring a seamless and efficient revenue cycle process.

  • Patient Registration and Check-In
  • Verification of Insurance Benefits
  • Appointment Scheduling
  • Check-out and Co-Payment Collection
  • Medical Coding
  • Claim Generation
  • Claim Submission
  • Claim Adjudication
  • Denial Management
  • Accounts Receivable Management
  • Patient Statements and Invoicing
  • Payment Posting
  • Reconciliation and Reporting
  • Follow-up on Outstanding Balances
  • Record Keeping and Compliance
  • Analysis and Optimization

Our periodic reviews of the billing processes and performance metrics reporting help paint a broader picture of your revenue cycle, identify areas for improvement, and implement strategies to enhance revenue cycle efficiency.

Sub-Specialties We Work With

  • Podiatric Surgery
  • Sports Podiatry
  • Pediatric Podiatry
  • Orthopedic Podiatry
  • Geriatric Podiatry
  • Diabetic Foot Care
  • Dermatologic Podiatry
  • Wound Care and Limb Preservation
  • Foot and Ankle
  • Podiatric Radiology
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    Certified Resources

    Our specialists are AAPC™ & AHIMA™ certified.

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    HIPAA Compliant

    Ensuring absolute privacy, security and integrity at all times.

Case Study

Implementing Podiatry Billing and RCM Strategies

A case study on how Bristol Healthcare transformed revenue cycle efficiency and improved financial outcomes for a leading Podiatry Clinic in Los Angeles, CA.

Learn More
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Overcome Challenges

Effortlessly Navigate the Nuances of Podiatry

  • Specialized Terminology

    Our comprehensive understanding of the lexicon and application of terminologies enable accurate coding.

  • CPT and ICD-10 Codes

    Our AAPC™ and AHIMA™ certified coders ensure precise coding for a seamless billing process.

  • Diabetic Foot Care

    We ensure error-free documentation and coding of routine examinations, debridement, wound care, and the fitting of therapeutic shoes.

  • Orthotics and DME

    We provide detailed documentation of custom orthotics or DME, including reasons for prescription, measurements, and compliance with medical necessity criteria.

  • Surgical Procedures

    Elective or medically necessary, we employ specific coding and detailed documentation of the surgical approach, anatomical site, and any implants or hardware used.

  • Wound Care and Debridement

    We ensure accurate coding based on factors like the method used and the extent of tissue removed.

  • Compliance with DMEPOS Standards

    When billing for DME or orthotics, we strictly adhere to DMEPOS. Including obtaining and documenting physician orders and medical necessity statements.

  • Medicare Guidelines

    We ensure end-to-end Medicare compliance, including coverage criteria and documentation requirements, essential for successful billing.

  • At Bristol Healthcare, our team of experienced and certified professionals is well-versed in these intricacies, ensuring that your podiatry practice maximizes its revenue potential while maintaining compliance and accuracy throughout the revenue cycle process.

Our Value

Why Leading Podiatrists Partner With Us

At Bristol Healthcare, we boast a dedicated podiatry department, staffed with AAPC™ certified coders working exclusively towards serving podiatrists. They possess extensive experience and proven expertise in optimizing and streamlining workflows for an enhanced revenue cycle experience.

  • +1 million charts coded annually.
  • 98% Claim first-pass rate.
  • Up to 40% reduced expenses.
  • Best-in-class turnaround time.
  • AAPC™ & AHIMA™ certified resources.
  • ICD-11, ICD-10, CPT-4, and HCPCS coding proficiency.
  • Thorough coding audits and regularized QA checks.
  • Dedicated account manager.
  • Affordable & flexible pricing plans.
  • End-to-end encryption of patient data.
  • Strict HIPAA compliance.
  • 24x7 Support.
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Why not benefit the same as our clients?

At Bristol Healthcare, we're not just a billing service; we're your strategic ally in elevating your podiatry practice. Experience the difference with a team that speaks the language of podiatry.
Join us, and step into a new era of revenue excellence.

Free Consultation
Podiatry Coding

What Makes Podiatry Coding Unique?

