With extensive business operations, PBC Podiatry’s medical billing management is specifically designed for doctors seeking medical billing, coding, submission, and realisation solutions that are both economical and maximise revenue. As essential members of our medical billing consortium in the US, our billing specialists seldom return subpar work, even with the intense attention needed to serve a variety of clients.

PBC’s proficiency in billing

The key factors that contribute to providing podiatry physicians with the best medical billing management services are being certified by the American Association of Professional Coders (AAPC), being skilled with cutting-edge medical billing software, applying standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding in accordance with CMS guidelines, as well as being HIPAA compliant.

Were you aware?

• Medicare will only pay for a routine checkup with systemic problems that is medically required, up to six times a year, using CPT code 11721 (Covered Nail Debridement 6 or more), which requires the Q8 modifier.
• Modifiers for podiatry include T1 through T9 (toe modifiers), with the exception of CPT codes 97598, 11720, and 11721, where using this modifier will result in denials.
• Podiatry billing regularly uses HCPCS codes J3301 and J1100 (injection procedures), which generate a sizable amount of money for practitioners.

As a result, most doctors are able to delegate tedious and non-essential medical billing administration and concentrate more on providing patients with effective medical care. Thus, it should come as no surprise that doctors are able to diagnose and treat foot, ankle, and lower limb diseases with greater efficiency thanks to our medical billing outsourcing services. You can match the qualifications and experience of our knowledgeable Podiatry medical billers in your area with your needs.

Medical billing in several specialties

Our medical billing specialists can assist with billing, coding, submission, and realisation of medical bills for a variety of professions by expanding their scope of Podiatry medical billing administration.

• reconstructive surgery for the ankle and hind foot
• athletic medicine
• Diabetic wound care and limb salvage services
• Diabetic and pediatric services
• Services for Forensic Podiatry

Facilitating precise and accurate medical invoicing

Our podiatry billing experts use precise codes for intricate services like the following by adhering to a CPT coding regimen :

• 76881 for non-vascular, real-time, extremity ultrasound with picture documentation;
• 76882 for restricted, real-time, non-vascular, extremity ultrasound with image documentation;
• 93922 for single-level, bilateral, non-invasive physiologic investigations of the upper or lower extremities arteries;
• 93926 pertains to duplex scanning of lower extremity arteries or arterial bypass grafts;
• 20552 denote injections performed on one or two muscle(s)
• 20553 denote injections performed on three or more muscle(s), respectively.
• 20605 is the code for aspiration, arthrocentesis, and/or injections;
• 20610 is the code for aspiration, arthrocentesis, and/or injections.

In addition to classifying the aforementioned services, our professionals apply the appropriate modifiers to prevent unwanted audit checks, postpone, deny, and resubmit medical claims to insurance companies.

proactive handling of bills

Physicians have been able to effectively realise their claims with a portfolio of top private insurance carriers, including United Health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and government-sponsored Medicare and Medicaid, as a result of these best practices in podiatry billing management.

We have made preparations in advance for the opportunities and challenges that will arise from having to comply with HIPAA 5010 and ICD-10 coding requirements. Physicians should therefore anticipate continuing to get favourable reimbursements in light of the following: precise charge-capture, complex procedure coding, electronic claim submission, patient billing, multi-tiered appeals process, rejection elimination programmes, and compliance standards.