There are several medical specializations and for each specialization, there is a certain set of rules and codes in medical billing services.
Not every medicine field has the same diagnostic and surgical procedures. Similarly, medical billing and coding guidelines and techniques are different for each specialization. Same is the case with podiatry. When a medical billing company claims for podiatry services, they work on a special dedicated plan.
First, learn what is Podiatry?
Podiatry is the branch of medicine, which is concerned with the diagnosis, treatment, and study of diseases and disorders of the foot and lower extremity. Treatments are related to regular healthcare treatments, neurological, metabolic, and other underlying issues along with injuries, wounds, and infections.
Rules Regarding Medical Billing Services for Podiatrists
The Center of Medicare and Medicaid Services (CMS) has defined rules and procedure for each discipline of medicine. There are clear instructions of what should be covered under an insurance plan for podiatrists. New medical billing outsourcing companies can take notes from their official website.
Insurance Don’t Pay for Non-Medically Necessary Services
Under CMS rules, insurance companies will only pay for medically necessary foot care services.
A regular foot care service falls into the following categories.
- Optional supplemental
What Exclusions Are Involved in Podiatry Medical Billing?
There are certain cases in which fighting with insurance companies for reimbursement is straightaway lost war. There is no point in sending claims for the following cases.
Straight away rejection cases include:
- Initial care service
- Existence of metabolic, neurologic, or other peripheral vascular diseases
- Mycotic nails
- When a patient is already receiving primary healthcare
- Dislocation of ankle joint
- Subluxation of structures within feet
- When a patient wears orthotic shoes
- When a diabetic patient wears special shoes
To higher the acceptance rate of medical claims, medical billing services should precisely state the name of the podiatrist, who diagnosed the disease. Moreover, the severity of the condition should be reported not just the diagnostic procedure.
New medical billers and coders often get lost in the maze of instructions and guidelines. Medical billing for podiatry indeed requires a great level of accuracy as insurance companies don’t pay for these services very easily.
However, with little care, necessary paperwork, just like we do, there will be no problem in the claim submission process. We, P3 Healthcare Solutions, Ontario, CA have carefully devised medical billing methods for different specialties and offer specialty-specific services to physicians.
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