Podiatry coding encompasses several unique aspects that distinguish it from coding in other medical specialties. Here are some key points

Podiatry utilizes a specialized vocabulary related to foot and lower limb anatomy, conditions, and treatments. This includes terms like hallux valgus, metatarsalgia, and plantar fasciitis.
Podiatry focuses exclusively on conditions and procedures related to the foot, ankle, and lower leg. Hence coders must be well-versed in the anatomy and associated conditions of these specific areas.
It is common to prescribe and provide custom orthotics, footwear modifications, and other durable medical equipment to address foot and ankle issues. This requires accurate documentation to ensure proper reimbursement.
Coding for diabetic foot care includes evaluation and management, wound care, debridement, and prescription of therapeutic footwear.
Surgical procedures can range from minor interventions like nail avulsions to more complex surgeries such as joint fusions and reconstructions. Each procedure requires specific coding based on factors like approach, complexity, and anatomical location.
Evaluation and management (E/M) services in podiatry often involve thorough assessments of musculoskeletal issues, gait abnormalities, and other foot-related conditions. Accurate documentation and coding of these services are critical for proper reimbursement.
Foot conditions can be complex, and accurate coding requires a deep understanding of the pathophysiology and etiology of conditions like neuropathy, arthritis, and deformities.
Ensuring that the diagnoses and procedures listed on claims align correctly is essential in podiatry coding. This linkage ensures that the services provided are medically necessary and supported by appropriate documentation.
Podiatrists also offer additional services such as gait analysis, biomechanical assessments, and laser therapy. These services require their own specific codes.
Proper use of modifiers is crucial in podiatry coding, especially when billing for multiple procedures during a single encounter or for related procedures performed on the same foot.

Given these unique aspects, podiatry coding requires specialized knowledge and expertise. Our AHIMA™ and AAPC™ certified coders possess a deep understanding of foot anatomy, specific terminology, and a comprehensive grasp of podiatric conditions and procedures to accurately code and bill for services provided by podiatrists.

Podiatry Codes

Frequently Used CPT, ICD, and Modifier Codes

  • Evaluation and Management (E/M) Codes: 99201-99215: Office or other outpatient visit codes based on complexity and time spent with the patient.
  • Nail Procedures: 11720-11765: Debridement of nail(s) by any method; 11730 for avulsion of nail plate, partial or complete.
  • Lesion and Cyst Removal: 28190-28299: Removal of subcutaneous foreign body or bursa; excision; 28080-28193 for excision or destruction of lesions or tumors of the foot.
  • Fracture and Dislocation Care: 28400-28485: Treatment of fractures, dislocations, and traumatic injuries of the foot and ankle.
  • Orthotic Management: L3000-L3649: Orthotic device codes for shoe inserts, arch supports, and other foot orthoses.
  • Surgical Procedures: 28110-28899: Range of codes for surgical procedures such as bunionectomy, hammertoe correction, arthroplasty, and arthrodesis.
  • Wound Care: 97597-97602: Debridement (removal of foreign material and dead tissue) and wound care management codes.
  • Diabetic Foot Conditions: E11.621: Type 2 diabetes mellitus with foot ulcer; E11.51: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene.
  • Bunion: M20.11: Hallux valgus (acquired), right foot.
  • Hammertoe: M20.41: Hammer toe, right foot.
  • Plantar Fasciitis: M72.2: Plantar fascial fibromatosis.
  • Ingrown Toenail: L60.0: Ingrowing nail.
  • Flat Feet: Q66.5: Congenital pes planus.
  • Arthritis of the Foot and Ankle: M19.071: Primary osteoarthritis, right ankle and foot.
  • -RT (Right Side): Used to indicate a procedure performed on the right side of the body.
  • -LT (Left Side): Used to indicate a procedure performed on the left side of the body.
  • -50 (Bilateral Procedure): Indicates that a procedure was performed on both sides of the body during the same session.
  • -51 (Multiple Procedures): Indicates that multiple procedures were performed during the same session.
  • -59 (Distinct Procedural Service): Used to indicate that a procedure is separate and distinct from another service performed on the same day.
  • -X{EPSU} (Modifiers to Avoid Unbundling): These are a series of modifiers designed to provide more specific information regarding the services provided.

What Our Clients Say

Together with our clients, BHS experts partner to achieve desired outcomes
and push the boundaries of what's possible.