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Cut Through Podiatry Billing Chaos – We Handle What Holds You Back

CloudRCM is not just another podiatry billing company. We’re a comprehensive RCM partner tackling the podiatry-specific billing complexities that impact your profitability:

  • Routine vs. Surgical Coding Confusion: Misapplied modifiers (e.g., -59, RT/LT) and global period errors cause 25–40% of denials.
  • Medicare Routine Foot Care Restrictions: Claims for CPTs 11720–11721 or 11055–11057 get denied without qualifying ICD-10s (e.g., diabetes, PAD).
  • DME Documentation Failures: Diabetic shoes (A5500), custom orthotics (L3000) denied due to missing CMNs, KX modifiers, or insufficient records.
  • Prior Auth Bottlenecks: 15–30 day delays for bunionectomies, wound care (97597–97598), or orthotics via portals like UHC’s Optum.
  • Wound Care Audit Risk: Medicare CERT audits target vague or incomplete wound care documentation, especially for debridement claims.
  • MAC-Specific LCD Rules: Carriers like Novitas and CGS deny claims for missing radiographs, overutilized orthotics, or invalid codes.

Specialized Solutions for Every Podiatry Revenue Challenge

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    Podiatry Auditing

    Declining revenue despite consistent patient volume? Hidden revenue loss from undercoded bunionectomies, denied diabetic foot care, or overlooked modifiers is common. CloudRCM performs thorough audits to restore lost revenue and compliance.

    Podiatry Credentialing

    Struggling with payer enrollment or hospital privileges? We expedite CAQH profile syncs, DME supplier forms (CMS-855S), and dual credentialing for surgical + DME services. From state-specific license hurdles to Medicare revalidations, we handle it all.

    Podiatry Coding and Billing

    Errors in surgical CPTs (e.g., 28296, 28810), global period tracking, or missing laterality modifiers result in costly denials. Our podiatry billing and coding experts ensure correct use of CPT/ICD-10, modifiers, and documentation—avoiding compliance issues and boosting payment.

    Podiatry Billing Services

    Claims getting stuck in A/R? Our podiatry medical billing company scrubs, submits, and follows up every claim—from nail avulsions to reconstructive surgery—with precision. We reduce days in A/R and increase clean claim rates.

    Prior Authorization & Insurance Verification

    Tired of losing revenue to delayed authorizations? Our prior auth team uses payer-specific protocols to get approvals faster—especially for custom orthotics, wound debridement, and surgical procedures.

    Patient Help Desk

    Struggling with high out-of-pocket bills and patient confusion? Our support staff explains coverage for diabetic shoes, DME, and surgical procedures—improving collections and satisfaction.

    Performance-Based Partnership – We Win When You Get Paid

    CloudRCM’s podiatry revenue cycle management simplifies your entire billing process. We integrate seamlessly with the best podiatry software and podiatry EHR systems including TRAKnet, SammyEHR, and Modernizing Medicine. We don’t get paid until you do—no setup fees, no lock-in contracts. Our mission is simple: maximize your podiatry profitability while keeping your practice audit-ready and compliant.

    Is Your Billing System Hurting More Than Helping?

    Focus on Feet, Not Denials—Let CloudRCM Clean Up Your Billing.

    Signs you need us:

    • Frequent denials for routine foot care or wound debridement
    • DME claims denied due to incomplete documentation
    • Prior auth delays choking surgical scheduling
    • Uncollected balances due to confusing implant/DME charges
    • Staff overwhelmed by complex podiatry billing workflows

    If you’ve answered “yes” to any of these, it’s time to consider outsourcing your billing department.

    • 24/7 RCM Support
    • 24-Hour Claim Scrubbing
    • Faster Payer Approvals
    • HIPAA-Compliant Security
    • 100% Payment Pursuit

    How We Help Podiatry Practices Thrive

    CloudRCM’s expert podiatry medical billing team drives 30%+ revenue lifts through:

    • Automated billing and payment posting via best podiatry EMR systems
    • Aggressive follow-up on denied or underpaid surgical/DME claims
    • Certified coders specializing in podiatry billing and coding nuances
    • Integrated dashboards for podiatry RCM KPIs and audit tracking
    • Full support for DME eligibility checks and documentation

    From Routine Care to Reconstructive Surgery

    Master Your Podiatry Billing

    Our podiatry billing service supports all subspecialties:

    Accurate coding and documentation for bunionectomy (28296), hammertoe (28285), toe amputation (28810), ankle fusions.

    Compliance-driven billing for CPTs 11055–11057, 11720–11721 with medical necessity validation.

    Proper usage of CPT 97597/97598 with tissue documentation, measurements, and progress notes.

    Expert claims for A5500, L3000, and inserts—ensuring KX modifiers and supplier enrollment are complete.

    CPT 20610, 20550, and other injections billed with accurate diagnosis linkage.

    We understand the unique billing challenges faced by each specialty, and our team of verified billing experts is here to manage them, so you don’t have to.

    Think of Us as Your Podiatry Revenue Partners®

    CloudRCM isn’t just a podiatry billing service

    We’re your practice growth partner. Whether you’re an independent podiatrist or a multi-location clinic, our podiatry RCM solutions help scale your revenue, lower denials, and reduce compliance risk. Let us optimize your billing while you focus on healing feet.

    Unlock Revenue You Deserve

    Schedule a Free Podiatry Billing Consultation

    No setup costs. No surprises. CloudRCM gets paid only when you do. Let’s streamline your podiatry billing, plug revenue leaks, and improve your financial peace of mind. Contact us today to learn how much more you could be collecting.

    contact us for your free, no-obligation consultation now!

    Frequently Asked Questions (FAQs)

    How do you help reduce denials for routine foot care under Medicare?

    We link CPTs 11720–11721 with systemic diagnoses (e.g., E11.42, I73.9) and validate medical necessity to meet LCD criteria.

    Can you help us bill for DME like orthotics or diabetic shoes?

    Yes—our podiatry medical billing company handles complete DME billing, documentation, and credentialing (CMS-855S, KX, CMNs).

    Do you handle prior authorizations for surgeries and orthotics?

    Absolutely. Our dedicated team navigates payer-specific portals and requirements to secure fast approvals.

    What software do you integrate with?

    We work with the best podiatry software including podiatry EMR systems like TRAKnet, SammyEHR, and more.

    Is patient data secure with CloudRCM?

    Yes—HIPAA-compliant security, encryption, and audit trails protect all podiatry electronic medical records.

    Let’s Get Started