Podiatry medical billing certainly has been one of the most intricate physician practices when it comes to medical billing and coding. One vital element for conducting a sustainable podiatry medical service is to increment the Revenue Cycle Management via Outsourced Podiatry medical billing services.
Juggling between the rules of procedure types and the limited benefits, you can figure out many instances as to why podiatry practitioners and hospitals are falling short of meeting the revenue targets.
Why Medical Billers and Coders (MBC)…
Our group of professional medical billing and coding experts has the knowledge and abilities needed to effectively work on denials to provide the podiatry physicians with profitable inputs. This helps physicians with overseeing, and diminishing the most regularly observed denial types. Staying updated on all fronts of medical billing and coding, we have narrowed our focus to the different principles and rules issued by the insurance suppliers, to help our customers in streamlining their income and lessening their rejection and denials, so all the parties involved get paid quickly.
What we know and what we do…
As a certified third-party medical biller and coder, we deliver high-quality results in every step of medical billing procedures. The main aim of our work structure is to lower the number of denials, reducing the AR days, checking for billing and coding errors among others.
Coding according to procedures and billing necessities:
An astounding example of particular procedure type requirements deals specifically with routine foot care. In numerous previews, routine foot care (11721) must be billed with a systemic condition for payment. Indeed, even beyond that, Medicare claims are required to have the Primary Care Physician and Date Last Seen on the cases specifically for any reimbursement by any means. It is important that the doctor’s office and the billing agency be in clear and direct correspondence to ensure that this information is obtained and transmitted.
Time limits of procedure recurrence:
Many of the procedure codes charged for podiatrists have set the post-operation period that insurance carriers will observe to the precise day. Do remember that routine foot care, as a rule, requires a sixty-day lapse before the patient can be seen again for the procedures. Accordingly, two things are assured, one is receiving the reimbursement on time, and the second is it does not hamper your Revenue Cycle Management.
Using appropriate modifiers:
As you must be aware that many of the CPT codes for podiatry are particularly related to foot/toe/nail, it is imperative to note this information on the charges at the time of administration. This incorporates assigning the right foot (LT/RT), the toe (T1-TA), notwithstanding the class findings (Q7-Q9). Insurance providers require that specific CPTs have this information keeping in mind the end goal to review the case and process it for payments. It is a petite, however crucial step in the billing procedure.
Points to remember
- From October 1, 2016, the Centers for Medicare and Medicaid Services (CMS) will no more acknowledge unspecified codes as a rule.
- Beginning in October, CMS requires more prominent specificity for claims recorded in ICD-10-CM/PCS.
- The 12-month grace period initially presented in 2015 said they would not deny claims for missing ICD-10 specificity.
- All insurance providers have also been notified regarding the changes that may affect the reimbursement procedures.
If Your Podiatry Center or Hospital is still not aligned with these latest coding and billing developments and procedures, a wise thing for a profitable outcome would be to outsource your medical billing work to certified offshore entities. This way you would not only lower the operational costs but increment the RCM as well.