Maximize reimbursements for routine foot care, nail procedures, bunionectomy, diabetic foot exams, and custom orthotics with podiatry billing specialists who understand class findings documentation, Medicare's routine foot care rules, and the coverage distinctions that define podiatry reimbursement.
Podiatry billing involves some of the most misunderstood rules in all of Medicare — routine nail and callus care is excluded from coverage unless class findings are properly documented. Diabetic foot exams have their own frequency limitations. Custom orthotics require certificates of medical necessity and DMEPOS supplier enrollment. RCMAXIS podiatry billing specialists know every one of these rules and make sure your documentation and coding support coverage on every single claim.
Medicare covers routine nail and callus care only when class findings (systemic conditions affecting the lower extremities) are documented. RCMAXIS ensures the correct class finding diagnosis codes are present on every routine care claim — preventing the automatic denials that occur when this documentation is missing or incomplete.
Nail procedures — partial vs. complete avulsion, with and without matrixectomy — are billed differently based on the number of nails treated and the technique used. We correctly code each nail procedure, apply bilateral modifiers when applicable, and ensure documentation supports medical necessity for each service performed.
Podiatric surgery codes — hallux valgus correction, hammertoe repair, plantar fascia release — have global periods and modifier rules similar to orthopedic surgery. RCMAXIS manages the complete surgical episode, correctly applies global period modifiers, and ensures all post-operative services are billed correctly.
Medicare covers diabetic foot exams every 6 months for patients with diabetic peripheral neuropathy. RCMAXIS tracks each patient's exam history, ensures the correct G-code and ICD-10 are applied, and prevents duplicate billing violations — while capturing every covered diabetic foot evaluation your providers perform.
Custom foot orthotics require certificates of medical necessity, DMEPOS enrollment, and correct L-code selection based on the type and material of the orthosis. RCMAXIS manages the complete orthotics billing process — from CMN documentation through L-code claim submission — ensuring you're reimbursed for the full cost of custom devices.
Podiatry denials — routine care without class findings, frequency violations for diabetic exams, and orthotics CMN issues — require detailed appeals citing Medicare LCD and coverage criteria. RCMAXIS identifies every denial's root cause and submits targeted appeals to systematically recover your denied podiatry revenue.
Our certified podiatry billing specialists apply correct class findings documentation, nail count rules, and orthotic L-codes to maximize reimbursement on every claim.
Medicare's routine foot care exclusions and class findings requirements are among the most commonly misunderstood rules in all of podiatry. RCMAXIS makes sure your claims are always covered.
Our billing specialists understand Medicare's class findings rules, diabetic foot exam frequency requirements, and custom orthotic billing requirements in depth. We don't apply generic billing rules to podiatry claims — we apply podiatry-specific rules that protect your revenue and your compliance.
Before every routine care claim is submitted, our team verifies that the appropriate class finding diagnosis is linked to each service. If documentation is incomplete, we flag it for your provider before submission — preventing automatic Medicare denials rather than appealing them after the fact.
Clear monthly reporting shows collections by service type, denial rates by payer, and AR aging trends — giving your practice full financial visibility and actionable data to improve billing performance over time.
All patient billing data is handled under full HIPAA compliance — encrypted transmission, signed BAAs, and role-based access controls protect your patients' protected health information at every step.