- 1178 Broadway, NY 10001
- 30 N Gould St Ste N, Sheridan, WY, 82801
- +1-(929)-621-6059
- info@medstates.com
- accounts@medstates.com
- www.medstates.com
© 2026, MedStates. All Rights Reserved.
From diabetic foot care to complex reconstructive surgery, our podiatry billing services cover every code, every modifier, and every claim, so your practice gets paid in full, every time.
DMEPOS Compliant Billing
EHR Platform Expertise
Dedicated Account Management
Podiatry has 12% claim denial rate, 40% higher than the healthcare average due to missed modifier, conflicted codes, or compliance issues. However, if you outsource podiatry billing services to us, we won’t let these mistakes happen.
Podiatry claims fail because modifier errors and NCCI conflicts go undetected before submission so we scrub every claim clean before it reaches the payer.
Most practices lose thousands avoiding complex DME and orthotics billing entirely so we bill every service you perform at the correct rate without exception.
Medicare updates and MAC policy changes constantly catch unprepared practices off guard so we track every compliance shift and keep your claims audit-ready.
A missed authorization denies a perfectly coded claim before the payer reviews it so we confirm every approval before the procedure is performed.
Our podiatry medical billing services manage the full revenue cycle so nothing falls through at any stage from eligibility to final payment. With Medstates, every billing step is covered, every claim is tracked, and nothing falls through at any stage of the process.
Billing the wrong payer or missing coverage details creates denials that no clean coding can fix. Our podiatry billing service verifies every patient’s eligibility, confirms coverage, and identifies authorization requirements before the first claim is submitted.
Podiatry coding requires Q-modifiers, NCCI edits, global periods, and DMEPOS rules across six service lines. Our AAPC-certified coders apply the exact codes and diagnosis linkages your claims need to pass on first submission.
Wound care, orthotics, and surgical cases require payer approval that expires or gets missed entirely. We manage every authorization request, track approvals against procedure dates, and make sure no claim goes out without confirmed coverage.
A claim that leaves with an error never comes back paid. Our podiatry medical billing services run pre-submission scrubbing on every claim checking for coding errors, modifier conflicts, and payer-specific requirements before anything reaches the clearinghouse.
Every denied claim has a specific reason and a specific fix. Our podiatry billing services work every denial with the correct appeal documentation and eliminate the patterns generating the same rejections month after month.
Unpaid claims sitting in aging AR quietly drain practice revenue. We follow up on every open claim, escalate unpaid balances before they become write-offs, and post every payment accurately so your financial picture stays current.
Across all 6 podiatry service lines
From Onboarding
Industry average is above 45 days
RCM AAPC & CSFAC certified team
We analyze your last 90 days of claims, identify denial patterns, coding gaps, and missed revenue through revenue audit before we bill a single claim.
We integrate with your EHR, complete provider credentialing, and set up payer enrollments without disrupting your clinical workflow.
Our AAPC-certified podiatry coders take over submission with pre-scrubbed, modifier-accurate claims going out clean from day one.
We review KPI dashboards with you monthly, track denial trends, and continuously optimize your revenue cycle for consistent growth.
Most podiatry practices don’t know how much revenue they’re losing. We’ll audit your current billing at no cost and show you exactly how much revenue you are losing.
Can MedStates work with my existing EHR system?
Yes. Our podiatry billing services work inside eClinicalWorks, ModMed, NextGen, and TrakNet without arequiring any software changes or disrupting your clinical workflow.
What is the Medicare frequency limit for routine foot care billing?
Medicare covers routine foot care once every 61 days. Claims submitted before that window trigger automatic denial with no appeal pathway.
How does outsourcing podiatry billing services reduce claim denials?
Outsourcing podiatry billing services gives you specialty-specific coders who catch modifier errors, NCCI conflicts, and documentation gaps before any claim reaches the payer.
How long does it take to transition to an outsourced podiatry billing service?
Managing Entities coordinate regional behavioral health resources and may fund or direct services outside of Medicaid claims. We maintain ME contact lists and billing/invoicing workflows by county.
How does MedStates handle podiatry billing across all six service lines?
We assign AAPC-certified coders with podiatry medical billing services expertise covering routine foot care, diabetic care, wound care, orthotics, surgery, and sports podiatry.
How do I know if my podiatry practice is being underbilled?
If your DME, orthotics, or wound care claims are inconsistent or uncaptured, your podiatry medical billing service is likely missing billable revenue every month.
© 2026, MedStates. All Rights Reserved.
Get Free Practice Audit
Gain expert insights into your Practice’s current performance and the ways to improve that further.
Book your slot now!
This will close in 65 seconds