Comprehensive Billing Solutions for Podiatry Practices
Full-Service Insurance Billing and Credentialing
We manage every aspect of insurance billing, from claim creation to submission and follow-up until payment is secured. Our team also handles podiatry credentialing and contracting with insurance payers, ensuring your practice meets all carrier requirements and gets the best reimbursement rates. This reduces payment delays and ensures timely revenue.Personalized Patient Billing Management
Our podiatry medical billing services are designed with care. We send clear, easy-to-understand patient statements and handle patient balance inquiry calls in our call center. This approach improves patient satisfaction and reduces unpaid balances, ensuring smooth collections.
Proactive Accounts Receivable Management
We closely monitor unpaid claims and outstanding balances, consistently following up to maintain steady cash flow. By staying on top of accounts receivable, we ensure your revenue remains stable and predictable.Effective Denial Management and Resolution
Our team quickly identifies and addresses denied claims, analyzing patterns and taking corrective action. We resubmit and appeal claims promptly, helping your practice recover lost revenue and reduce future denials.
Medical Billing for Specific Podiatry Challenges
Durable Medical Equipment (DME) & Orthotics Billing for Podiatry
We help podiatry practices navigate DME and orthotics billing. Medicare’s same and similar rule limits patients to one device every five years. Our team ensures you verify prior DME usage by checking with Medicare intermediaries. When a service isn't covered, we apply the GY modifier for secondary insurance or the GA modifier for self-pay with an ABN on file. We also help with commercial insurance, which may cover more than Medicare.
Routine Foot Care Billing
Routine foot care includes six codes for nail trimming, callus debridement, and more. Medicare allows coverage when proper documentation supports medical necessity. Specific modifiers like Q7, Q8, and Q9 depend on conditions like amputation or diabetes. We ensure you follow these guidelines and verify patient documentation.
Wound Care Billing
We understand the complexities of billing for skin grafts in diabetic or trauma-related wound care. With high reimbursement potential, we help you navigate coding for waste, size, and payer formularies. We assist in selecting the right modifiers and ensuring compliance with payer-specific rules. Our expertise ensures accurate documentation that mitigates the risk of audit refunds while maximizing reimbursement potential.
Key Services We Offer
- Implement processes to maximize reimbursement and reduce denials.
- Verify benefits and ensure accurate ABN documentation for Medicare patients.
- Develop workflows to check for prior DME usage and streamline routine foot care billing.
- Guide podiatry practices through wound care billing to ensure correct coding and reimbursement.
The Benefits of Outsourcing Podiatry Billing to HRG
Maximized Revenue Capture
By outsourcing your podiatry billing to HRG, you ensure that every claim is optimized for full reimbursement. Our team’s specialized knowledge in podiatry helps capture more revenue through accurate billing processes.
Reduced Administrative Burden
Handling billing in-house often diverts valuable staff time from other tasks. Outsourcing to HRG allows your team to focus on practice operations, patient interactions, and care quality, while we manage the complex billing process.
Improved Cash Flow
Through timely submission and follow-up of claims, we help ensure faster payments, resulting in a healthier cash flow for your practice.
Enhanced Compliance
We keep up with the latest healthcare regulations, including those specific to podiatry, ensuring your practice avoids costly compliance issues. Our attention to detail minimizes the risk of audits and penalties.
Financial Reporting and Practice Performance Insights
Our financial reports go beyond simple numbers. We deliver detailed, actionable insights into your practice’s performance, helping you identify areas for profit growth, cost savings, and improved efficiency. By providing real-time data, we enable better decision-making for long-term success.
Transparent Processes and Customized Support
At HRG, transparency is key. We work directly within your chosen practice management software, ensuring full visibility into your billing operations. Whether you use eClinicalWorks, ModMed Podiatry (formerly TRAKnet), or NextGen Revenue Cycle Management, we adapt to your system, making it easy for you to access your data anytime.
In addition, we schedule regular performance reviews, offering recommendations and strategic insights to improve your practice’s financial health.
FOCUS ON CARE, NOT BILLING