Podiatry Medical Billing

Solutions for the complex medical business management.

Two medical personnelPodiatry is an exciting specialty, and one that has garnered some not so welcome attention from the Center for Medicare and Medicaid Services (CMS) earlier in 2018.  According to the Federal Register, regarding proposed payment changes for 2019:  “The estimated impacts for several specialties, including allergy/immunology, diagnostic testing facilities, hematology/oncology, radiation therapy centers, and podiatry, reflect decreases in payments relative to payment to other physician specialties.”  While this is not great news, it is now more important than ever to have a partner like CompMed to process your billing.

CompMed monitors federal and state regulations and gives podiatrists the information they need to ensure they are appropriately capturing billing service codes, but more importantly, that CompMed is collecting every corresponding payment possible.  In this day and age of ever decreasing reimbursement, it is imperative to engage a company that will fight, and obtain, every dollar due.

Podiatry billing is not impossible, but it does encompass some very specific billing rules:  such as when insurance can be billed for foot care, billing correctly for radiology foot/lower extremity exams, who to report as the Referring Physician on the claim, and the appropriate modifiers to apply to the charges. CompMed understands how to bill for foot care for patients with chronic diseases, lower extremity wound care, and how to bill for therapeutic shoes.  CompMed particularly understands how to bill for Durable Medical Equipment (DME) and works with the separate Medicare Administrative Contractor (MAC) to process those DME claims for payment. It’s also essential to understand when to bill the charge as a new patient vs an established patient as well as Incident To billing rules – CompMed understands podiatric billing.

Credentialing is often an afterthought for most doctors.  Credentialing is one of CompMed’s first concerns.  It is essential to ensure that providers are enrolled with insurance companies promptly and correctly so that in-network payments will be received timely.  Credentialing efforts are one of the biggest impacts to cash flow.

CompMed focuses on billing out your charges correctly, the first time, but we also concentrate on resolving accounts receivable.  CompMed’s credit card processing is integrated into our billing software so that we can capture patient portions efficiently and accurately.  We can also offer Electronic Health Record (EHR) software, Sevocity, that is specifically tailored to the podiatry specialty.  *CompMed clients receive discounted pricing rates from Sevocity.

Our CompMed podiatry team is ready to assist you with personalized and customized service to help your practice be successful.  Call us today to see how CompMed can be a solution for you.

Contact Angela Patterson at (423)903-6796 or angela.patterson@compmedsolutions.com

1  https://www.federalregister.gov/documents/2018/07/27/2018-14985/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions