Podiatry Billing: Tips To Maximize Reimbursement

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Podiatry Billing Tips To Maximize
Reimbursement  

• Did you know? Podiatry billing and coding involve
  quite a complex process right from the beginning
  of the appointment. The onus is on the practice
  to determine whether the patient needs it for
  medical reasons and prove that podiatry treatment
  is necessary. Moreover, there are quite a few
  nuances to podiatry coding, where meticulous
  attention is required in determining the correct
  modifiers and coding knowledge for any inclusive
  services and reimbursement in podiatry billing.
  The lack of knowledge of the correct modifiers
  means the practice will suffer from revenue
  leakage, aged accounts, and maybe even
  write-offs. Both CMS and AMA state that
  in podiatry billing and coding, modifiers are
  vital as it helps the insurance company to
  understand the procedure and service provided and
  performed.

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ways to maximize the reimbursement in podiatry
billing

• Verifying the Insurance
• Even before the service is offered to the
  patient, the practice must review the patients
  insurance provider and plans. Confirming the
  patients eligibility claims is on the podiatry
  practice and not the patient. Verifying the
  insurance coverage allows you to check the
  patients eligibility for the procedure,
  understand the benefits the insurance offers and
  minimize denials.
• . Accurate Coding
• One of the challenging areas in podiatry billing
  is using the correct code for reimbursement. The
  podiatry practice needs to use the closest code
  that suits the procedure performed on the
  patient. It is essential to use valid ICD-10
  codes along with HCPCS and CPT.
• In podiatry, there are six different ICD-10
  codes, two HCPCS codes eight CPT codes.

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• Using the Right Modifier
• Applying the correct modifier is another crucial
  factor in the claim form during the billing. The
  modifiers help in providing information about the
  procedure codes that were used on the date of the
  service.
• Procedure for Complications
• the coder needs to do the following
• In case of active care, the biller needs to put
  in the name of the physician diagnosing the
  condition of the patient when the first claim was
  made with the estimated date when they visited
  the said physician last. 
• Apart from mentioning the diagnosis, the biller
  must document the gravity of the condition and
  the diagnosis.

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• . Appeal Denials
• If the insurer refuses to cover the claim or
  denies it, the podiatry practice wont get paid
  for the service. The way to move forward to make
  a claim again is by going through the Explanation
  of Benefits (EOB) given by the insurance company.
• 
  Additional Tip
• Using the correct modifier and submitting the
  claims on time with the proper codes means the
  chances of reimbursement in podiatry billing
  would definitely increase. But podiatry is a
  complex healthcare field, and submitting
  successful claims can be tricky, especially when
  the insurance company and CMS keep updating and
  changing the regulations. In such an instance,
  the best way to ensure that reimbursement are
  maximized is by working with an expert podiatry
  billing and coding company, such as 24/7 Medical
  Billing Services.

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About 247 Medical Billing services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50. Call
us today at 888-502-0537 to know more on how we
can help boost profitability for your practice.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
https//www.247medicalbillingservices.com/
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